Abstract
Objective: To analyze the regulation process of accessing hospital assistance in the Unified Health System (SUS) in Belém, State of Pará, from the views of users and managers. Methods: A case study type descriptive study with qualitative approach. Evidence sources were documental, mainly composed by normative elements regarding assistance regulation, scientific articles, books within similar theme, and semi-structured interviews with SUS managers and users. Results: 7 interviews were conducted, namely 4 with health managers working with access regulation, and 3 with SUS users who were hospitalized during the same period. From the qualitative approach, the interview content was analyzed, resulting in 5 subcategories, which yielded propositions regarding the current system. Conclusion: The challenges of regulating access to hospital care, in Belém, State of Pará, include the incipient knowledge of professionals / managers involved in the process; the scarce communication between the services and / or professionals that make up the Health Care Network (RAS); the shortage and waiting time, extended, by hospital bed and the low quality of care provided to SUS users.