A qualidade de serviços de atenção primária, a formação profissional e o Programa Mais Médicos em uma região de saúde do sudoeste goiano

Maia, Ludmila Grego; Silva, Luiz Almeida da; Guimarães, Rafael Alves; Pelazza, Bruno Bordin; Leite, Giulena Rosa; Barbosa, María Alves

doi:10.1590/1980-549720200014

Cited by 8 publications

(11 citation statements)

References 22 publications

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“…First contact access had a score of 3.83. This finding corroborates national studies carried out in São Paulo (15,19) , Goiás (17) , and Espírito Santo (20) , whose scores were 2.84; 3.71; 3.97 and 5.57, respectively. This was the only attribute with an unsatisfactory score, as in the present study.…”

Section: Discussionsupporting

confidence: 90%

“…A nationally-based study found scores of 8.1 in the Northeast and South, and 7.9 in the Southeast and North (11) . It is possible that the training focused on PHC of Cuban doctors in this study influenced the results verified, since they were higher than those verified in Ceará (6.05) (18) , Goiás (6.8) (17) , São Paulo (7.0) (19) , and Espírito Santo (7.99) (15) .…”

Section: Discussionmentioning

confidence: 55%

“…Local studies have found an association of factors such as employment (12)(13) , qualification focused on PHC (14) and previous experience (15) with PHC performance. However, other studies (16)(17) did not find any associations.…”

Section: Introductionmentioning

confidence: 67%

“…In China, general practitioner assessment obtained better results in relation to other PHC doctors (7) . Brazil has a higher concentration of these studies (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) , with a noticeable lack in northeastern Brazil (18) .…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

et al. 2020

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Objective: to assess the presence and extent of Primary Health Care attributes in Campina Grande, Paraíba. Method: this is a cross-sectional study with 202 professionals from the Basic Health Units. The Primary Care Assessment Tool, Brazil, was used, which includes eight attributes of primary care whose scores were converted into a scale from 0 to 10, with those considered satisfactory > 6.60. Result: the general score mean was 7.6, but First contact access obtained a score of 3.7. Dental surgeons attributed the worst scores for all attributes (p <0.05). Permanent education activity was associated with a high general score (p <0.01). Conclusion: with the exception of First contact access, the other attributes are present, but initiatives by teams and managers are necessary for its expansion, with permanent education being the main strategy in this process.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

et al. 2020

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“…Many interventions on diabetes care have focused on patients and/or clinicians as the primary recipients or enablers of the interventions. Because of the complex nature of the disease and the multiple factors that mediate treatment effectiveness, interventions involving other levels or elements within the health care organization or system [155,157,232,[263][264][265] or the health care workforce [158,263,266] could be considered. Interventions involving other sectors (e.g., housing, infrastructure, national or local policies) could uncover very valuable and needed strategies to enhance treatment effectiveness and potentially reduce health care costs in the long-term.…”

Section: Innovative Solutions: Emerging Research and Alternative Modementioning

confidence: 99%

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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Purpose of Review Latin America is the scenario of great inequalities where about 32 million human beings live with diabetes. Through this review, we aimed at describing the current state of the prevalence, awareness, treatment, and control of diabetes mellitus and completion of selected guidelines of care across Latin America and identify opportunities to advance research that promotes better health outcomes. Recent Findings The prevalence of diabetes mellitus has been consistently increasing across the region, with some variation: higher prevalence in Mexico, Haiti, and Puerto Rico and lower in Colombia, Ecuador, Dominican Republic, Peru, and Uruguay. Prevalence assessment methods vary, and potentially underestimating the real number of persons with diabetes. Diabetes unawareness varies widely, with up to 50% of persons with diabetes who do not know they may have the disease. Glycemic, blood pressure, and LDL-C control and completion of guidelines to prevent microvascular complications are not consistently assessed across studies, and the achievement of control goals is suboptimal. On the other hand, multiple interventions, point-of-care/rapid assessment tools, and alternative models of health care delivery have been proposed and tested throughout Latin America. Summary The prevalence of diabetes mellitus continues to rise across Latin America, and the number of those with the disease may be underestimated. However, some local governments are embedding more comprehensive diabetes assessments in their local national surveys. Clinicians and public health advocates in the region have proposed and initiated various multi-level interventions to address this enormous challenge in the region. Keywords Latin America. Diabetes prevalence. Diabetes treatment. Control. Diabetes complications. Interventions. Health care This article is part of the Topical Collection on Diabetes Epidemiology

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Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective

et al. 2023

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Objectives: to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective. Methods: a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil. Results: Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6). Conclusions: the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.

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A qualidade de serviços de atenção primária, a formação profissional e o Programa Mais Médicos em uma região de saúde do sudoeste goiano

Cited by 8 publications

References 22 publications

Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective

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