OFERTA E DEMANDA DOS SERVIÇOS DE SAÚDE PRODUZIDOS EM UM HOSPITAL GERAL PÚBLICO DE FEIRA DE SANTANA BA (2004-2006)

Abstract

This is a study whose object is the analysis of the offer and the demand of the health service produced in a public general hospital of Feira de Santana-BA in the process of the decentralization of public health service (2004-2006). The offer has to do with the availability of the services and the resources of the health field and the demand is characterized by the search of that service by its users. The objectives are: to analyze the offers and the demands of the health service produced by the hospital mentioned above on the basis of the Agreed and Integrated Program; to describe the public health services offered, by medical specific field and type of attendance; to characterize the demand developed and agreed according to the PPI of Feira de Santana and its sorroundings. A documentary research has been used as a main instrument of the analysis and, as a complementary one, free observation has also been done at the emergency unit of the hospital. The method of treatment of the empirical material was guided by the documental analysis, as a component of the content analysis proposed by Minayo (1999) as well as by the analytical flow diagram of Merhy (1997). The research shows that the most used services such as adimissions and urgent/emergency attendances are concentrated in population which lives in Feira. For the referenciated demand there is a previous schedule of the hospital procedures for the adimissions and for the urgency and emergency attendances of the hospital for the counties which have agreed to work with Feira de Santana. Still we have found distortions between the attendance given by the hospital and the destined physical and financial program. The Agreed and Integrated Program has brought some improvements in the organization of the health service net, but it is still necessaty to improve the form the agreement has been done in the State. The emergency unit is the sector with the biggest production of the hospital. It is also one of the main factor of the health net. It holds a selection service to select the users who are attended in the specialties of general clinic, pediatrics and orthopedics. The demand for orthopedics is superior to the capacity of the offer by the hospital. That demand is transfered to other private hospitals which have agreement with SUS. It is conclude that the offer and the demand of the health service produced by the HGCA are mainly concentrated in Feira de Santana and also that the process of regionalization provided some improvement in the organization of the demand, however, it is still necessary to develop some strategies to extend the connection between the hospital and the other health care centers.