Pós-federalização : avanços e retrocessos na qualidade do atendimento ambulatorial do Hospital Universitário de Lagarto-SE

Abstract

In this study, advances and setbacks in the quality of outpatient care provided by the Hospital Universitário de Lagarto (HUL) were investigated, after the implementation of the federalization process, which took place in 2017. As for the methodological procedures, this study was characterized as a descriptive survey. The research in question was developed in two phases. The first, the qualitative phase, was developed with the help of data collected through semi-structured interviews with HUL managers, the data in question were analyzed using the content analysis technique. In the subsequent phase, the quantitative one, the questionnaire was used as a data collection instrument. At this time, 140 users of the HUL clinic were selected, this sample was classified as non-probabilistic by accessibility. In this quantitative phase, the data were analyzed in a descriptive way. The results of the study showed that the interviewees are mostly female, with a mean age of 46 years, married, living in the city of Lagarto-SE and with low education. The research pointed out that the federalization process has contributed to the increase in the number of people requesting outpatient services at the HUL. This demand is associated with the increase in the number of health professionals and new medical specialties offered by hospitals after federalization. It was also found that the care provided by the health team and by the reception of the clinic are egalitarian and empathetic. Finally, the respondents noted that there was progress in the physical structure (comfort of the furniture, air conditioning and surveillance), as well as in the problem-solving capacity of the professionals who provide care at the HUL outpatient clinic.