• Josué Souza Gleriano, Carlise Krein, and Lucieli Dias Pedreschi Chaves.
• PhD. Nurse, Adjunct Professor, Department of Nursing, Faculty of Agricultural, Biological, Engineering and Health Sciences, Universidade do Estado de Mato Grosso (UNEMAT), Tangará da Serra (MT), Brazil.
• Sao Paulo Med J. 2024 Jan 1; 142 (4): e2023078e2023078.

BackgroundViral hepatitis is a major public health concern worldwide.ObjectivesThis study aimed to analyze the factors that facilitate access to care for viral hepatitis.Design And SettingUsing a sequential mixed method, this evaluation research was conducted in the state of Mato Grosso, Brazil.MethodsMapping of references and selection of regions were made based on the quantity and heterogeneity of services. The stakeholders, including the managers of the State Department of Health and professionals from reference services, were identified. Nine semi-structured interviews were conducted using content analysis and discussions guided by the dimensions of the analysis model of universal access to health services.ResultsIn the political dimension, decentralizing services and adhering to the Intermunicipal Health Consortium are highly encouraged. In the economic-social dimension, a commitment exists to allocate public funds for the expansion of referral services and subsidies to support users in their travel for appointments, medications, and examinations. In the organizational dimension, the availability of inputs for testing, definition of user flow, ease of scheduling appointments, coordination by primary care in testing, collaboration following the guidelines and protocols, and engagement in extramural activities are guaranteed. In the technical dimension, professionals actively commit to the service and offer different opening hours, guarantee the presence of an infectious physician, expand training opportunities, and establish intersectoral partnerships. In the symbolic dimension, professionals actively listen to the experiences of users throughout their care trajectory and demonstrate empathy.ConclusionsThe results are crucial for improving comprehensiveness, but necessitate managerial efforts to enhance regional governance.

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