Evaluating the implementation of user embracement in the healthcare system of Jaboatão dos Guararapes city, Brazil

Abstract

Background The advent of the Family Health Strategy required healthcare teams to strengthen bonding and accountability towards users. In this sense, humanisation has been the key to a successful care provision and to the acceptance of interventions that can meet demands. Our study aimed to evaluate the implementation of user embracement in Family Health Units of Jaboatão dos Guararapes, Pernambuco, Brazil. Methods The studied population belonged to 48 Family Health teams. Eighty‐five healthcare workers with higher education answered the questionnaire, and the registration forms of 272 users were examined, from which sociodemographic information was gathered. These data were analysed according to the degree of vulnerability. Questionnaire results were collected and tabulated using the HCMaps software. Dimensions were analysed through a Likert‐type grading scale ranging from 1 to 5. This is an evaluative, cross‐sectional study with a quantitative approach, considering the dimensions proposed in the RE‐AIM framework. Results User embracement was considered unsatisfactory, as were Reach and Adoption. The Effectiveness, Implementation, and Maintenance dimensions yielded satisfactory results. The main ones were the perception of user embracement as a screening process, and the delimitation of open slots and/or schedules. Conclusions The study shows that user embracement has been effective in strengthening bonds, reducing queues, and solving demands. However, the potential user embracement sustainability and implementation have been hampered by factors related to the Adoption of the intervention.

Patient‐ and community‐centered approaches as the cornerstone of health services evaluation in the 21st century

“…A third category of papers comprises original research findings that review, and/or test innovative patient‐centred frameworks for analysis and/or measurement of diverse health services, with several papers centring on health systems performance determinants as a whole and directly involving communities or patients in identifying and analysing these 15 ,. 16 Other papers in this category focused on specific determinants, namely, responsiveness, 17 receptiveness, 18 accessibility, 19 and care friendliness for adolescent patients 20 . The experimentation of these measurement instruments provides invaluable information that can inform patient‐centered health care standards.…”