Avaliação da presença e extensão dos atributos da atenção primária em Curitiba

Chomatas, Eliane Regina da Veiga; Vigo, Álvaro; Marty, Inês Kultchek; Hauser, Lisiane; Harzheim, Erno

doi:10.5712/rbmfc8(29)828

Cited by 79 publications

(187 citation statements)

References 13 publications

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“…However, the Basic Traditional Unit (UBS) scores do not reach Primary Care (APS) standards for the care of children. Studies from other regions nationwide corroborate the finding in traditional units, identifying difficulties experienced with respect to meeting the objectives of APS (11)(12)(13)(14) . The only scores that identified as suitable for APS in ESF units were found in Curitiba (14) .…”

Section: Discussionsupporting

confidence: 62%

“…Such evidence is present in the national results (7)(8) , studies which also indicate a higher quality of prenatal care, child care, offering use of health services, although in a low effectiveness context throughout the public health system.…”

Section: Introductionmentioning

confidence: 84%

“…Some municipalities have had their health system evaluated by a PCA-Tool with several objectives: to separately evaluate health services for children and adults, comparing different city services and also various study populations, whether users or health professionals (11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

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Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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Objective:To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. Method: A crosssectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. Results: ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. Conclusion: The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil. DESCRIPTORS INTRODUCTIONAfter more than thirty years since the Alma Ata Conference, Primary Health Care (APS) has consolidated as one of the most equitable and efficient ways to organize a health system (1) by advocating equitable care with quality to the population, among other benefits. The Pan American Health Organization (PAHO) defines Primary Health Care as a "strategy for organizing health care systems in order to enable universal access to services and comprehensive and integrated care over time" (1)(2) .At the national level, the Ministry of Health adopted the Family Health Strategy (ESF) in 1994 to reorganize the Unified Health System (SUS) and expand the APS. According to the Ministry of Health in Brazil (3) , the number of family health teams deployed and funding for the expansion of the ESF have both increased, reaching/covering 52.1% of the Brazilian population.The scientific literature provides evidence of the association between greater APS orientation and increasing the effectiveness of health systems, promotion of fairness, user satisfaction and efficiency (4) . It is noteworthy that most of the studies are centered on the health systems of developed countries (4) . However, there is evidence of the positive impact of APS on the health systems of developing countries, primarily those which are located in Latin America.On the international scene, it has been observed (5-6) that increasing ESF coverage is linked to reducing infant mortality and promoting greater equity. Such evidence is present in the national results (7)(8) , studies which also indicate a higher quality of prenatal care, child care, offering use of health services, although in a low effectiveness context ...

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Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 84%

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Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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“…[12][13][14][15][16] No Brasil, estudos analisaram a presença e o grau dos atributos da APS, aplicando versões do PCATool em usuários e profissionais de saúde lotados em serviços com diferentes formas de organização e financiamento. [17][18][19][20][21] Desde 1998, o Ministério da Saúde vem desenvolvendo ações de avaliação e monitoramento da Atenção Básica em conjunto com as Secretarias de Estado e Municipais de Saúde e instituições de pesquisa, mediante o Pacto pela Atenção Básica, além dos estudos de linhas de base e, mais recentemente, da Avaliação para Melhoria da Qualidade da Estratégia Saúde da Família (AMQ). 22 Este instrumento de autoavaliação contempla elementos normativos, sendo aplicado a gestores de serviços e sistemas de saúde e a profissionais da saúde, de forma voluntária, com o objetivo de nortear a resolução de problemas e promover a melhoria da Atenção Básica.…”

Section: Introductionunclassified

“…23 Desde sua implantação, 246 municípios finalizaram a 1ª autoavaliação, sobre um total de 2.090 equipes da Estratégia Saúde da Família. 24 18 Nessa versão atualizada do PCATool, apenas os itens referentes ao atributo 'integralidade' da versão criança foram acrescentados ao espelho da versão adulta, sendo essa configuração a utilizada para as análises deste estudo. 18 Ao todo, são 77 itens, divididos em oito componentes: acesso do primeiro contato do indivíduo com o sistema de saúde; longitudinalidade; coordenação -integração de cuidados -; coordenação -sistema de informações -; integralidade -serviços disponíveis -; integralidade -serviços prestados -; orientação familiar; e orientação comunitária.…”

Section: Introductionunclassified

Análise de concordância entre instrumentos de avaliação da Atenção Primária à Saúde na cidade de Curitiba, Paraná, em 2008

Figueiredo¹,

Kuchenbecker²,

Harzheim³

et al. 2013

Epidemiol. Serv. Saúde

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Avaliação da atenção primária à saúde da criança no município de Colombo - Paraná

Oliveira¹

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Oliveira VBCA. Evaluation of the primary care of the child's health in the city of Colombo-PR [dissertation]. São Paulo: Nursing School, University of São Paulo; 2012 This study is placed in the health caring field and its thematic refers to the evaluation of child's health care in the city of Colombo-Paraná. Its object of study is the performance of Basic Health Units (UBS) and the Strategy Units of Family Health (USF). The study aims: to evaluate both the presence and extention of the essential attributes and derivates relative to the APS regarding the care given at the primary care of the children at their family perspective, and to compare the UBS and USF attributes performance. This research subjects were responsible for 17-22 month-old children, registered and assiduous to the city health units activities, in a random sample of 482 people: 247 from the Basic Units and 235 from the ESF units. Data was collected at their houses and the Primary Care Assessment Tool (PCATool), children's version, was used. PCATool was validated in 2008 and used by the Brazilian Health Ministry as reference. Interviews were held between June and July 2012. The samples, using the software Statistica 10.1, included the t student test to compare the quantitative variants and the qui-square test, for qualitative variants; Crombach's Alfa was obtained in order to verify the intern consistency of instrument items for each one of the attributes and total instrument. A pilot study has been performed as to guarantee both the instrument and interview efficacy. This study followed Resolution 196-96 from Research Ethics National Council. The research revealed that the ESF units obtained scores higher than the minimum required in Affiliation, Coordination, Integrality, Familiar Orientation and Accessibility, half the studied attributes, indicating that the ones responsible for the children who attend those units refer to having more frequent access to health services, use more often the health unit as an entrance door to the health system, establish more constantly an integrated service and recognize the professional valorization regarding the bond with the family. Regarding the UBS, all the scores were below ideal for the APS, indicating that those units seem to struggle to bond with its users and recognizing them as part of a community. It has been observed that assessment works play a fundamental role in perfecting the intervention axis aiming at joining the Health Ministry focus, which is to transform health services into Primary Care. In that city it has been concluded that the ESF units are closer to APS directress than UBS, however it is necessary to revise the child assistance related actions in order to reach consonance with the APS attributes at both units.

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Avaliação da presença e extensão dos atributos da atenção primária em Curitiba

Cited by 79 publications

References 13 publications

Children's health care assistance according to their families: a comparison between models of Primary Care

Children's health care assistance according to their families: a comparison between models of Primary Care

Análise de concordância entre instrumentos de avaliação da Atenção Primária à Saúde na cidade de Curitiba, Paraná, em 2008

Avaliação da atenção primária à saúde da criança no município de Colombo - Paraná

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