{"id":"https://openalex.org/W4411547007","doi":"https://doi.org/10.55905/revconv.18n.6-230","title":"Acesso ao atendimento prim\u00e1rio no SUS: principais barreiras que impedem a universalidade da aten\u00e7\u00e3o em sa\u00fade","display_name":"Acesso ao atendimento prim\u00e1rio no SUS: principais barreiras que impedem a universalidade da aten\u00e7\u00e3o em sa\u00fade","publication_year":2025,"publication_date":"2025-06-23","ids":{"openalex":"https://openalex.org/W4411547007","doi":"https://doi.org/10.55905/revconv.18n.6-230"},"language":"pt","primary_location":{"id":"doi:10.55905/revconv.18n.6-230","doi":"https://doi.org/10.55905/revconv.18n.6-230","is_oa":true,"landing_page_url":"https://doi.org/10.55905/revconv.18n.6-230","pdf_url":"https://ojs.revistacontribuciones.com/ojs/index.php/clcs/article/download/18838/10850","source":{"id":"https://openalex.org/S4210199530","display_name":"Contribuciones a las Ciencias Sociales","issn_l":"1988-7833","issn":["1988-7833"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific"],"host_organization":"https://openalex.org/P4310321194","host_organization_name":"Servicios Academicos Intercontinentales","host_organization_lineage":["https://openalex.org/P4310321194"],"host_organization_lineage_names":["Servicios Academicos Intercontinentales"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CONTRIBUCIONES A LAS CIENCIAS SOCIALES","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ojs.revistacontribuciones.com/ojs/index.php/clcs/article/download/18838/10850","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Larissa Alexandre Leite","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Larissa Alexandre Leite","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022248014","display_name":"Elis Maria Jesus Santos","orcid":"https://orcid.org/0009-0008-7875-8993","observed_orcids":["https://orcid.org/0009-0008-7875-8993"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Elis Maria Jesus Santos","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Israeliny Sauany Laurentino Silva Gomes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Israeliny Sauany Laurentino Silva Gomes","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092646189","display_name":"VIN\u00cdCIUS ALVES DE FIGUEREDO","orcid":"https://orcid.org/0009-0001-6404-4825","observed_orcids":["https://orcid.org/0009-0001-6404-4825"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vin\u00edcius Alves de Figueredo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118594678","display_name":"Gabriel Bilio Lombardi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gabriel Bilio Lombardi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Francisca Arlivian Ferreira de Sousa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francisca Arlivian Ferreira de Sousa","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067949601","display_name":"Petr\u00facya Fraz\u00e3o Lira","orcid":"https://orcid.org/0000-0001-9539-066X","observed_orcids":["https://orcid.org/0000-0001-9539-066X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Petr\u00facya Fraz\u00e3o Lira","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5109834872","display_name":"C Ribeiro","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cristiane Ang\u00e9lica Ribeiro","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9909,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.76495469,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"18","issue":"6","first_page":"e18838","last_page":"e18838"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.7432000041007996,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13915","display_name":"Public Health in Brazil","score":0.7432000041007996,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.2361000031232834,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7630000114440918},{"id":"https://openalex.org/keywords/unified-health-system-sus","display_name":"Unified Health System (SUS)","score":0.8690000176429749},{"id":"https://openalex.org/keywords/universal-health-coverage","display_name":"universal health coverage","score":0.7670000195503235},{"id":"https://openalex.org/keywords/barriers-to-healthcare-access","display_name":"barriers to health care access","score":0.824999988079071},{"id":"https://openalex.org/keywords/healthcare-infrastructure","display_name":"health infrastructure","score":0.5870000123977661},{"id":"https://openalex.org/keywords/human-resources-in-health","display_name":"human resources in health","score":0.675000011920929},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.8949999809265137},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.6439999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41622185707092285},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3800102472305298}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.55905/revconv.18n.6-230","doi":"https://doi.org/10.55905/revconv.18n.6-230","is_oa":true,"landing_page_url":"https://doi.org/10.55905/revconv.18n.6-230","pdf_url":"https://ojs.revistacontribuciones.com/ojs/index.php/clcs/article/download/18838/10850","source":{"id":"https://openalex.org/S4210199530","display_name":"Contribuciones a las Ciencias Sociales","issn_l":"1988-7833","issn":["1988-7833"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific"],"host_organization":"https://openalex.org/P4310321194","host_organization_name":"Servicios Academicos Intercontinentales","host_organization_lineage":["https://openalex.org/P4310321194"],"host_organization_lineage_names":["Servicios Academicos Intercontinentales"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CONTRIBUCIONES A LAS CIENCIAS SOCIALES","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.55905/revconv.18n.6-230","doi":"https://doi.org/10.55905/revconv.18n.6-230","is_oa":true,"landing_page_url":"https://doi.org/10.55905/revconv.18n.6-230","pdf_url":"https://ojs.revistacontribuciones.com/ojs/index.php/clcs/article/download/18838/10850","source":{"id":"https://openalex.org/S4210199530","display_name":"Contribuciones a las Ciencias Sociales","issn_l":"1988-7833","issn":["1988-7833"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific"],"host_organization":"https://openalex.org/P4310321194","host_organization_name":"Servicios Academicos Intercontinentales","host_organization_lineage":["https://openalex.org/P4310321194"],"host_organization_lineage_names":["Servicios Academicos Intercontinentales"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"CONTRIBUCIONES A LAS CIENCIAS SOCIALES","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.9629999995231628},{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411547007.pdf","grobid_xml":"https://content.openalex.org/works/W4411547007.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1984193101","https://openalex.org/W2086129194","https://openalex.org/W2113373290","https://openalex.org/W2866071795","https://openalex.org/W3032968382","https://openalex.org/W3044940685","https://openalex.org/W3096984419","https://openalex.org/W3208403003","https://openalex.org/W3212213409","https://openalex.org/W4221124619","https://openalex.org/W4226281488","https://openalex.org/W4386392823","https://openalex.org/W4392142526","https://openalex.org/W4399885641","https://openalex.org/W4404211966","https://openalex.org/W4405372725","https://openalex.org/W4408814521","https://openalex.org/W6967370960"],"related_works":["https://openalex.org/W4399885641","https://openalex.org/W2046358552","https://openalex.org/W7130519059","https://openalex.org/W7218253876","https://openalex.org/W4416590518","https://openalex.org/W1957414361","https://openalex.org/W7160539484","https://openalex.org/W1501240262","https://openalex.org/W3094717780","https://openalex.org/W2512961049"],"abstract_inverted_index":{"Ao":[0],"longo":[1],"do":[2,28,55,59,208],"tempo,":[3],"o":[4,200],"sistema":[5],"de":[6,19,32,69,75,80,89,103,116,127,153,185,216,232],"sa\u00fade":[7,33,240],"brasileiro":[8],"passou":[9],"por":[10],"in\u00fameras":[11],"mudan\u00e7as,":[12],"inclusive":[13],"muitas":[14],"melhorias,":[15],"sendo":[16,218],"estas":[17],"resultado":[18],"lutas":[20],"que":[21,50,52,107,130,164,199,225],"possu\u00edam":[22],"como":[23],"objetivo":[24,111],"principal":[25],"a":[26,39,53,133,139,149,170,196,213],"democratiza\u00e7\u00e3o":[27],"acesso":[29],"aos":[30],"servi\u00e7os":[31,206],"e":[34,85,106,129,147,189,210],"sua":[35],"universaliza\u00e7\u00e3o":[36,235],"sem":[37,101],"distin\u00e7\u00e3o":[38],"nenhum":[40],"cidad\u00e3o.":[41],"Objetivou-se":[42],"com":[43,148],"este":[44],"estudo":[45],"analisar":[46],"as":[47,78,121],"principais":[48],"barreiras":[49,180],"impedem":[51],"universalidade":[54,171,214],"cuidado":[56],"no":[57,95],"\u00e2mbito":[58],"SUS":[60,209],"seja":[61],"posta":[62,219],"em":[63,220],"pr\u00e1tica.":[64,221],"Revis\u00e3o":[65],"integrativa":[66],"da":[67,112,175],"literatura,":[68],"natureza":[70],"qualitativa":[71],"realizada":[72],"durante":[73],"maio":[74],"2025,":[76],"mediante":[77],"bases":[79],"dados":[81],"MEDLINE,":[82],"LILACS,":[83],"BDENF":[84],"SciELO.":[86],"Os":[87,161],"crit\u00e9rios":[88,152],"inclus\u00e3o":[90],"foram:":[91],"artigos":[92,118,146],"completos,":[93],"publicados":[94],"per\u00edodo":[96],"dos":[97,151],"\u00faltimos":[98],"05":[99],"anos,":[100],"restri\u00e7\u00e3o":[102],"idiomas,":[104],"gratuitos":[105],"se":[108,212],"enquadrassem":[109],"ao":[110],"pesquisa,":[113],"j\u00e1":[114],"os":[115,167,205],"exclus\u00e3o:":[117],"repetidos":[119],"entre":[120],"plataformas,":[122],"incompletos,":[123],"disserta\u00e7\u00f5es,":[124],"teses,":[125],"cap\u00edtulos":[126],"livro":[128],"n\u00e3o":[131,172,204],"abordassem":[132],"tem\u00e1tica":[134],"proposta":[135],"pelo":[136],"estudo.":[137],"Com":[138],"realiza\u00e7\u00e3o":[140],"das":[141,183],"buscas,":[142],"foram":[143,157],"encontrados":[144],"307":[145],"aplica\u00e7\u00e3o":[150],"exclus\u00e3o,":[154],"apenas":[155],"16":[156],"contemplados":[158],"pela":[159],"pesquisa.":[160],"estudos":[162],"evidenciaram":[163],"diversos":[165],"s\u00e3o":[166],"fatores":[168],"para":[169,198,230],"ser":[173],"exercida":[174],"maneira":[176],"adequada,":[177],"tais":[178],"como:":[179],"f\u00edsicas,":[181],"infraestrutura":[182],"unidades,":[184],"recursos":[186],"humanos,":[187],"financeiras":[188],"dentre":[190],"outras.":[191],"Esses":[192],"aspectos":[193],"fazem":[194],"toda":[195],"diferen\u00e7a":[197],"usu\u00e1rio":[201],"acesse":[202],"ou":[203],"prim\u00e1rios":[207],"avaliam":[211],"est\u00e1":[215],"fato":[217,233],"Assim,":[222],"\u00e9":[223],"preciso":[224],"novas":[226],"pol\u00edticas":[227],"sejam":[228],"formuladas":[229],"obter":[231],"uma":[234],"na":[236],"aten\u00e7\u00e3o":[237],"prim\u00e1ria":[238],"\u00e0":[239]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-10-10T00:00:00"}