Compreendendo o Apoio Matricial e o resultado da certificação de qualidade nas áreas de atenção à criança, mulher, diabetes/hipertensão e saúde mental

Sobrinho, Délcio da Fonseca; Machado, Alexandra; Lima, Ângela de Lourdes Dayrell de Maria; Jorge, Alzira de Oliveira; Reis, Clarice Magalhães Rodrigues dos; Abreu, Daisy Maria Xavier de; Araújo, Lucas Henrique Lobato de; Evangelista, Maria Luiza Ferreira; Escobar, Ana Lúcia; Santos, Cleber Ronald Inácio dos; Santos, Alaneir de Fátima dos

doi:10.5935/0103-1104.2014s007

Cited by 4 publications

(3 citation statements)

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“…The family health teams received matrix support in almost half of family health teams of the state, with large variation in adequacy among health regions. Studies of the NASF conducted in Brazil using PMAQ-AB data indicate that the lowest proportion of matrix support is found in the North Region [54,55] and corroborate the findings for Tocantins [55]. Matrix support was associated with better performance of health teams, work process improvements, comprehensive care, and Family Health Strategy organization [55].…”

Section: Plos Onesupporting

confidence: 55%

“…Studies of the NASF conducted in Brazil using PMAQ-AB data indicate that the lowest proportion of matrix support is found in the North Region [54,55] and corroborate the findings for Tocantins [55]. Matrix support was associated with better performance of health teams, work process improvements, comprehensive care, and Family Health Strategy organization [55]. This support promotes the proficiency of family health team members through interaction with NASF professionals in dealing with more complex clinical cases, obtaining second opinions from specialists, diagnosis, and management in such cases [56].…”

Section: Plos Onementioning

confidence: 99%

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Performance of family health teams for tackling chronic diseases in a state of the Amazon

et al. 2020

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The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams’ work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages <50%. Health teams perform surveillance actions, health promotion, and comprehensive care for NCDs in accordance with the guidelines of the Strategic Action Plan to Tackle NCDs. The challenge of NCDs in primary care requires a care model that is tailored to users’ needs and has the power to reduce premature mortality and its determinants.

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Section: Plos Onesupporting

confidence: 55%

Section: Plos Onementioning

confidence: 99%

Performance of family health teams for tackling chronic diseases in a state of the Amazon

et al. 2020

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“…Problemas relativos à 'organização dos prontuários' se mostraram evidentes, principalmente no 3º ciclo, corroborando estudo realizado na região Nordeste, mostrando que acúmulo de prontuários, extravio, prontuários avulsos por paciente e dificuldades para conservação podem estar associados a um acréscimo significativo no número de usuários atendidos nas UBS 38 .…”

Section: Discussionunclassified

Desigualdades macrorregionais na atenção primária ao Diabetes Mellitus: comparação dos três ciclos do PMAQ-AB

Lopes

Rocha²,

Thomaz

et al. 2022

Saúde debate

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RESUMO O objetivo do estudo foi identificar desigualdades macrorregionais relacionadas à estrutura e ao processo de trabalho para o atendimento do Diabetes Mellitus (DM) na Atenção Primária à Saúde (APS) ao longo dos três ciclos do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) no Brasil. Trata-se de um estudo ecológico, longitudinal, de abrangência nacional, com dados secundários dos três ciclos do PMAQ-AB. Os dados foram comparados entre as macrorregiões brasileiras utilizando o teste t com a correção de Bonferroni. As regiões Norte e Nordeste apresentaram os menores percentuais de adequação nos itens de estrutura: dependências da unidade (<74%), acessibilidade ao cadeirante (<63%), horário especial de funcionamento (<16%), equipe ampliada (<12%) e insumos (<89%) em todos os ciclos do PMAQ-AB, quando comparadas às demais regiões. Já os itens relacionados ao processo de trabalho apresentaram pouca variação entre as regiões, e os que apresentaram percentuais médios ≤ 75% de adequação foram: agenda especializada (41%, 33%, 41%), apoio matricial (58%, 72%, 70%), oferta e resolubilidade de ações (62%, 64%, 75%) e educação permanente (35%, 42%, 58%). Ainda existe a necessidade de investimentos na estrutura e em melhorias no processo de trabalho das equipes, principalmente nas macrorregiões Norte e Nordeste.

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Atenção primária à saúde: reflexões sobre a política a partir da prática de pesquisa

Medina¹,

Aquino²,

Vilasbôas³

et al. 2016

Observatório De Análise Política Em Saúde: Abordagens, Objetos E Investigações

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Compreendendo o Apoio Matricial e o resultado da certificação de qualidade nas áreas de atenção à criança, mulher, diabetes/hipertensão e saúde mental

Cited by 4 publications

References 0 publications

Performance of family health teams for tackling chronic diseases in a state of the Amazon

Performance of family health teams for tackling chronic diseases in a state of the Amazon

Desigualdades macrorregionais na atenção primária ao Diabetes Mellitus: comparação dos três ciclos do PMAQ-AB

Atenção primária à saúde: reflexões sobre a política a partir da prática de pesquisa

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