[Therapeutic pathway of hospital emergency services users]. / Itinerario terapéutico de los usuarios de una urgencia hospitalar.

This is an exploratory study conducted in a general hospital in the greater Florianopolis in Santa Catarina State, Brazil using a qualitative/quantitative approach. The main objective is to describe the therapeutic route of patients seeking health assistance in an emergency hospital and their justifications for this choice, discussing it primarily from a socio-political and cultural point of view, without the intention to adhere to the theoretical philosophical aspects of these theories. The sample was composed of 35 subjects. The data was collected through semi-structured interviews, participant observation and medical charts. The data is presented in tables and using testimonials expressed by the subjects which were categorized by theme and discussed based on references that examine the issue. It was found that 82.6% of the subjects did not seek assistance at a Basic Health Unit and that the triage at the emergency hospital was performed by untrained staff. Assistance in emergency wards should be handled systematically and be focused on the user, reassessing and integrating the assistance practices and the work process.

Itinerario terapéutico de los usuarios de una urgencia hospitalar / Itinerário terapêutico dos usuários de uma emergência hospitalar

Se trata de un estudio exploratorio que utiliza el abordaje cualitativo y cuantitativo, realizado en una urgencia de un hospital general en la cercanía de Florianópolis, Santa Catarina, Brasil. El objetivo fue describir el itinerario terapéutico de los usuarios que buscan asistencia en salud en una urgencia hospitalar y las justificativas de esta opción, discutiéndolas de manera preliminar en sus aspectos socio-políticos y culturales, sin tener la pretensión de atenerse en sustentaciones teórico filosóficas de este aspecto. La muestra fue constituida de 35 usuarios. Para la colecta de los datos, se utilizó la entrevista semi-estructurada, la observación participante y los datos de la ficha de atendimento de la unidad de urgencia. Los datos fueron presentados en tablas y en forma de hablas expresas por los participantes y agrupados por semejanza de contenido y discutidos por medio de referencias que analizan la temática. Se constató que el 82,6 por ciento de los usuarios no buscaron asistencia en las Unidades Básicas de Salud. El acogimiento y triaje eran realizados por profesionales no capacitados que actúan en la recepción de la urgencia. La asistencia en los servicios de urgencia deberá ser de carácter sistémico y tener como foco el usuario, redefiniendo y integrando las prácticas asistenciales y el proceso de trabajo.

This is an exploratory study conducted in a general hospital in the greater Florianopolis in Santa Catarina State, Brazil using a qualitative/quantitative approach. The main objective is to describe the therapeutic route of patients seeking health assistance in an emergency hospital and their justifications for this choice, discussing it primarily from a socio-political and cultural point of view, without the intention to adhere to the theoretical philosophical aspects of these theories. The sample was composed of 35 subjects. The data was collected through semi-structured interviews, participant observation and medical charts. The data is presented in tables and using testimonials expressed by the subjects which were categorized by theme and discussed based on references that examine the issue. It was found that 82.6 percent of the subjects did not seek assistance at a Basic Health Unit and that the triage at the emergency hospital was performed by untrained staff. Assistance in emergency wards should be handled systematically and be focused on the user, reassessing and integrating the assistance practices and the work process.