Objectives: to evaluate the “access to first contact” attribute, from the perspective of Primary Care Health professionals. Methods: an evaluative and cross-sectional study, carried out from February to March 2017. The sample consisted of 163 health professionals, of both genders, who worked in the basic care of the Municipality of Juazeiro do Norte, Ceará. Access to first contact was evaluated by the Primary Care Assessment Tool (PCATool). The 6.60 mark was used as the cut-off point for the evaluated attribute. Results: access to first contact reached a score of 3.3, denoting a low degree of orientation for Primary Health Care. Nurses were the ones who evaluated the attribute more negatively (p=3.2). Conclusions: access to first contact obtained a low score, pointing to the fragility of the Family Health Strategy as a gateway to the Brazilian Unified Health System (Sistema Único de Saúde).
Objective: To assess the presence and extension of the attribute “Community Orientation” of Primary Health Care from the perspective of health services adult users from the Municipality of Juazeiro do Norte-CE. Methods: Quantitative, cross-sectional and evaluative study, carried out in 14 Basic Health Units, from October 2016 to June 2017, using the Primary Care Assessment Tool. Results: The attribute assessment was negative, reaching expressive negative responses in the seven districts, with a mean score of 3.8 (±3.8). The Raw Score (RS) reached a mean of 6.6 and the Derived Score (DS) was assigned a score of 6.4, below the cut-off point ≥ 6.60. Conclusion: The low value of the DS represents that units are not providers of PHC, suggesting fragility in the integration of services with the community and the need to promote greater discussion among agents, when designing measures of intervention and improvement of scores.
Introduction: The familiar planning is represented as an essential component at the Primary Attention to health, in which conforms the entrance door to the acting promotion and health prevention. Above all, it is noticed that the care at this sphere is marked by action and service fragmentation, without programming the activities by the team, unavailability of contraceptive Technologies, as by the lack of permanent education turned to those professionals. Given the above, the objective was to analyze the assistance according to the familiar planning conducted by the nurse at the Primary Attention under the integral health attention perspective.Method: Qualitative Research, exploratory and descriptive, conducted with fifteen nurses at the primary care from Iguatu in Ceara, Brazil, in February and March 2015, through a semi-structured interview. The empirical data were organized through contents analysis.
Results:The knowledge about the familiar program planning assumptions, however, in practice, the assistance turned to the behavior-complains principle, given that some units were restricted to the method delivery, with perpetuation of curative actions, over the Professionals joint agenda elaboration.Final Consideration: It is the need for effective union between the theory and practice at the nursing living at the family planning, When integrality, interdisciplinary and intersectoriality would justify the work process.
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