Avaliação da atenção à saúde do adulto em um município-polo do Vale do Jequitinhonha (MG)

Abstract

RESUMO A qualidade da Atenção Primária à Saúde é avaliada a partir da presença e extensão dos atributos essenciais e derivados. O presente estudo avaliou esses atributos (saúde do adulto) na Estratégia Saúde da Família de um município do Vale do Jequitinhonha (MG). Os dados foram coletados por meio do PCATool. Foi observado escore geral abaixo do valor considerado satisfatório ( 6,6), e escores satisfatórios foram identificados para apenas dois atributos. Percebeu-se uma melhor orientação para os atributos em apenas uma área de abrangência. Acredita-se que este trabalho poderá subsidiar futuras práticas e decisões acerca do investimento público, visando ao fortalecimento da atenção primária pelos gestores.PALAVRAS-CHAVE Avaliação em saúde; Atenção Primária à Saúde; Estratégia Saúde da Família. ABSTRACT The quality of Primary Health Care is evaluated from the presence and the extent of the essential and derived attributes. This current study has evaluated those attributes (adults´ health) in the Family Health Strategy of a municipality located in the Vale of Jequitinhonha (MG).

Avaliação da atenção primária em saúde por usuários com e sem deficiência

“…PHC users, as observed in other studies, were dissatisfied with the services with regard to surveys conducted on the community and themselves, on their health problems (1,28) , and to service performance and motivating participation in the Management Councils of the BHUs (28) . The attribute Family Orientation also received unsatisfactory scores in the evaluation by users in general, specially by adults aged 19 to 59 years, corroborating results obtained in other studies (1,9,11,16,18,28,29) . This finding suggests fragility of the service with regard to work based on the social and family reality of the users and the participation of individuals and their families in the process of care, indicating a need to improve care oriented from the assumptions of the family health strategy (FHS).…”

“…The attribute First Contact: Accessibility, which marks the availability of PHC to users with receptive and humanized admission, was one of the attributes that received the lowest scores, as observed in other studies (9,16,17) . These results are due, in particular, to the very low scores obtained on items such as "not opening on weekends", "not opening on weekdays after 8 pm", and "not providing contact on the phone in these periods" (16,(28)(29)(30) , which expresses structural issues that lead users to have poor accessibility to health service. With regard to individuals with disabilities, this attribute obtained an even lower score compared with those by individuals without disabilities, although with no statistically significant difference.…”

Internações hospitalares por condições sensíveis à atenção primária à saúde

“…Isto ocorre, pois, a APS da região não está sendo efetiva na assistência que tem sido prestada. Um estudou evidenciou a ineficiência dos serviços de promoção à saúde e ao cuidado integral, dificultando a contribuição para a ampliação e qualidade dos serviços de saúde (29) .…”

Estratégia saúde da família - a ótica dos cuidadores de crianças

“…The comparison of the statement above with the assessment of adult health in a municipality of Vale do Jequitinhonha, State of Minas Gerais, Brazil, indicates that there is a need to reformulate the work process on the part of health managers and professionals. 16 The hours of operation in the units could be made more flexible to provide better healthcare to users. Due to Nurses' ability in management, they can change the shifts to obtain a better adhesion of the community to the service.…”

“…However, there were conflicting results in other areas with respect to the same attribute, thus revealing the concern with the difficulty of access due to geographical barriers. 16 In the other studies mentioned above, the central idea was attributed to shortage and user dissatisfaction regarding the hours of operation, interpersonal relationship, and user embracement. This fact was confirmed by a study conducted in the FHS of Serra, State of Espírito Santo, Brazil, stating that the main tool is user embracement, which is firstly based on listening.…”