scholarly journals Primary health care attributes assessment: children and adolescents living with HIV

2018 ◽  
Vol 22 (2) ◽  
Author(s):  
Bibiana Sales Antunes ◽  
Stela Maris de Mello Padoin ◽  
Cristiane Cardoso de Paula
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Home Visit ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment ◽  
Living With Hiv

Abstract Objectives: To evaluate the attributes derived from Primary Health Care (PHC) focusing on children and adolescents living with HIV, in the experience of health professionals, comparing traditional units (BHU) and Family Health Strategy (FHS). Method: Cross-sectional research in which 524 professionals from 25 cities of Rio Grande do Sul, Brazil were interviewed. The Primary Care Assessment Tool Brazil was used from March through August 2014. Results: The PHC score attributed to FHS (7.8) was higher than that attributed to BHU (6.8). The higher scores contributed to the home visit, the professional qualification and the employment bond, the latter acting independently of the others. Conclusion: The satisfactory evaluation of the derived attributes approves the interaction with users and community and the potential of PHC to attend these children and adolescents, and the home visit qualifies the practice.

scholarly journals Primary health care attributes of family health teams with and without family physician

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A C F Martins ◽  
G A Pereira ◽  
W P P Gomes ◽  
C N Monteiro ◽  
C A S Siqueri ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Management ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment

Abstract Background The four essential attributes of primary health care (PHC): access, longitudinality, comprehensiveness and coordination, guide the professional practices of service management and also the professionals of the family health strategy teams. Family medicine residence (FMR) is the speciality that trains medical practitioners capable of acting properly in PHC. It develops a person-centred approach, oriented towards the individual, his family and community, which dialogues with the PHC precepts of comprehensive patient care from a social point of view. Thus, the objective of this study was to verify whether there are differences in the PHC attributes perceived by patients treated by teams with FMR doctors and by the others. Methods This was an observed cross-sectional study conducted during 2019, which used the Adult Primary Care Assessment Tool (PCATool) to evaluate preliminarily 28 PHC teams working at the city of São Paulo, Brazil. The teams were compared based on 337 patient answers using domains medians and Mann-Whitney tests. The study was approved by the ethics committee. Results Eight teams (28.6%) had doctors trained in FMR. The attributes of longitudinality and access were very similar between the two groups. The teams with FMR doctors showed better evaluations in the components: information systems, median 7.78, versus 6.67 (p = 0.391); services available, median 6.52, versus 6.06 (p = 0.086); and services received, median 4.85, versus 3.85 (p = 0.180) of the coordination and comprehensiveness attributes. Conclusions We didn't find statistically significant results indicating better PHC attributes of teams with FMR doctors, based on user perception. A continuous study is recommended to follow the evolution of this speciality in the PHC context. Key messages FMR is a fundamental key to PHC and must be evaluated continuously. It is necessary to strengthen their insertion in the Brazilian health system and discuss the ways to do so.

scholarly journals Assessment of primary health care: health professionals’ perspective

2014 ◽  
Vol 48 (spe) ◽  
pp. 122-128 ◽  
Author(s):  
Simone Albino da Silva ◽  
Denismar Alves Nogueira ◽  
Camila Maria da Silva Paraizo ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Family Health Program ◽  
Primary Health ◽  
Care Assessment ◽  
First Contact

Objective To assess primary health care attributes of access to a first contact, comprehensiveness, coordination, continuity, family guidance and community orientation. Method An evaluative, quantitative and cross-sectional study with 35 professional teams in the Family Health Program of the Alfenas region, Minas Gerais, Brazil. Data collection was done with the Primary Care Assessment Tool - Brazil, professional version. Results Results revealed a low percentage of medical experts among the participants who evaluated the attributes with high scores, with the exception of access to a first contact. Data analysis revealed needs for improvement: hours of service; forms of communication between clients and healthcare services and between clients and professionals; the mechanism of counter-referral. Conclusion It was concluded that there is a mismatch between the provision of services and the needs of the population, which compromises the quality of primary health care.




scholarly journals Assessing the care of children under one year old in Primary Health Care

2013 ◽  
Vol 21 (2) ◽  
pp. 554-561 ◽  
Author(s):  
Maria Cândida de Carvalho Furtado ◽  
Janaina Carvalho Braz ◽  
Juliana Coelho Pina ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Health Care Team ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment ◽  
One Year ◽  
Primary Care Assessment Tool

OBJECTIVE: to analyze the presence and extent of Primary Health Care attributes and the strength of affiliation of children under one year old in a Family Health Unit. METHOD: cross-sectional, descriptive study conducted between October 25, 2010 and May 14, 2011 with 44 mothers, using the Primary Care Assessment Tool to collect data. Data were analyzed by calculating the Essential Primary Health Care and General Primary Health Care scores. RESULTS: mothers recognized and experienced aspects of accessibility, comprehensive care and coordination of care, as well as community guidance, marked by a concern and involvement on the part of the health team in the children's care, their families and community. CONCLUSION: The Primary Health Care team makes efforts to approach the community and meet their health needs, seeking instruments that aid the promotion of qualified care to children.

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

2015 ◽  
Vol 49 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Vanessa Bertoglio Comassetto Antunes de Oliveira ◽  
Maria de La Ó Ramallo Veríssimo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Integration Of Care ◽  
Primary Health ◽  
Care Assessment

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 cross-sectional 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.

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

2019 ◽  
Vol 72 (1) ◽  
pp. 19-26 ◽  
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.

scholarly journals Prenatal Care for Adolescents and attributes of Primary Health Care

2014 ◽  
Vol 22 (1) ◽  
pp. 108-114 ◽  
Author(s):  
Maria Cristina Barbaro ◽  
Angelina Lettiere ◽  
Ana Márcia Spanó Nakano
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Assessment Tool ◽  
Family Health ◽  
Integration Of Care ◽  
Primary Health ◽  
Care Assessment ◽  
The Family ◽  
Primary Care Assessment Tool

OBJECTIVE: evaluate prenatal care for adolescents in health units, in accordance with the attributes of Primary Health Care (PHC) guidelines. METHOD: quantitative study conducted with health professionals, using the Primary Care Assessment Tool-Brazil to assess the presence and extent of PHC attributes. RESULTS: for all the participating units, the attribute Access scored =6.6; the attributes Longitudinality, Coordination (integration of care), Coordination (information systems) and Integrality scored =6.6, and the Essential Score =6.6. Comparing basic units with family health units, the attribute scores were equally distributed; Accessibility scored =6.6, the others attributes scored =6.6; however, in the basic units, the Essential Score was =6.6 and, in the family health units, =6.6. CONCLUSION: expanding the coverage of family health units and the training of professionals can be considered strategies to qualify health care.

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

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Leticia do Nascimento ◽  
Cristiane Cardoso de Paula ◽  
Tania Solange Bosi de Souza Magnago ◽  
Stela Maris de Mello Padoin ◽  
Erno Harzheim ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Family Health ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy ◽  
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.

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

2015 ◽  
Vol 20 (8) ◽  
pp. 2461-2468 ◽  
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.

scholarly journals Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Rafaela Simão de Abrantes ◽  
Débora Lana Alves Monteiro ◽  
Aline de Paula Rêgo Graciano Luz ◽  
Ricardo Alves de Olinda ◽  
Wilton Wilney Nascimento Padilha
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment ◽  
Education Activity ◽  
First Contact

ABSTRACT Objective: to assess the presence and extent of Primary Health Care attributes in Campina Grande, Paraíba. Method: this is a cross-sectional study with 202 professionals from the Basic Health Units. The Primary Care Assessment Tool, Brazil, was used, which includes eight attributes of primary care whose scores were converted into a scale from 0 to 10, with those considered satisfactory > 6.60. Result: the general score mean was 7.6, but First contact access obtained a score of 3.7. Dental surgeons attributed the worst scores for all attributes (p <0.05). Permanent education activity was associated with a high general score (p <0.01). Conclusion: with the exception of First contact access, the other attributes are present, but initiatives by teams and managers are necessary for its expansion, with permanent education being the main strategy in this process.

scholarly journals Evaluation of the first level of care for tuberculosis control in Buenos Aires, Argentina

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Javier Mariani ◽  
Daniel Ferrante ◽  
Gabriel Battistella ◽  
Martín Langsam ◽  
Freddy Pérez ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Buenos Aires ◽  
Assessment Tool ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment ◽  
Centered Care ◽  
First Contact ◽  
Family Centered

Objective. Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina. Methods. Cross-sectional observational study with adult patients with tuberculosis (TB) and without TB (NoTB), living in slums (S) and outside them (NoS). Participants’ perceptions were evaluated using the Primary Care Assessment Tool for users (abbreviated version), which measures four main domains (first contact, ongoing care, coordination with specialists, and comprehensiveness) and selected secondary domains. A Likert scale was used, ranging from “No, not at all” (1 point) to “Yes, definitely” (4 points). Scores ≥ 3 were considered to indicate adequate performance of functions. Averages were calculated for each domain, as well as two overall scores: with and without secondary domains. Results. 83 participants were included (20 TB-S, 21 TB-NoS, 19 NoTB-S, and 23 NoTB-NoS). The evaluated functions were perceived as inadequate. The TB-S group gave the lowest overall scores, not reaching 3 points in any domain. There were no significant differences in domains or overall scores between groups. Participants with TB gave lower scores in all domains, except in family-centered care, where they gave a significantly higher score than NoTB participants. The overall score without secondary domains was lower for TB participants than for the NoTB groups. Conclusions. According to the perception of participants with TB and without TB, primary health care functions are not satisfactory, either in slums or outside them.

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