Access for people with disabilities in Amazonas to public health services: the management perspective

Abstract

This study aimed to analyze access to health services offered by the Care Network for Persons with Disabilities (RCPD) in the state of Amazonas from the perspective of health managers. A qualitative approach was used, and using a semi-structured questionnaire, interviews were conducted with 25 representatives from the management and coordination of health services in 6 municipalities across 3 health regions of the state. The content analysis of the interviews was based on 5 dimensions of access: access to information, acceptability, availability and accommodation, accessibility costs, and suitability. Critical points were identified in all categories of analysis, highlighting restrictions on access to services for people with disabilities, particularly in rural and remote areas, where geoclimatic conditions strongly influence the logistics and dynamics of individuals’ lives. Furthermore, some managers and professionals have made efforts to optimize access for users, contributing to the greater feasibility of using the available services. Given the results, it is clear that there is a need for adjustments in the planning and implementation of public policies to respond to the different demands of people with disabilities in the different territories of Amazonas.