Avaliação da longitudinalidade em unidades básicas de saúde tradicionais e com estratégia de saúde da família utilizando o Primary Care Assessment Tool (PCATool)

Oliveira, André Vinícius de; Sabino, Barbara Correia Neves; Dias, Luis Regagnan; Gouvea, Ana Beatriz Viana; Garbelini, Giulia Ugucioni; Paiva, Isabela Galliazzi; Timpone, Larissa de Assis; Moreira, Paulo Ricardo Alves; Lima, Leonardo Vieira de; Filho, Paulo Appollonio

doi:10.25248/reas.e3895.2020

Cited by 6 publications

(6 citation statements)

References 1 publication

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“…The Longitudinality attribute, despite being classified with high performance, presented scores very close to the cut-off point in Imperatriz (6.76) and São Luís (6.68). A similar result was found in the study on Longitudinality assessment in BHU using the PCATool in Rio Verde, Goiás, with a score of 6.77 (27) . This assessment demonstrates a good interpersonal relationship between professionals and users with regard to knowledge about their previous health conditions, difficulty in acquiring medication due to socioeconomic situations and enough consultation time to express their doubts (11) .…”

Section: Discussionsupporting

confidence: 87%

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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Section: Discussionsupporting

confidence: 87%

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

et al. 2023

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“…Dessa forma, interprofissionalidade é um modo de agir imprescindível para se atingir a integralidade do cuidado na APS 6 . De acordo com a nova Política Nacional da Atenção Básica (PNAB) 7 , compete a todos os profissionais integrar os diferentes saberes, áreas técnicas e níveis de atenção, de acordo com as necessidades e demandas de saúde da população 7 .…”

Section: Introductionunclassified

Interprofissionalidade na atenção primária: intencionalidades das equipes versus realidade do processo de trabalho

et al. 2022

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Resumo Objetivo comparar atitudes relacionadas à colaboração interprofissional autorrelatadas por diferentes equipes da atenção primária com a realidade observada de seus processos de trabalho. Método abordagem qualitativa e quantitativa implementada em duas etapas de coleta de dados, entre dezembro de 2019 e outubro de 2020. Na qualitativa, empregou-se a observação sistemática dos atendimentos em unidades de saúde. Utilizou-se roteiro de observação baseado no Referencial para Competências em Interprofissionalidade e no Fluxograma Analisador do processo de trabalho centrado no usuário. As observações foram registradas em diário de campo. Na etapa quantitativa, aplicou-se a Escala de Atitudes Relacionadas à Colaboração Interprofissional. Resultados noventa e um profissionais da atenção básica responderam a escala. Obteve-se uma média de 120 de pontuação, que significa valorização do trabalho colaborativo por respondentes de todas as equipes. Apesar disso, foram observadas divergências entre o falado e o vivido, pois o processo de trabalho estruturado parece limitar atitudes colaborativas. Conclusões e implicações para a prática valorização de atividades programadas para o trabalho interprofissional da equipe de saúde e de enfermagem na atenção primária, como espaços na agenda para reuniões. Necessidade de promoção da educação interprofissional com trabalhadores, bem como de políticas públicas que garantam mecanismos para o trabalho colaborativo na atenção básica.

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“…It allows us to formulate indicators related to both the organization of health care actions and local management 24 . Moreover, it has good adherence by managers from various regions in the State of São Paulo and has already demonstrated a high evaluative power, based on different scopes 25 , 26 , 27 , 28 , 29 , 30 .…”

Section: Methodsmentioning

confidence: 99%

Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines

Castanheira,

Duarte,

Viana

et al. 2024

Cad. Saúde Pública

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This study analyzes the main organization patterns used by primary health care (PHC) services in municipal networks and evaluates them according to indicators of local management-administration interface. Evaluative research analyzed 461 municipalities in São Paulo, Brazil, that participated in the Primary Care Services Quality Assessment Survey (QualiAB) in 2017/2018, classified according to the organizational arrangements composition of 2,472 PHC services. Eight indicators of local management and administration were selected to evaluate the identified patterns. Results indicate two groups of municipalities: homogeneous, with services presenting the same arrangement (43.6%); and heterogeneous, with different arrangements (56.4%). These were subdivided into seven patterns that ranged from homogeneous-traditional, homogeneous-Family Health Strategy, homogeneous-mixed, and different combinations in the heterogeneous group. All indicators showed significant differences between groups (p < 0.001), especially the homogeneous-traditional group, which presented an organizational pattern far from the desired model of a comprehensive and problem-solving PHC. Those integrated with family health units (FHU) and basic health units with community health workers and/or family health teams (BHU/FHU) showed a pattern closer to a comprehensive model - with planning and evaluation actions committed to the local reality and qualification of care. Implementation of federal and state policies are essential for defining the PHC health care model adopted by municipalities.

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Avaliação da longitudinalidade em unidades básicas de saúde tradicionais e com estratégia de saúde da família utilizando o Primary Care Assessment Tool (PCATool)

Cited by 6 publications

References 1 publication

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

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

Interprofissionalidade na atenção primária: intencionalidades das equipes versus realidade do processo de trabalho

Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines

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