Avaliação das características organizacionais e de desempenho de uma unidade de Atenção Básica à Saúde

Abstract

This research aims to evaluate organizational and performance features of a traditional Basic Health Unit, from the Primary Health Care service network, from users' perspective. The sample of 55 users was established using the same criteria of a rapid evaluation methodology, which was already validated and based on a free lectureship research sampling process. Empirical data were collected using the Primary Care Assessment Tool instrument validatedfor Brazil. Results revealed that access is one of the bottlenecks in the system. Primary Health Care practice does not focus on families and community in its process of work. The Basic Health Unit offers several services, establishing itself as an entrance to the system, though it does not always establish a link with users. Investments are needed in the Brazilian municipal health network in order to strengthen Primary Health Care attributes.

Primary care assessment from a male population perspective

“…The result of this attribute is in line with the good performance of the Affiliation Degree and First Contact Access in the Utilization dimension, which is in favor of the team, which will not have difficulty approaching male users for involvement in the FHS actions and services. However, one study (24) states that PHC workers must know their assigned population and consider that, in order to build a bond, it is necessary to recognize the user as a subject who speaks, judges and desires.…”

Orientação familiar e comunitária segundo três modelos de atenção à saúde da criança

“…(14) In a study involving traditional UBS users, it was appointed that the importance attributed to the family and community is still incipient in the health team's work process. (15) International studies developed in China (16) and in Santander (17) and Bogotá (18) , Colombia, unsatisfactory scores were revealed for family-centeredness and community orientation in primary care.…”

Assessment of attributes for family and community guidance in the child health

“…Health problems or needs of the population must be take into account based on social health determinants. (17) The scores of the other studies (7,8,14,15) on assessment of attribute of community were also considered unsatisfactory. It is evident that the score of attributes of family and community guidance (4.4 and 5.1, respectively) did not address the PHC goals of including the family and community in pediatric care, strengthening the culture of individual-centered care.…”

“…For this reason, a number of studies have been conducted to verify extension of essential attributes of an efficacious PHS. (6)(7)(8) When considering the PHS as an attempt to reorganize health system, it is necessary to reflect, among other aspects, on characteristics of care delivery and the focus of attention. In this way, the development and broadening of studies on health services are needed, particularly because the reduction in child morbidity and mortality is directly related to the quality of care delivered.…”