Implementation of an improvement cycle in the care of a primary health care

Abstract

Objectives: to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center. Methods: quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test. Results: after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification). Conclusions: the improvement cycle was an effective quality management method.

Assessment of the Psychosocial Care Center multidisciplinary team from users’ and family members’ perspective

“…It was possible to observe in the results that professionals are organized to guarantee the beginning of users' treatment and its continuity, developing actions that contribute to service compliance. It is known that team collaboration, as a whole, and the understanding that each one is important to welcome and support treatment, are essential to qualify this moment (23) .…”

Listening and valuing clients: conceptions and practices in the care management in the Family Health Strategy

“…Regarding fragility, the turnover of ESF team professionals interferes with bonding relationships, as this situation implies disrupting the client-professional relationship, reduces longitudinality, and weakens healthcare. It is imperative to evaluate SUS services with analysis, participation, and critical reflection on these daily conditionalities 36,37 .…”

Escuta e valorização dos usuários: concepções e práticas na gestão do cuidado na Estratégia Saúde da Família

“…Quanto à fragilidade, a rotatividade de profissionais das equipes da ESF interfere nas relações de vínculo, pois esta situação implica no rompimento da relação entre profissional-usuário, redução da longitudinalidade e fragilização do cuidado em saúde. Impõe-se a avaliação de serviços do SUS com análise, participação e reflexão crítica sobre estas condicionalidades cotidianas 36,37 .…”