Avaliação da qualidade da atenção básica utilizando a doença respiratória da infância como traçador, em um distrito sanitário do município de São Paulo

Tanaka, Oswaldo Yoshimi; Santo, Antônio Carlos Gomes do Espírito

doi:10.1590/s1519-38292008000300012

Cited by 12 publications

(12 citation statements)

References 9 publications

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“…Despite being incipient, the use of tracers can be considered one of the most useful approaches to assess health care, i.e., an horizontal and sequential analysis of the service provided can be performed as well as the integral assessment of health services Espírito Santo, 2008).…”

Section: Discussionmentioning

confidence: 99%

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

et al. 2015

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Evaluation of results of cardiovascular care as a tracer of the comprehensiveness principle 1 Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade AbstractThis study aims to evaluate the articulation among levels of cardiovascular care in the region of Ribeirão Preto, State of São Paulo, Brazil. It is an evaluative research using secondary data from the Brazilian Ministry of Health. We analyzed all outpatient and hospital procedures related to cardiovascular diseases that were treated in primary and hospital care in 26 municipalities in the period 2000-2010. Time series were used in the analysis and the assumption was regional organization of health systems. The production varies during the period, with an increase in outpatient care and surgical hospitalizations, and a decrease in clinical admissions. There is an uneven supply of services in the municipalities, and the smallest ones concentrate electrocardiograms and clinical admissions. More complex diagnostic tests and surgical admissions are conducted predominantly in the largest city. The evaluation of health services using cardiovascular problems as the tracer condition proved to be adequate, as it showed articulations among levels of care in the regional health system. This allows us to infer that regionalization, in this scenario, favors comprehensive care in its horizontal dimension.

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Section: Discussionmentioning

confidence: 99%

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

et al. 2015

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“…(BRASIL. MINISTÉRIO DA SAÚDE, 2005;CASTANHEIRA, 2009a;VERAS;VIANNA, 2009;FACCHINI, 2008;ESPIRITO SANTO, 2008;HARZHEIM, 2006;MARSIGLIA, 2008) A principal iniciativa institucional de avaliação da Atenção Primária à Saúde (APS) no Brasil é o Programa para a Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ), implantado em 2011 pelo Ministério da Saúde (MS), com abrangência nacional, como parte da Política Nacional de Atenção Básica (PNAB). É composto por quatro fases: adesão e contratualização, desenvolvimento, avaliação externa e pactuação.…”

Section: Introductionunclassified

Práticas de avaliação em saúde no Brasil - diálogos

Akerman¹,

Furtado²

2016

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“…13,23 Using this technique enables foci to be more easily defined and means multiple care points involved in integrating services can be covered. 12 …”

Section: Introductionmentioning

confidence: 99%

Integralidade no cuidado ao câncer do colo do útero: avaliação do acesso

et al. 2014

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OBJECTIVETo evaluate integrity of access to uterine cervical cancer prevention, diagnosis and treatment services.METHODSThe tracer condition was analyzed using a mixed quantitative and qualitative approach. The quantitative approach was based on secondary data from the analysis of cytology and biopsy exams performed between 2008 and 2010 on 25 to 59 year-old women in a municipality with a large population and with the necessary technological resources. Data were obtained from the Health Information System and the Regional Cervical Cancer Information System. Statistical analysis was performed using PASW statistic 17.0 software. The qualitative approach involved semi-structured interviews with service managers, health care professionals and users. NVivo 9.0 software was used for the content analysis of the primary data.RESULTSPap smear coverage was low, possible due to insufficient screening and the difficulty of making appointments in primary care. The numbers of biopsies conducted are similar to those of abnormal cytologies, reflecting easy access to the specialized services. There was higher coverage among younger women. More serious diagnoses, for both cytologies and biopsies, were more prevalent in older women.CONCLUSIONSInsufficient coverage of cytologies, reported by the interviewees allows us to understand access difficulties in primary care, as well as the fragility of screening strategies.

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Avaliação da qualidade da atenção básica utilizando a doença respiratória da infância como traçador, em um distrito sanitário do município de São Paulo

Cited by 12 publications

References 9 publications

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

Avaliação de resultados da atenção aos agravos cardiovasculares como traçador do princípio de integralidade

Práticas de avaliação em saúde no Brasil - diálogos

Integralidade no cuidado ao câncer do colo do útero: avaliação do acesso

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