Abstract
This qualitative study aimed to understand the strategies of families in the pursuit of health care for children treated in a Pediatric Emergency Department. Semi-structured interviews were held with twelve family caregivers of children attended in PED at a teaching hospital in the period March-June 2013. The data were analyzed based on the premises of content analysis. Results showed that the lack of problem-solving ability of primary care health services increases the demand for emergency care services. Relatives seek the Pediatric Emergency Department as first choice care, weaving alternative networks as a strategy to ensure quality care for their children. The restructuring of health services is recommended, based on the attributes of primary health care, overcoming the current paradigm, focused on the disease and medical consultation with one that considers comprehensive care for children and their family.
Highlights
The individuals’ access in direct or indirect contact with the health services says a lot about the capacity of the system to correspond to their expectations and needs; to guarantee a human and social right, the right to health which, in the sphere of public policies, should reflect the respect for the multiple singularities in users’ needs.[1]The organization of the care delivered to the child population needs support, furthering the identification of priority actions for child health by service managers and professionals
The main signs and symptoms the children presented in search of care at the Pediatric Emergency Department (PED) were related to upper airway infections and bronchiolitis
This emphasizes the frailty of primary health care (PHC) and of these children’s access to those services, as these problems should not be attended at a pediatric emergency service
Summary
The individuals’ access in direct or indirect contact with the health services says a lot about the capacity of the system to correspond to their expectations and needs; to guarantee a human and social right, the right to health which, in the sphere of public policies, should reflect the respect for the multiple singularities in users’ needs.[1]. The organization of the care delivered to the child population needs support, furthering the identification of priority actions for child health by service managers and professionals. The guidelines for the identification of integral care are based on the proper functioning of the child health services at the local level, with a view to achieving more satisfactory results for this population.[2]. Facilitating the access and promoting health care, including the development of actions to prevent damage and deliver care in case of complications can improve children’s health care and, their quality of life.[2]
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