Assessment of the essential attributes of Primary Health Care for children

Abstract

Objective: To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process. Method: Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6. Results: The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care -Services Available (6.0) and Coordination -System information (7.4). As for the Process, the following results were obtained: First visit -Use (8.6), Longitudinally (6.1), Integrality -Services Provided (6.1) and Coordination -Integration of Care (6.9). Conclusion: The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.

Care coordination and longitudinality in primary health care in the Brazilian Amazon

“…Although some activities related to care coordination of women's health and children's health were classified in the "Good" cluster, other underdeveloped activities might compromise the effectiveness of care, especially the care coordination in consultation, the guarantee of women's examinations and the active search for children according to their needs. The effective care coordination can integrate health services and users with the healthcare network (12) .…”

“…As the questioned activities are based on the Brazilian Policy for Primary Care and foreseen within the role of professionals, a high percentage of teams fulfilling this role would be expected. The features of PHC are independent actions, because without longitudinality and care coordination, the professional-patient bond loses much of its potential and the other features become merely administrative functions (11)(12) .…”

“…The well-known turnover of PHC team professionals may difficult the care coordination and longitudinality (17) , since these attributes are correlated to bonding (12) . The time aspect in the professional-patient relationship may determine the acceptability, recognition and health action development (12,(17)(18) .…”

Atenção integral na percepção dos profissionais da estratégia saúde da família

“…Regarding the expansion of access to care for children and, especially, adolescents, it is evaluated that the guarantee of comprehensive care still lacks in prevention, assistance to injuries and harm reduction, with a view to social vulnerability. 13 It is verified, by the conception of integral attention proposed in the AMAQ in the health unit, that there are actions of reception to the programmed demand, however, with greater focus to the actions that are in the national health calendar focused on campaigns.…”

Internações hospitalares de crianças por condições sensíveis à Atenção Primária em região de fronteira

“…Dentre os serviços públicos, a UPA obteve melhor escore para acessibilidade. Resultados semelhantes que apontam melhor avaliação da utilização do que a acessibilidade também foram encontrados por diversos autores(SILVA, FRACOLLI, 2016;BRUNELLI et al, 2016;ARAUJO et al, 2018;SANTOS, et al, 2018).Esses achados demonstram que existem dificuldades para que as crianças tenham acesso aos serviços primários e que a ESF não tem desempenhado, com êxito, seu papel de porta de entrada do sistema. É necessário repensar as estratégias para se garantir o acesso.…”