Accessibility to treatment and health status of hemodialytic patients ; Acessibilidade ao tratamento e estado de saúde de pacientes hemodialíticos

Objective: to identify accessibility to treatment and health status of hemodialysis patients. Method: quantitative, cross - sectional, descriptive study performed at a nephrology clinic. Data were collected through interviews, analyzed using descriptive statistics and presented in tables of absolute and relative frequency distribution. Results: of the 151 patients, 49.6% were elderly; 54.3% have low schooling; 66.2% have a monthly income of up to two minimum wages; 93.4% have their treatment financed by the Unified Health System, however, 45.7% refer to treatment expenses; 66.9% mention noncompliance with conservative treatment; 84.1% received pre-dialysis care; 84.1% declare their self-perception of health as good and half of them are accompanied by primary health care (50.3%). Conclusion: it is necessary to strengthen the social support network and health care, since the condition of vulnerability characterized elucidates new challenges in the development of actions in health promotion, prevention of complications and in the accessibility and organization of the flow of care. Descritores: Health Services Accessibility; Primary Health Care; Comprehensive Health Care; Renal Dialysis; Renal Insufficiency Chronic; Public Health.RESUMOObjetivo: identificar a acessibilidade ao tratamento e o estado de saúde de pacientes em hemodiálise. Método: estudo quantitativo, transversal, descritivo, realizado em uma clínica de nefrologia. Os dados foram coletados por meio de entrevista, analisados utilizando estatística descritiva e apresentados em tabelas de distribuição de frequência absoluta e relativa. Resultados: dos 151 pacientes, 49,6% são idosos; 54,3% têm baixa escolaridade; 66,2% possuem renda mensal de até dois salários mínimos; 93,4% têm seu tratamento financiando pelo Sistema Único de Saúde, porém, 45,7% referem gastos com tratamento; 66,9% mencionam a inobservância de tratamento conservador; 84,1% receberam cuidados pré-diálise; 84,1% declaram a autopercepção de saúde como boa e metade deles é acompanhada ...