scholarly journals Is the management of obesity in primary health care appropriate in Brazil?

2021 ◽  
Vol 37 (suppl 1) ◽  
Author(s):  
Mariana Souza Lopes ◽  
Patrícia Pinheiro de Freitas ◽  
Maria Cecília Ramos de Carvalho ◽  
Nathália Luíza Ferreira ◽  
Mariana Carvalho de Menezes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
User Satisfaction ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Obesity Management ◽  
Health Care Teams ◽  
Cross Sectional ◽  
Primary Health

Abstract: This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions.

Reasons for encounter in primary health care in Brazil

2020 ◽  
Vol 37 (5) ◽  
pp. 648-654
Author(s):  
Patricia S Chueiri ◽  
Marcelo Rodrigues Gonçalves ◽  
Lisiane Hauser ◽  
Lucas Wollmann ◽  
Sotero Serrate Mengue ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Cross Sectional ◽  
Primary Health ◽  
Family Health Strategy ◽  
Specialized Care ◽  
Reasons For Encounter

Abstract Background Primary health care (PHC) delivery in Brazil has improved in the last decades. However, it remains unknown whether the Family Health Strategy teams are meeting the health needs of the population. Objectives To describe the reasons for encounter (RFEs) in PHC in Brazil and to examine variations in RFEs according to sex, age and geographic region. Methods This descriptive study is part of a national cross-sectional study conducted in 2016. The sample was stratified by the number of PHC physicians per geographic region. Physicians who had been working for at least 1 year in the same PHC unit were included. For every participating physician, 12 patients aged ≥18 years who had attended at least two encounters were included. Patients were asked about their RFEs, which were classified according to the International Classification of Primary Care. Results In 6160 encounters, a total of 8046 RFEs were coded. Seven reasons accounted for 50% of all RFEs. There was a high frequency of codes related to test results, medication renewal and preventive medicine. RFEs did not vary significantly by sex or geographic region, but they did by age group (P < 0.001). The rates of prescriptions, requests for investigations and referrals to specialized care were 71.1%, 42.8%, and 21.3%, respectively. Conclusion This novel study opened the ‘black box’ of RFEs in PHC in Brazil. These findings can contribute to redefining the scope of PHC services and reorienting work practices in order to improve the quality of PHC in Brazil.

scholarly journals Geographic Accessibility towards Primary Health Care in Karawang District

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Nabila Ramadina ◽  
Mulya Nurmansyah Ardisasmita ◽  
Budi Sujatmiko
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Transportation Cost ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Transportation Mode ◽  
Geographic Accessibility ◽  
Care Services ◽  
Primary Health

Health accessibility refers to the availability of health care services accessible to the community as required. However, the convenience of accessing such services vary throughout regions due to geography. Hence differences in geographic accessibility can be an obstacle to accessing health care. This study characterized the influence of geographic accessibility on primary health care (PHC) in Karawang District. A cross-sectional study was conducted in November 2019 in five sub-districts of Karawang District. Respondents were interviewed using questionnaires to collect geographic (mileage and travel time from respondents’ house to nearest PHC) and transportation (mode of transportation and transportation cost) data. In total, the study involved 513 randomly selected households, of which 11% had far to travel to the PHC, 22% had a long traveling time, and 23% had expensive transportation costs, with motorcycles being the most common means of transport. Therefore, PHCs in several sub-districts in Karawang District are less accessible due to geographic barriers.

scholarly journals An analysis of the meaning of integrated Primary Health Care from the KwaZulu- Natal Primary Health Care context

Curationis ◽  
2009 ◽  
Vol 32 (2) ◽  
Author(s):  
M.N. Sibiya ◽  
N.S. Gwele
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Comprehensive Health

In South Africa, integration o f services policy was enacted in 1996 with the aim of increasing health service utilization by increasing accessibility and availability of all health care services at Primary Health Care (PHC) level. Integration of PHC services continues to be seen as a pivotal strategy towards the achievement of the national goals of transformation of health services, and the attainment of a comprehensive and seamless public health system. Although the drive behind the integration of PHC services was to improve accessibility of services to the community, the problem however, arises in the implementation of integrated PHC (IPHC) as there is no agreed upon understanding of what this phenomenon means in the South African context. To date no research studies have been reported on the meaning of the integration of PHC services. Hence, there is a need for shared views on this phenomenon in order to facilitate an effective implementation of this approach. A cross-sectional study, using a qualitative approach was employed in this study in order to analyze the phenomenon, IPHC in KwaZulu-Natal and the meaning attached to it in different levels of the health system. A grounded theory was selected as it is a method known for its ability to make greatest contribution in areas where little research has been done and when new viewpoints are needed to describe the familiar phenomenon that is not clearly understood. Policy makers and co-ordinators of PHC at national, provincial and district levels as well as PHC nurses at functional level participated in the study. The data was collected by means of observations, interviews and document analysis. The sample size for interviews was comprised of 38 participants. Strauss and Corbin’s process of data analysis was used. It emerged that there were three core categories that were used by the participants as discriminatory dimensions of IPHC in South Africa. These core categories were (a) comprehensive health care, (b) supermarket approach and (c) one stop shop.

scholarly journals Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

2016 ◽  
Vol 45 (6) ◽  
pp. 344-350 ◽  
Author(s):  
Aline Blaya MARTINS ◽  
Creta SEIBT ◽  
Matheus NEVES ◽  
Juliana Balbinot HILGERT ◽  
Fernando Neves HUGO
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Unified Health System ◽  
Primary Health

Abstract Objective This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole. Material and method In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings. Result Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services. Conclusion These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC) services accessed.

scholarly journals Career commitment and career entrenchment among Primary Health Care workers

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Luciano Garcia Lourenção ◽  
Jacqueline Flores de Oliveira ◽  
Francisco Rosemiro Guimarães Ximenes Neto ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Sandra Verónica Valenzuela-Suazo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Career Commitment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Care Workers

ABSTRACT Objective: Assess levels of career commitment and career entrenchment among Primary Health Care workers. Methods: This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Results: Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. Conclusion: The highest scores were obtained in Career commitment, showing the workers’ identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

Longitudinality Assessment in Primary Health Care Services: a cross-sectional study

2015 ◽  
Vol 14 ◽  
pp. 352
Author(s):  
Marciane Kessler ◽  
Suzinara Beatriz Soares de Lima ◽  
Teresinha Heck Weiller ◽  
Luis Felipe Dias Lopes ◽  
Thaís Dresch Eberhardt ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Violence at work and depressive symptoms in primary health care teams: a cross-sectional study in Brazil

2015 ◽  
Vol 50 (9) ◽  
pp. 1347-1355 ◽  
Author(s):  
Andréa Tenório Correia da Silva ◽  
Maria Fernanda Tourinho Peres ◽  
Claudia de Souza Lopes ◽  
Lilia Blima Schraiber ◽  
Ezra Susser ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Health Care Teams ◽  
Cross Sectional ◽  
Primary Health

scholarly journals Assessment of clients 'satisfaction with primary health care services in Basra City, South of Iraq 2012

2019 ◽  
Vol 10 (3) ◽  
pp. 2558-2566
Author(s):  
Essam Mohammed Abd-Alsaid
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Arabic Language ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Health Directorate ◽  
South Of Iraq

Client satisfaction has been defined as the degree of congruency between a client’s expectation of ideal care and his/her perception of the real care receive. In Iraq, there has been a recent concern at the Ministry of Health (MOH) about improving the quality of Primary Health Care (PHC) services being considered the first health “gate” for the community. This study aimed to assess the level of clients’ satisfaction with PHC services in Basra, Iraq, 2012. A cross-sectional study was performed on 12 randomly selected PHC centers from the total eight PHC districts at Basra Health Directorate, where 1200 clients aged 18 years and above were selected systematically. Data was collected via a direct interview with clients using an Arabic language questionnaire. The satisfaction was rated at a scale of 1-5 points, and the data was analyzed using c.  The results of the current study revealed that the overall clients’ satisfaction was 90.8%. The highest score for clients’ satisfaction was for nurses’ staff domain of PHC services (91.9%), and the lowest was for waiting for the domain (74.5%). Old age, females, retired and illiterate clients showed significantly the highest overall satisfaction. Clients reported their main dissatisfaction for the availability of the medicines item (53.4%) and the waiting time to see medical staff item (59%). The present study concluded that overall clients’ satisfaction was relatively high, and socio-demographic characteristics played major roles in deciding the extent of clients’ satisfaction.

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