Resumo Objetivos: Caracterizar as expectativas dos utentes face à consulta de medicina geral e familiar (MGF) e analisar se existe relação entre o cumprimento das expectativas do utente e as características sociodemográficas, com a satisfação no final da consulta. Métodos: Consistiu num estudo observacional transversal, realizado numa Unidade de Saúde Familiar (USF) durante quatro semanas. Os utentes que se dirigiam a uma consulta programada eram questionados sobre o interesse em responder a um inquérito anónimo. A primeira página, lida e preenchida antes da consulta, consistiu em dados sociodemográficos (idade, género, escolaridade), número de consultas que teve na USF no último ano e expectativas presentes antes da consulta. A segunda página, respondida após a consulta, consistiu num questionário para analisar as expectativas cumpridas na consulta e outro para avaliar a satisfação com os cuidados médicos. Resultados: Obtiveram-se 65 inquéritos válidos. Verificou-se que a expectativa mais frequente antes da consulta consistia em receber informação sobre os resultados dos exames auxiliares de diagnóstico e a expectativa mais cumprida foi a explicação sobre o tratamento. Quanto ao grau de satisfação no final da consulta, a média de satisfação foi de 4,2 em 5 pontos. Verificou-se que os utentes estavam mais satisfeitos com o grau de confidencialidade e a forma como o médico o/a ouviu. Observou-se maior grau de satisfação em utentes com grau de escolaridade superior, com maior número de expectativas cumpridas e com maior número de ações realizadas e que não eram expectativas que o doente levava para a consulta. Conclusões: É importante identificar as expectativas que os doentes levam para a consulta, pois os utentes que reportam elevado número de expectativas cumpridas têm um elevado nível de satisfação, o qual pode ser atualmente considerado como um importante indicador da qualidade de saúde.

Abstract Objective: To characterize expectations of the primary health care users, and to analyze whether there is a relationship between the fulfillment of the expectations and sociodemographic characteristics, with satisfaction at the end of the appointment. Methods: It consisted of an observational longitudinal study, carried out in a primary care center for four weeks. Users who went to a scheduled appointment were asked about their interest in answering an anonymous inquiry. The first page, read and completed before the appointment, consisted of sociodemographic data (age, gender, education), number of appointments in the last year, and expectations present before the appointment. The second page, answered after the appointment, consisted of two questionnaires, one to analyze the expectations fulfilled in the appointment and the other to assess satisfaction with medical care. Results: Sixty-five valid inquiries were obtained. It was found that the most frequent expectation before the appointment was to receive information about the results of the auxiliary diagnostic tests, and the most fulfilled expectation was the explanation about the treatment. The degree of satisfaction was 4.2 out of 5 points. It was found that users were more satisfied with the degree of confidentiality and the way he/she was heard. It was observed a greater degree of satisfaction in users with a higher level of education, with a greater number of fulfilled expectations, and with a greater number of actions performed and which were no expectations that the patient took to the appointment. Conclusion: It is important to identify the expectations that patients take to the appointment, as users who report a high number of fulfilled expectations have a high level of satisfaction, which can currently be considered as an important indicator of health quality.

Abstract In the broader context of regional studies, the South Atlantic comes across as a singular, yet still understudied case study for the formation, evolution, and regression of security regionalism dynamics. More so when South Atlantic countries have come to engage in increased regionally focused interactions through wider defence co-operation ties. However, they have also steadfastly eschewed any kind of permanent structures and shared sovereignty over sensitive security issues. This article strives to ascertain the limits and prospects of these regional security dynamics in the South Atlantic. With the focal points set on both South American and African shores, I pinpoint key overtures in this area and question their contribution to advancing an overall regionalisation process. Despite shared threat perceptions and an absence of major intra-regional conflicts, I argue that South Atlantic security regionalism lacks a stable and permanent structure inasmuch as it lacks real autonomy from the dictums of external regional powers, thus leaving the transatlantic space still in flux.

A reaproximação do Brasil com a África durante a última década tem sido explicada em grande parte como uma tentativa de melhorar o diálogo político, aumentar as interações econômicas e fornecer assistência de cooperação técnica. Este artigo, entretanto, argumenta que esse arcabouço não representa suficientemente o uso de recursos materiais para atingir metas estratégicas mais difíceis para o continente. Focando nos laços de cooperação em defesa, ressaltamos um importante nicho nas relações Sul-Sul que também cresceram exponencialmente, com importantes consequências sobre como o Brasil exerce poder através do Atlântico.

Brazil's rapprochement with Africa during the last decade has been mostly explained as an attempt to improve political dialogue, raise economic interactions, and provide technical cooperation assistance. This article, however, argues that such framework does not sufficiently account for the use of Brazilian material resources in order to attain harder strategic goals towards the continent. By focusing on defense cooperation ties, it highlights an important niche in South-South relations that has also grown exponentially, with important consequences on how Brazil exerts power across the Atlantic.