scholarly journals COORDENAÇÃO DO CUIDADO EM UMA REGIÃO ADMINISTRATIVA DO DISTRITO FEDERAL: UMA PESQUISA AVALIATIVA

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Lucas Agustinho Fernandes ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro ◽  
Pedro Sadi Monteiro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Assessment ◽  
Family Health ◽  
Federal District ◽  
Cross Sectional ◽  
Administrative Region ◽  
Primary Health ◽  
El Sistema ◽  
Distrito Federal

Objetivo: Avaliar a coordenação do cuidado na Atenção Primária à Saúde na Região Administrativa do Recanto das Emas. Metodologia: pesquisa avaliativa, de abordagem quantitativa com delineamento transversal, realizada com quarenta e dois profissionais lotados nas unidades básicas de saúde da região administrativa. Resultados: os resultados da pesquisa indicam uma fragilidade no sistema de referência e contrarreferência aos serviços especializados. Conclusão: foram identificadas fragilidades na comunicação entre os serviços, podendo ser um empecilho para assistência, bem como a inversão do fluxo de encaminhamento, o que leva a crer que este fato esteja impedindo a resolubilidade da Atenção Primária à Saúde.Descritores: Atenção Primária à Saúde, Avaliação em Saúde, Estratégia Saúde da Família.COORDINATION OF CARE IN AN ADMINISTRATIVE REGION OF THE FEDERAL DISTRICT: AN EVALUATING RESEARCHObjective: This research aims to evaluate the coordination of care in Primary Health Care in the Recanto das Emas Administrative Region. Methodology: This is an evaluative research, with a quantitative approach with a cross-sectional design, carried out with forty-two professionals in the basic health units of the administrative region. Results: The results indicate a fragility in the referral system and counter-referral to specialized services. Conclusion: We have identified weaknesses in communication between services, which may be an obstacle to assistance, as well as the inversion of the referral flow, which leads us to believe that this fact is preventing the resoluteness of Primary Health Care.Keywords: Primary Health Care, Health Assessment, Family Health Strategy.COORDINACIÓN DEL CUIDADO EN UNA REGIÓN ADMINISTRATIVA DEL DISTRITO FEDERAL: UNA INVESTIGACIÓN EVALUTIVAObjetivo: Esta investigación objetiva evaluar la coordinación del cuidado en la Atención Primaria a la Salud en la Región Administrativa del Recanto de las Emas. Metodología: Se trata de una encuesta evaluativa, de abordaje cuantitativo con delineamiento transversal, realizada con cuarenta y dos profesionales abarrotados en las unidades básicas de salud de la región administrativa. Resultados: Los resultados de la investigación indican una fragilidad en el sistema de referencia y contrarreferencia a los servicios especializados. Conclusión: Se identificaron fragilidades en la comunicación entre los servicios, pudiendo ser un obstáculo para asistencia, así como la inversión del flujo de encaminamiento, que lleva a creer que este hecho está impidiendo la resistividad de la Atención Primaria a la Salud.Palabras clave: Atención Primaria a la Salud, Evaluación en Salud, Estrategia Salud de la Familia.

scholarly journals AVALIAÇÃO DA ESTRATÉGIA SAÚDE DA FAMÍLIA EM SÃO SEBASTIÃO – DISTRITO FEDERAL

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Virgílio Luiz Marques De Macedo ◽  
Luciana Fontes Vieira ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Distrito Federal ◽  
First Contact

Objetivo: Avaliar a qualidade da assistência prestada por profissionais da Estratégia Saúde da Família em São Sebastião, Distrito Federal, na atenção a pacientes portadores de Hipertensão Arterial Sistêmica e Diabetes Mellitus. Metodologia: Trata-se de um estudo descritivo-exploratório transversal de cunho quantitativo com 107 usuários e 27 profissionais de saúde. Resultados: Foram avaliados como satisfatórios pelos usuários apenas os atributos acesso de primeiro contato – utilização e coordenação – sistema de informação. Para os profissionais, os atributos acesso de primeiro contato – acessibilidade e orientação comunitária foram considerados insatisfatórios, indicando que a qualidade da assistência por meio do acesso e informação é aceitável para os usuários e deficiente para os profissionais. Conclusão: Os dados apresentados evidenciam que a Atenção Primária a Saúde não está exercendo sua função de porta de entrada, de coordenadora e ordenadora da Rede de Atenção à Saúde.Descritores: Avaliação em Saúde; Atenção Primária à Saúde; Estratégia de Saúde da Família; Hipertensão; Diabetes Mellitus.EVALUATION OF THE FAMILY HEALTH STRATEGY IN SÃO SEBASTIÃO - FEDERAL DISTRICTObjective: To evaluate the quality of care provided by the health team of Primary Health Care of São Sebastião, Distrito Federal, in the attention to patients with Systemic Arterial Hypertension and Diabetes Mellitus. Method: This is a descriptive-exploratory cross-sectional quantitative study with 107 patients e 27 health profissionals. Results: Only the attributes of first contact access - utilization and coordination - information system were evaluated as satisfactory by the users. For professionals, the attributes of first contact access - accessibility and community orientation were considered unsatisfactory, indicating that the quality of care through access and information is acceptable for users and disabled for professionals. Conclusion: The data presented shows that Primary Health Care is not performing its function as gateway, as coordinator and ordinator of the Health Care Network.Descriptors: Health Evaluation; Primary Health Care; Hypertension; Diabetes Mellitus.EVALUACIÓN DE LA ESTRATEGIA SALUD DE LA FAMILIA EN SÃO SEBASTIÃO - DISTRITO FEDERALObjetivo: Evaluar la calidad de la asistencia prestada por profesionales de la Estrategia Salud de la Familia en São Sebastião, Distrito Federal, en la atención a pacientes portadores de Hipertensión Arterial Sistémica y Diabetes Mellitus. Método: Se trata de un estudio descriptivo-exploratorio transversal de cuño cuantitativo com 107 clientes e 27 profesionales de salud. Resultados: Se evaluaron como satisfactorios por los usuarios sólo los atributos acceso de primer contacto - utilización y coordinación - sistema de información. Para los profesionales, los atributos acceso de primer contacto - accesibilidad y orientación comunitaria se consideraron insatisfactorios, indicando que la calidad de la asistencia a través del acceso e información es aceptable para los usuarios y deficiente para los profesionales. Conclusión: Los datos presentados evidencian que la Atención Primaria a la Salud no está ejerciendo su función de puerta de entrada, de coordinadora y ordenadora de la Red de Atención a la Salud.Descriptores: Evaluación en Salud; Atención Primaria de Salud; Hipertensión; Diabetes Mellitus.

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 PERFIL DOS PROFISSIONAIS DA ATENÇÃO PRIMÁRIA À SAÚDE, VINCULADOS AO CURSO DE ESPECIALIZAÇÃO EM SAÚDE DA FAMÍLIA UNA-SUS NO RIO GRANDE DO SUL

2020 ◽  
Vol 1 ◽  
pp. 04
Author(s):  
Giovani Sturmer ◽  
Maria Eugênia Bresolin Pinto ◽  
Monica Maria Celestina de Oliveira ◽  
Alessandra Dahmer ◽  
Airton Tetelbom Stein ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Physical Structure ◽  
Health Unit ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
Primary Health

No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo é descrever o perfil dos profissionais da APS, vinculados a Especialização em Saúde da Família – UNA-SUS UFCSPA. Foi realizado um estudo transversal com profissionais da saúde não participantes do Programa Mais Médicos, que atuam na APS no Rio Grande do Sul vinculados ao curso, entre 2011 e 2013, para observar as características dos profissionais e o seu vínculo com o trabalho. Entre os 277 avaliados, a maioria são mulheres, enfermeiras, com média de 35 anos, formadas a menos de 10 anos, 88% trabalham em ESF, e 73,1% participam de equipes de saúde bucal. A pós-graduação concluída direcionada para APS foi observada em 30% dos profissionais; e 56,3% estavam no primeiro trabalho em APS, com media de 4,5 anos de atuação; 40,4% tinham outra atividade remunerada (77% médicos). Observou-se que 59% estavam satisfeitos com o tipo de vínculo, e entre a maioria foi observada a satisfação com as condições gerais de trabalho (58,1%), com a estrutura física e com os equipamentos das unidades (58,3%). Observaram-se profissionais com menor idade e pouca especialidade na área, entretanto, todos eles buscando aprimoramento através da Especialização para melhorar sua atuação na APS.Palavras-chave: Atenção Primária à Saúde. Saúde da Família. Profissionais da Saúde.ABSTRACTIn Brazil Primary Health Care (PHC) is the gateway to health service of the Unified Health System. The network consists of health unit where professionals seek to meet local needs fairly and effectively, and it must rely on trained professionals to work in community health prevention and maintenance. The aim of this study is to describe the profile of PHC professionals who are linked to UNA-SUS–UFCSPA’s Specialization Program in Family Health. A cross-sectional study with health professionals who work in PHC in Rio Grande do Sul and were linked to the program between 2011 and 2013 was conducted to observe the characteristics of professionals and their relationship with work. Among the participants (277), the majority are women, nurses with an average of 35 years, professionals for less than 10 years, 88% work in FHS, and 73.1% with oral health team. The completed a graduate degree focused on PHC was observed in 30% of the professionals; 56.3% were working their first job in PHC, with a median of 4.5 years of operation; and 40.4% engaged in another paid activity (77% physicians). It was observed that 59% were satisfied with their type of employment, and most participants showed to be satisfied with their general working conditions (58.1%) and the physical structure and equipment of the health unit (58.3%). Younger professionals and with little expertise in the area were observed, however all of them were seeking development through Specialization to improve their performance in PHC.Keywords: Primary Health Care. Family Health. Health Personnel.

scholarly journals Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Suelen Cordeiro Assunção ◽  
Alisson Pereira Fonseca ◽  
Marise Fagundes Silveira ◽  
Antônio Prates Caldeira ◽  
Lucinéia de Pinho
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Negative Attitude ◽  
Cross Sectional ◽  
Primary Health ◽  
Patients With Diabetes ◽  
Family Health Strategy ◽  
Knowledge And Attitude

Abstract Objective: To evaluate the knowledge and attitude of patients with diabetes mellitus in Primary Health Care and associated factors. Methods: Cross-sectional, quantitative and analytical study with 353 patients with type 2 diabetes mellitus in Family Health Strategy units. The Knowledge and Psychological Attitudes Questionnaires were used for data collection, as well as a script with sociodemographic, economic and clinical data. Results: The majority of the population was female (73.1%), aged more than 50 years (81.5%), diagnosed for more than five years (54.9%) and with a per capita income of up to half a minimum wage (59.3%). The scores of knowledge and attitude were low. Age (p = 0.001) and level of education (p = 0.002) were variables associated with knowledge about diabetes mellitus. Conclusion: Users had a low level of knowledge about diabetes, indicating an unsatisfactory result in self-care and mainly a negative attitude towards coping with this disease.

scholarly journals The Prevalence of Abdominal Adiposity among Primary Health Care Physicians in Bahia, Brazil: An Epidemiological Study

2021 ◽  
Vol 18 (3) ◽  
pp. 957
Author(s):  
André Luiz Brandão Costa ◽  
Magno Conceição das Merces ◽  
Amália Ivine Costa Santana ◽  
Douglas de Souza e Silva ◽  
Rodrigo Fernandes Weyll Pimentel ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Waist Circumference ◽  
Family Health ◽  
Cross Sectional Study ◽  
Abdominal Adiposity ◽  
Cross Sectional ◽  
Primary Health ◽  
The Family ◽  
Primary Health Care Physicians

Background: Labor activities are demanding for workers and can induce occupational stress. Primary health care (PHC) workers have faced problems that can lead to the development of stress and abdominal obesity. The aim of this study was to estimate the prevalence of abdominal adiposity among primary health care physicians in the metropolitan mesoregion of Salvador, Bahia. Methods: This is a cross-sectional study conducted with physicians from the family health units (FHUs) of the metropolitan mesoregion of Salvador, Bahia, Brazil. The number of FHUs corresponded to 41 teams (52 physicians). Anamnesis was performed and a questionnaire was applied. The clinical examination consisted of measuring waist circumference (WC), blood pressure levels (BP), and body mass index (BMI), as well as examining for acanthosis nigricans. Blood samples were collected for biochemical dosages. The data obtained were analyzed by SPSS version 22.0. Results: The sample included 41 physicians (response rate: 78.8%), of which 18 were women (44.0%). The percentage of overweight participants represented by BMI was 31.7%. The hypertriglyceridemia prevalence was 29.2%. HDL-c was low in 48.7% of the participants. The waist circumference measurement revealed a prevalence of abdominal adiposity of 38.8% (women) and 34.8% (men). Conclusions: Medical professionals in PHC are more susceptible to having higher abdominal adiposity, especially female physicians.

scholarly journals Implementation of pharmaceutical services in Brazilian primary health care: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nathália Cano Pereira ◽  
Vera Lucia Luiza ◽  
Mônica Rodrigues Campos ◽  
Luisa Arueira Chaves
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Care Management ◽  
Implementation Fidelity ◽  
Federal District ◽  
Cross Sectional Study ◽  
Pharmaceutical Services ◽  
Cross Sectional ◽  
Primary Health

Abstract Background In the Brazilian public health system, primary health care (PHC) is provided by the municipalities and is considered the entry level of the Unified Health System (SUS). Governmental pharmaceutical services (PharmSes) are part of the SUS, including PHC, and are the most significant way in which patients access medicine and services. Considering the diversity of the country, the municipalities have the autonomy to decide how PharmSes are implemented. Even though policies and procedures should be implemented as expected by policy makers and experts, municipality characteristics may interfere with implementation fidelity. Therefore, this study evaluated the degree to which the PharmSes in PHC were delivered as intended in Brazilian municipalities. Methods We analysed data from a secondary database originating from a cross-sectional nationwide study carried out by the Ministry of Health and the World Bank from 2013 to 2015. Data on 465 municipalities and the Federal District were collected from 4939 governmental PharmSes. A rating system comprising 43 indicators was developed and applied to the dataset to obtain the implementation degree (ID) of each PharmSe. Additionally, the IDs of the two PharmSes dimensions and the nine components were measured. Results Overall, the ID of the PharmSes in Brazilian PHC was evaluated as critical. The ID was critical in 81% of the municipalities (n = 369), incipient in 14% (n = 65) and unsatisfactory in 4.8% (n = 22). Regarding the PharmSes dimensions, the ‘medicine management’ (MM) ID was considered critical (Mean = 46%), while the ‘care management’ (CM) ID was incipient (Mean = 22%). In terms of the PharmSes components, the highest ID was achieved by ‘forecasting’ (58%). In contrast, ‘continuing education and counselling’ showed the lowest figure (ID = 11%) in the whole sample, followed by ‘information and communication’ and ‘teamwork’. Conclusions The degree to which PharmSes were implemented was critical (ID< 50%). This analysis demonstrated that PharmSes were implemented with low fidelity, which may be related to the low availability of medicine in PHC. Although the care management component requires more attention, considering their incipient ID, all components must be reviewed. Municipalities must increase their investment in PharmSes implementation in order to maximize the benefits of these services and guarantee the essential right of access to medicine.

scholarly journals Epidemiological health assessment in primary health care in the State of Qatar-2019

2021 ◽  
Author(s):  
Mohamed Ghaith Al-Kuwari ◽  
Samya Ahmad Al – Abdulla ◽  
Maha Yousef Abdulla ◽  
Ahmad Haj Bakri ◽  
Azza Mustafa Mohammed ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Central Region ◽  
Local Population ◽  
Health Assessment ◽  
Tobacco Consumption ◽  
Northern Region ◽  
Residence Permit ◽  
Cross Sectional ◽  
Primary Health

AbstractObjectivesThe Primary Health Care Corporation (PHCC) in Qatar conducted epidemiological health assessment to understand the burden of diseases impacting the PHCC registered populationDesignThis is a cross-sectional study design among all PHCC registered population between the 1st of September 2018 and the 31st of August 2019SettingPrimary Health Care Corporation health centersParticipantsThe target population is all persons residing in Qatar aged (0-80) years and registered at the PHCC. Excluding patients with expired Qatar residence permit by the 31st of AugustResultsObesity rates ranged between 37% and 35% among the total population registered with the lowest rate in the central region at 34.7%. Burden of type 2 diabetes, hypertension, and dyslipidemia was the highest among population of the Central region at 13.9%, 15.7% and 11.1%, respectively. Tobacco consumption among males ranged from 25.4 % to 27.8%, with the highest rate in the Northern region. 39.9% of females in the Northern region had BMI above 30 kg/m2. Exclusive breastfeeding at 6 months was significantly lower than that at 4 months across all regions. Children in the Northern region had the highest rate of overweight/obesity based on Z-scores. Western region population had the highest number of communicable diseases notifications especially Chicken pox at 94.6 per 10,000 childrenConclusionUnderstanding the patterns of disease in the local population will enable PHCC to provide a clear set of objectives to work towards meeting population health needs

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 Acessibilidade ao tratamento e estado de saúde de pacientes hemodialíticos

2018 ◽  
Vol 12 (7) ◽  
pp. 1853
Author(s):  
Dandara Novakowski Spigolon ◽  
Elen Ferraz Teston ◽  
Maria Antonia Ramos Costa ◽  
Edilaine Maran ◽  
Rebeca Rosa de Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Renal Dialysis ◽  
Support Network ◽  
Cross Sectional ◽  
Unified Health System ◽  
Primary Health ◽  
El Sistema ◽  
Comprehensive Health ◽  
La Red

RESUMOObjetivo:  identificar a acessibilidade ao tratamento e o estado de saúde de pacientes em hemodiálise. Método: estudo quantitativo, transversal, descritivo, realizado em uma clínica de nefrologia. Os dados foram coletados por meio de entrevista, analisados utilizando estatística descritiva e apresentados em tabelas de distribuição de frequência absoluta e relativa. Resultados: dos 151 pacientes, 49,6% são idosos; 54,3% têm baixa escolaridade; 66,2% possuem renda mensal de até dois salários mínimos; 93,4% têm seu tratamento financiando pelo Sistema Único de Saúde, porém, 45,7% referem gastos com tratamento; 66,9% mencionam a inobservância de tratamento conservador; 84,1% receberam cuidados pré-diálise; 84,1% declaram a autopercepção de saúde como boa e metade deles é acompanhada pela atenção primária à saúde (50,3%). Conclusão: necessita-se do fortalecimento da rede de apoio social e de atenção à saúde, uma vez que a condição de vulnerabilidade caracterizada elucida novos desafios no desenvolvimento de ações na promoção à saúde, prevenção de complicações e na acessibilidade e organização do fluxo de atendimento. Descritores: Acesso aos Serviços de Saúde; Atenção Primária à Saúde; Assistência Integral à Saúde; Diálise Renal; Insuficiência Renal Crônica; Saúde Pública.ABSTRACTObjective: to identify accessibility to treatment and health status of hemodialysis patients. Method: quantitative, cross - sectional, descriptive study performed at a nephrology clinic. Data were collected through interviews, analyzed using descriptive statistics and presented in tables of absolute and relative frequency distribution. Results: of the 151 patients, 49.6% were elderly; 54.3% have low schooling; 66.2% have a monthly income of up to two minimum wages; 93.4% have their treatment financed by the Unified Health System, however, 45.7% refer to treatment expenses; 66.9% mention noncompliance with conservative treatment; 84.1% received pre-dialysis care; 84.1% declare their self-perception of health as good and half of them are accompanied by primary health care (50.3%). Conclusion: it is necessary to strengthen the social support network and health care, since the condition of vulnerability characterized elucidates new challenges in the development of actions in health promotion, prevention of complications and in the accessibility and organization of the flow of care. Descritores: Health Services Accessibility; Primary Health Care; Comprehensive Health Care; Renal Dialysis; Renal Insufficiency Chronic; Public Health.RESUMENObjetivo: identificar la accesibilidad al tratamiento y el estado de salud de los pacientes en hemodiálisis. Método: estudio cuantitativo, transversal, descriptivo, realizado en una clínica de nefrología. Los datos fueron recolectados por medio de encuestas, analizados utilizando estadística descriptiva y presentados en tablas de distribución de frecuencia absoluta y relativa. Resultados: de los 151 pacientes, el 49,6% son ancianos; 54,3% tiene baja escolaridad; El 66,2% poseen renta mensuales de hasta dos salarios mínimos; 93,4% tiene su tratamiento financiando por el Sistema Único de Salud, pero el, 45,7% refiere gastos con tratamiento; 66,9% mencionan la inobservancia de tratamiento conservador; el 84,1% recibieron atención pre-diálisis; El 84,1% declaran la auto percepción de salud como buena; y la mitad de ellos son acompañados por la atención primaria a la salud (50,3%). Conclusión: se requiere del fortalecimiento de la red de apoyo social y de atención a la salud, una vez que la condición de vulnerabilidad caracterizada elucida nuevos desafíos en el desarrollo de acciones en la promoción a la salud, prevención de complicaciones y en la accesibilidad y organización del flujo de atención. Descritores: Acceso a los Servicios de Salud; Atención Primaria a la Salud; Atención Integral de Salud; Diálisis Renal; Insuficiencia Renal Crónica; Salud Pública.

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.




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