Índice de Saúde Aplicado ao Município de Araraquara, SP: um instrumento para o acompanhamento da Atenção Básica

Abstract

The improvement of the process of evaluation and monitoring of the Primary Care Attention has been yearned by the managers of the different spheres in the context of the Unified System Health - UHS. Thus, in the order to identify the conditions of the health assistance in the city of Araraquara/SP, based on the particular features presented in the inscribe areas of each unit of health. It was adopted by means of a composed indicator aiming to favor a broader view which contemplates the emergency of phenomena from a more including vision. It was used the methodology developed in the Index of Health of Drumond Jr, whose final value of the Index is gotten by the average of the values of the components of each health district. To the components originally adopted - Coefficient of Infant Mortality, Coefficient of Tuberculosis Incidence, Coefficient of Mortality by External Causes and Coefficient of Precocious Mortality by Chronic Diseases - was still added in this study, the Tax of Alphabetization and the Monthly Nominal Average Income of Responsible People for the Domiciles. The 24 Units of Health had been classified according to values obtained in the relation among its components. The results point intra-urban differentials in relation to the majority of the components and lower values for the Health Units located at the periphery of the city. Knowing this fact municipal administration is of fundamental importance to progress in improving the process of evaluation of primary care in the county.

Arranjos organizativos da atenção primária nas regiões de saúde de um Departamento Regional de Saúde

“…Considerando que a efetividade da APS no contexto brasileiro é influenciada por múltiplas causas conjunturais e históricas, tais como: recursos, estrutura física, suficiência e qualificação dos profissionais de saúde (FACHINI et al, 2008), a avaliação do grau de adequação das práticas e os padrões de qualidade são ferramentas que propiciam o conhecimento do impacto das desigualdades locoregionais na prestação da assistência e nas condições de vida a que a população está submetida, particularmente no campo da APS em seu sentido mais amplo, reforçando ainda a compreensão de que as diferentes necessidades dos distintos grupos sociais têm implicações no adoecer e morrer desses grupos e indivíduos (MATTOS et al, 2013).…”