O uso do prontuário familiar como indicador de qualidade da atenção nas unidades básicas de saúde

Abstract

A expansão da estratégia do Programa Saúde da Família no Brasil torna necessária a construção de indicadores que avaliem a coerência da abordagem efetivamente realizada e os princípios que regem o programa. Associado ao prontuário familiar, o familiograma (genograma) possibilita melhoria no acompanhamento da saúde da clientela e na qualidade da atenção prestada. A pesquisa utiliza o prontuário familiar com base na avaliação externa (acreditação) das equipes de saúde da família e dos gestores. Os resultados mostram uma variação da conformidade do prontuário com o padrão de acreditação segundo a natureza da função avaliada. O estudo revela a importância da avaliação externa como sinalizadora do nível de conformidade aos padrões requeridos, sugerindo a necessidade de operar um indicador combinado entre a avaliação interna e externa das informações familiares como instrumento de gestão.

Mudanças ofertadas pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica

“…It is, therefore, a crucial element to better care for the family, gathering the necessary information for its members to receive a continuity of health care. It is also an indicator of the quality of care offered, as well as a tool to assess the need for continued education, a key element in the event of an audit or legal and ethical conflicts (Pereira et al, 2008).…”

Qualidade dos dados antropométricos dos usuários hipertensos atendidos no Programa de Saúde da Família e sua associação com fatores de risco

“…Its consistency and reliability are extremely important to know the real health conditions of patients, enabling more effective interventions, and making them key-elements inside the FHS. 12 An enormous gap is observed in researches reporting the quality of information recorded by the Hiperdia program, aimed at the nutritional state of the patient, despite its great relevance in the predisposition of risk factors for hypertension. These investigations refer to cross-sectional studies to control the hypertension of registered patients, difficulties in dealing with the system, and compliance to the program by municipalities.…”

Socio demographic characterization of users of Child and Adolescent Psychosocial Care Centers in the state of São Paulo

“…A household with only one of the parents, the father or mother, was reported by 28.7% of the users according to the patient records. Other studies with CAPSi users from 0 to 14 years of age also highlighted the tendency for families formed by the couple and their children (Golfeto & Ribeiro, 1984;Pereira et al, 2008). Households with the mother, with or without other family members, composed 73.6% of the total.…”

“…Despite the known gaps in their completion, patient records are a valuable work instrument for any healthcare professional and have strong implications in the management of the services. Several studies have used them as a source of research data (Pereira et al, 2008;Prado & Fujimori, 2006;Reis et al, 2009). Conversely, as emphasized by Romero and Cunha (2006), the studies that use patient record data, such as this one, encounter a lack of data or gaps in the completion of the information as common obstacles.…”