Quality of Primary Health Care for children and adolescents living with HIV

Abstract Objective: to evaluate the quality of health care for children and adolescents living with HIV, among the different types of Primary Health Care services of Santa Maria, Rio Grande do Sul. Method: cross-sectional study, developed with 118 Primary Health Care professionals. The Primary Care Evaluation Instrument, Professional version, was used. For verification of the variables associated with the high score, Poisson Regression was used. Results: the professionals of the Family Health Strategy, when compared to those of the Primary Health Units, obtained a greater degree of orientation to primary care, both for the overall score and for the derived attributes score, as well as for the integrality and community orientation attributes. A specialization in Primary Health Care, other employment and a statutory work contract were associated with quality of care. Conclusion: the Family Health Strategy was shown to provide higher quality health care for children and adolescents living with HIV, however, the coverage is still low. The need was highlighted to expand this coverage and invest in vocational training directed toward Primary Care and making the professionals effective, through public selection procedure, as well as an improvement program that recognizes the care requirements, in these settings, of children and adolescents infected with HIV.

Download Full-text

Evaluation of Primary Health Care attributes of Fortaleza city, Ceará State, Brazil

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0033 ◽

2019 ◽

Vol 72 (1) ◽

pp. 19-26 ◽

Cited By ~ 1

Author(s):

Leonardo Barbosa Rolim ◽

Janássia Gondim Monteiro ◽

Anya Pimentel Gomes Fernandes Vieira Meyer ◽

Sharmênia de Araújo Soares Nuto ◽

Márcio Flávio Moura de Araújo ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Assessment Tool ◽

Family Health ◽

A Value ◽

Primary Health ◽

Health Strategy ◽

Care Assessment ◽

Family Health Strategy

ABSTRACT Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordination - Information System were the ones that obtained the lowest and highest scores, (2.98) and (7.82), respectively. The Overall Score, calculated by means of a mean of the attributes, was 6.34. Conclusion: The Primary Care evaluated had a low score, showing the need to discuss mechanisms to boost the attributes that obtained low scores.

Download Full-text

Avaliação dos atributos essenciais da atenção primária em Montes Claros –MG

Bionorte ◽

10.47822/2526-6349.2021v10n1p134 ◽

2021 ◽

Vol 10 (1) ◽

pp. 134-142

Author(s):

Ludmila Cotrim Fagundes ◽

Caio Fagundes Quadros Lima ◽

Luciana Cristine Dias ◽

Maria Alice Miranda Fortes ◽

André Augusto Dias Silveira ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Family Health ◽

Descriptive Study ◽

Primary Health ◽

Level Of Satisfaction ◽

Health Strategy ◽

Family Health Strategy ◽

The City

Objective:to evaluate the essential attributes of primary care in a Family Health Strategy in the city of Montes Claros -MG from the perspective of the assisted population. Materials and Methods:this is a quantitative and descriptive study, with a sample of 130 patients. The Sociodemographic Questionnaire and the Questionnaire for the Evaluation of the Attributes of Primary Care were applied between the months of September and October 2018. The results were tabulated in an Excel spreadsheet. Results:the four Essential Attributes of Primary Care were mostly answered with a reasonable level of satisfaction or above. Overall average satisfaction was 6.8 points. Conclusion:the reduction of waiting time for appointments with general practitioners and the absence of specialists in the FHS were the main demands. However, in the eyes of users, it was evident that the four Essential Attributes of Primary Health Care, in general, are well exerted.

Download Full-text

Prevalence of health promotion programs in primary health care units in Brazil

Revista de Saúde Pública ◽

10.1590/s0034-8910.2014048005249 ◽

2014 ◽

Vol 48 (5) ◽

pp. 837-844 ◽

Cited By ~ 20

Author(s):

Luiz Roberto Ramos ◽

Deborah Carvalho Malta ◽

Grace Angélica de Oliveira Gomes ◽

Mário M Bracco ◽

Alex Antonio Florindo ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Health Promotion ◽

Primary Health Care ◽

Family Health ◽

Healthy Environment ◽

Primary Health ◽

Health Strategy ◽

Health Promotion Programs ◽

Family Health Strategy

OBJECTIVE Assessment of prevalence of health promotion programs in primary health care units within Brazil’s health system. METHODS We conducted a cross-sectional descriptive study based on telephone interviews with managers of primary care units. Of a total 42,486 primary health care units listed in the Brazilian Unified Health System directory, 1,600 were randomly selected. Care units from all five Brazilian macroregions were selected proportionally to the number of units in each region. We examined whether any of the following five different types of health promotion programs was available: physical activity; smoking cessation; cessation of alcohol and illicit drug use; healthy eating; and healthy environment. Information was collected on the kinds of activities offered and the status of implementation of the Family Health Strategy at the units. RESULTS Most units (62.0%) reported having in place three health promotion programs or more and only 3.0% reported having none. Healthy environment (77.0%) and healthy eating (72.0%) programs were the most widely available; smoking and alcohol use cessation were reported in 54.0% and 42.0% of the units. Physical activity programs were offered in less than 40.0% of the units and their availability varied greatly nationwide, from 51.0% in the Southeast to as low as 21.0% in the North. The Family Health Strategy was implemented in most units (61.0%); however, they did not offer more health promotion programs than others did. CONCLUSIONS Our study showed that most primary care units have in place health promotion programs. Public policies are needed to strengthen primary care services and improve training of health providers to meet the goals of the agenda for health promotion in Brazil.

Download Full-text

Attributes of primary health care provided to children/adolescents with and without disabilities

Ciência & Saúde Coletiva ◽

10.1590/1413-81232015208.07992014 ◽

2015 ◽

Vol 20 (8) ◽

pp. 2461-2468 ◽

Cited By ~ 2

Author(s):

Fernando Rodrigues Peixoto Quaresma ◽

Airton Tetelbom Stein

Keyword(s):

Health Care ◽

Primary Health Care ◽

Children And Adolescents ◽

Quality Care ◽

Family Health ◽

Cross Sectional ◽

Primary Health ◽

Health Strategy ◽

Family Health Strategy ◽

Physically Challenged

AbstractThis study sought to compare the attributes of the Primary Health Care (PHC) provided by caregivers of the Family Health Strategy (FHS) to children and adolescents with and without physical disabilities in Palmas (State of Tocantins, Brazil). This is a cross-sectional, descriptive study with a quantitative approach. For data collection, the PCA Tool-Brazil (child version) was applied to caregivers of children and adolescents residing and registered in family health teams. The attributes of primary care were evaluated through scores measured according to the criteria of the instrument. The results indicated that three attributes had scores above the cutoff point for the physically disabled population and two attributes for the population without disabilities. Overall, the data showed no significant differences between children with and without disabilities from the standpoint of caregivers. The general score also showed a below satisfactory score in both groups. The evaluation of the attributes of the PHC was characterized as low-quality care to children and adolescents, be they physically challenged or not, which highlights the fact that the biggest challenges lie in ensuring health care to children and adolescents.

Download Full-text

Longitudinality in Primary Health Care: a comparison between care models

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0014 ◽

2018 ◽

Vol 71 (3) ◽

pp. 1063-1071 ◽

Cited By ~ 6

Author(s):

Marciane Kessler ◽

Suzinara Beatriz Soares de Lima ◽

Teresinha Heck Weiller ◽

Luís Felipe Dias Lopes ◽

Lucimare Ferraz ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Family Health ◽

Primary Health ◽

Regional Health Care ◽

Health Strategy ◽

Care Assessment ◽

The Family ◽

Family Health Strategy

ABSTRACT Objective: to evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics. Method: a cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression. Results: the attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model. Conclusion: the study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health care.

Download Full-text

Gestão do cuidado e matriciamento na atenção primária à saúde: um relato de experiência

APS EM REVISTA ◽

10.14295/aps.v3i2.163 ◽

2021 ◽

Vol 3 (2) ◽

pp. 95-101

Author(s):

Minéia da Costa Figueiredo ◽

Fabiana Lopes de Paula

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Management ◽

Family Health ◽

Patient Care Team ◽

Unified Health System ◽

Primary Health ◽

Health Strategy ◽

The Matrix ◽

Family Health Strategy

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde. Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.

Download Full-text

Ambulatory care sensitive hospitalizations after implementation of the master plan in Minas Gerais

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052017330 ◽

2018 ◽

Vol 52 ◽

pp. 78

Author(s):

Luciano José Arantes ◽

Helena Eri Shimizu ◽

Edgar Merchán-Hamann

Keyword(s):

Health Care ◽

Primary Health Care ◽

Ambulatory Care ◽

Family Health ◽

Master Plan ◽

Primary Health ◽

Health Strategy ◽

Family Health Strategy ◽

Ambulatory Care Sensitive Hospitalizations ◽

Ambulatory Care Sensitive

OBJECTIVE: To describe the rate of ambulatory care sensitive hospitalizations in groups of cities according to population size and to analyze its association with the coverage of the Family Health Strategy after the implementation of the Master Plan for Primary Health Care in Minas Gerais, Brazil. METHODS: This is an ecological study with 452 cities grouped according to population size, with data from 2004 to 2007 and 2010 to 2013. We used the Kolmogorov-Smirnov test to verify the distribution of the data in the groups. We used the Wilcoxon test for paired data or the paired Student’s t-test to compare the rate of ambulatory care sensitive hospitalizations before and after the Master Plan for Primary Health Care. We used the simple linear regression test to analyze the association between variables. We performed statistical analyses using the Statistical Package for the Social Sciences, with a significance level of 5%. RESULTS: The rate of ambulatory care sensitive hospitalizations decreased significantly after the Master Plan for Primary Health Care in the large and mid-sized groups (p < 0.05). There were positive correlations between coverage with Family Health Strategy and the rate of ambulatory care sensitive hospitalizations in the mid-sized and large groups (p < 0.05). CONCLUSIONS: Actions were carried out to implement the Master Plan for Primary Health Care. However, more investments are needed to improve the effectiveness of the Primary Health Care, with permanent confrontation of complex issues that affect the quality of services, which can lead to a significant reduction of the rates of ambulatory care sensitive hospitalizations.

Download Full-text

Processo de trabalho: percepção da equipe de saúde da família

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240566 ◽

2019 ◽

Vol 13 ◽

Author(s):

Josué Souza Gleriano ◽

Priscila Corrêa da Luz Zaiaz ◽

Angélica Pereira Borges ◽

Grasiela Cristina Lucietto ◽

Priscila Balderrama ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Collaborative Work ◽

Family Health ◽

Patient Care Team ◽

Work Process ◽

Primary Health ◽

De Se ◽

Family Health Strategy

Objetivo: descrever a percepção de uma equipe multiprofissional da Estratégia Saúde da Família sobre a organização do processo de trabalho na sua unidade. Método: trata-se de estudo qualitativo, descritivo, desenvolvido numa unidade de saúde com 11 profissionais, utilizando a técnica de grupo focal, norteada pela Autoavaliação para Melhoria do Acesso e da Qualidade da Atenção Básica na dimensão de organização do processo de trabalho. Submeteu-se os dados à técnica de Análise de Conteúdo. Resultados: aponta-se que, na organização dos dados, emergiram duas categorias: Aspectos organizacionais e Aspectos relacionais. Enfatizam-se a importância do enfermeiro para a coordenação das ações e a necessidade de se fomentar o trabalho colaborativo para a integralidade das ações. Conclusão: constata-se a necessidade de se instituir, no âmbito da equipe de saúde, a reflexão rotineira sobre a organização dos processos de trabalho pautada nos atributos da atenção primária à saúde, além da prática de avaliação como ferramenta para melhorar a qualidade da atenção. Descritores: Organização e Administração; Atenção Primária à Saúde; Saúde da Família; Equipe de Assistência ao Paciente; Serviços Básicos de Saúde; Serviços de Saúde.Abstract Objective: to describe the perception of a multiprofessional Family Health Strategy team about the organization of the work process in their unit. Method: this is a qualitative, descriptive study, developed in a health unit with 11 professionals, using the focus group technique, guided by the Self-Assessment for Improving Access and Quality of Primary Care in the dimension of work process organization. The data was submitted to the technique of Content Analysis. Results: it is pointed out that, in the data organization, two categories emerged: Organizational Aspects and Relational Aspects. Emphasize the importance of nurses for the coordination of actions and the need to encourage collaborative work for the integrality of actions. Conclusion: there is a need to establish, within the health team, routine reflection on the organization of work processes based on the attributes of primary health care, in addition to the practice of evaluation as a tool to improve the quality of care. Descritores: Organization and Administration; Primary Health Care; Family Health; Patient Care Team; Basic Health Servicesb; Health Services. Resumen Objetivo: describir la percepción de un equipo multiprofesional de Estrategia de Salud Familiar sobre la organización del proceso de trabajo en su unidad. Método: este es un estudio cualitativo, descriptivo, desarrollado en una unidad de salud con 11 profesionales, utilizando la técnica de grupo de enfoque, guiado por la Autoevaluación para mejorar el acceso y la calidad de la atención primaria en la dimensión de la organización del proceso de trabajo. Los datos fueron sometidos a la técnica de Análisis de Contenido. Resultados: se señala que, en la organización de datos, surgieron dos categorías: Aspectos organizacionales y Aspectos relacionales. Se enfatiza la importancia de las enfermeras para la coordinación de las acciones y la necesidad de fomentar el trabajo colaborativo para la integralidad de las acciones. Conclusión: es necesario establecer, dentro del equipo de salud, una reflexión rutinaria sobre la organización de los procesos de trabajo basados en los atributos de la atención primaria de salud, además de la práctica de la evaluación como una herramienta para mejorar la calidad de la atención. Descritores: Organización y Administración; Atención Primaria de Salud; Salud de la Familia; Grupo de Atención al Paciente; Servicios Básicos de Salud; Servicios de Salud.

Download Full-text

Family Health Strategy, Primary Health Care, and Social Inequalities in Mortality Among Older Adults in Bagé, Southern Brazil

American Journal of Public Health ◽

10.2105/ajph.2020.306146 ◽

2021 ◽

pp. e1-e10

Author(s):

Marciane Kessler ◽

Elaine Thumé ◽

Michael Marmot ◽

James Macinko ◽

Luiz Augusto Facchini ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Primary Health Care ◽

Social Inequalities ◽

Family Health ◽

Primary Health ◽

Health Strategy ◽

Family Health Strategy ◽

Inequalities In Mortality

Objectives. To investigate the role of the Family Health Strategy (FHS) in reducing social inequalities in mortality over a 9-year follow-up period. Methods. We carried out a population-based cohort study of individuals aged 60 years and older from the city of Bagé, Brazil. Of 1593 participants at baseline (2008), 1314 (82.5%) were included in this 9-year follow-up (2017). We assessed type of primary health care (PHC) coverage and other variables at baseline. In 2017, we ascertained 579 deaths through mortality registers. Hazard ratios and their 95% confidence intervals modeled time to death estimated by Cox regression. We also tested the effect modification between PHC and wealth. Results. The FHS had a protective effect on mortality among individuals aged 60 to 64 years, a result not found among those not covered by the FHS. Interaction analysis showed that the FHS modified the effect of wealth on mortality. The FHS protected the poorest from all-cause mortality (hazard ratio [HR] = 0.59; 95% confidence interval [CI] = 0.36, 0.96) and avoidable mortality (HR = 0.46; 95% CI = 0.25, 0.85). Conclusions. FHS coverage reduced social inequalities in mortality among older adults. Our findings highlight the need to guarantee universal health coverage in Brazil by expanding and strengthening the FHS to promote health equity. (Am J Public Health. Published online ahead of print March 18, 2021: e1–e10. https://doi.org/10.2105/AJPH.2020.306146 )

Download Full-text