scholarly journals Municipal Management, Infrastructure And Perception Of Users: A Description Of National Program For Improving Access And Quality Of Primary Care In The Brazilian Semiarid

10.3823/2515 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marília Gomes De Sousa Bezerra ◽  
Roseanne De Sousa Nobre ◽  
Artemizia Francisca De Sousa ◽  
Maísa De Lima Claro
Keyword(s):  
Primary Care ◽  
Cross Sectional ◽  
Unified Health System ◽  
Quality Of Primary Care ◽  
Brazilian Semiarid ◽  
Municipal Management ◽  
Access And Quality ◽  
Objective Description

Introduction: The Ministry of Health with the aim of improving the service provided by the Unified Health System has been creating work tools to identify which points need to receive more attention to be optimized. Objective: Description of the role of municipal management, infrastructure assessment and perception of users of primary care. Method: Cross-sectional and descriptive study, conducted with Basic Units of Piauí municipality in 2015. The data were represented by tables. Results: 90% of the units reported receiving support for the planning and organization of the work process. Only 14, 81% of the units have equipment and supplies for proper operation. Users recommend the service in 92,62% of the cases. Conclusion: despite the precarious structure of the basic units of the county, the population still recognizes them as the best care.

scholarly journals Evaluation of the performance of actions and outcomes in primary health care

2017 ◽  
Vol 51 ◽  
Author(s):  
Paula Vitali Miclos ◽  
Maria Cristina Marino Calvo ◽  
Claudia Flemming Colussi
Keyword(s):  
Primary Care ◽  
Returns To Scale ◽  
Secondary Data ◽  
Analysis Tool ◽  
Data Envelopment ◽  
Cross Sectional ◽  
Unified Health System ◽  
Quality Of Primary Care ◽  
Access And Quality

OBJECTIVE The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012. The data envelopment analysis tool has been used for variable returns to scale with product orientation. RESULTS Municipalities have been analyzed by population size, and small municipalities have presented a high percentage of inefficiency for both models. CONCLUSIONS The analysis of efficiency has indicated the existence of a higher percentage of effective municipalities in the model of health actions than in the model of health outcomes.

scholarly journals National Program for Improving Access and Quality of Primary Care: Implications of its implementation in the Brazilian Northeast

10.3823/2461 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ianna Priscilla Dantas de Queiroz ◽  
Cecília Nogueira Valença ◽  
Renata Fonsêca Sousa de Oliveira ◽  
Cristiane da Silva Ramos Marinho ◽  
Ádilla Conceição Brito de Azevedo ◽  
...  
Keyword(s):  
Primary Care ◽  
Structured Interview ◽  
National Program ◽  
Work Process ◽  
Unified Health System ◽  
Basic Care ◽  
Quality Of Primary Care ◽  
Access And Quality ◽  
Brazilian Northeast

Introduction: The Ministry of Health has been very interested in initiative to maintain and / or improve the quality of population health, among which the National Program for Improving Access and Quality of Basic Care (PMAQ) stands out. Objective: To analyze the changes in the area of work management of the basic care teams after the implementation of the Program of Improvement of Access and Quality of Primary Care (PMAQ) from the perspective of professionals inserted in Primary Care. Method: This is a descriptive study with a qualitative approach, carried out in the city of Santa Cruz, in the county of the PMAQ implementation in the Trairi region, in the state of Rio Grande do Norte, from September to November 2016. Two techniques were used for data collection: the semi-structured interview with the secretary of health and coordinator of basic care of the county, and the technique of focus group with the graduated professionals who work in the Basic Units that joined the PMAQ. Results: From this analysis emerged 3 categories: Implementation of the National Program for Improving Access and Quality of Primary Care, PMAQ encouraging changes in the health work process, and Evaluation on the PMAQ. Conclusion: The main change made by the PMAQ in the work process of Primary Care professionals was their organization.   KEY WORDS: primary health Care; Unified Health System; human resources.

scholarly journals Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Practice ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

scholarly journals The quality of primary care and correlates among grassroots providers in rural China: a cross-sectional standardised patient study

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S16 ◽  
Author(s):  
Yaojiang Shi ◽  
Hongmei Yi ◽  
Huan Zhou ◽  
Chengchao Zhou ◽  
Hao Xue ◽  
...  
Keyword(s):  
Primary Care ◽  
Rural China ◽  
Cross Sectional ◽  
Patient Study ◽  
Quality Of Primary Care ◽  
Standardised Patient

Access and Quality of Primary Care for People With Disabilities: A Comparison of Practice Factors

2010 ◽  
Vol 21 (3) ◽  
pp. 131-140 ◽  
Author(s):  
Mary Ann H. McColl ◽  
Sam Shortt ◽  
Duncan Hunter ◽  
John Dorland ◽  
Marshall Godwin ◽  
...  
Keyword(s):  
Primary Care ◽  
People With Disabilities ◽  
Quality Of Primary Care ◽  
Access And Quality

scholarly journals What Has Changed in the Dental Prosthesis Procedures in Primary Health Care In Brazil?

2019 ◽  
Vol 30 (5) ◽  
pp. 519-522
Author(s):  
Mauro Henrique Nogueira Guimarães de Abreu ◽  
Amanda de Lima Franca Neumann Morato ◽  
Angélica Maria Cupertino Lopes Marinho ◽  
Maria Aparecida Melo Cunha ◽  
Suellen da Rocha Mendes
Keyword(s):  
Primary Care ◽  
Secondary Data ◽  
Dental Prosthesis ◽  
National Programme ◽  
Dental Prostheses ◽  
Primary Health ◽  
Quality Of Primary Care ◽  
Access And Quality ◽  
Dental Prosthetics

Abstract The study aimed to identify the changes in the provision of dental prosthetics procedures in the Brazilian primary care. Secondary data from the Brazilian “National Programme for Improving Access and Quality of Primary Care” was assessed and three similar questions related to dental prostheses execution that were answered by the same 9,698 oral health teams, in 2011/2012 and 2013/2014, were compared. There was a 4.3% increase in the number of teams that identified individuals with prosthetic needs; a 0.8% increase in the number of teams that performed impression for prosthetic purposes; and the number of teams that reported performing dental prostheses consultations increased by 0.6%. Overall, there was a small modification in the number of teams that provided dental prosthesis procedures in Brazil.

scholarly journals The 3rd cycle of the Brazilian National Programme for Improving Access and Quality of Primary Care

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
TXA Pinheiro ◽  
SAC Uchoa ◽  
MFAS Machado ◽  
ATL Sampaio ◽  
AA Coelho ◽  
...  
Keyword(s):  
Primary Care ◽  
National Programme ◽  
Quality Of Primary Care ◽  
Access And Quality

scholarly journals Structural factors for public dental health services in Regional Health Care Network 13: an analysis of the Brazilian National Program for Improving Access and Quality of Primary Care

2018 ◽  
Vol 47 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Lucila Brandão HIROOKA ◽  
Guilherme Vinícius CATANANTE ◽  
Hélio Souza PORTO ◽  
Maria do Carmo Gullaci Guimarães CACCIA-BAVA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Regional Health ◽  
Regional Health Care ◽  
Quality Of Primary Care ◽  
Access And Quality

Abstract Introduction The Brazilian National Program for Improving Access and Quality of Primary Care aims to induce the institution of processes that expand the capacity of federal, state and municipal administrations and Primary Care teams to offer services that ensure greater access and quality. Objective To identify the characteristics of infrastructure for the dental health care of the health units from the Regional Health Care Network 13, from the perspective of a health evaluation. Material and method This is a descriptive and cross-sectional study in which is used the Module V database of the External Evaluation instrument of 156 health units of this region that participated of the 2nd cycle of the referred program, which discuss the modality of the health teams, structure and environment of the dental office, the hours of operation, equipment, instruments and dental supplies. Result In general, the oral health units of this study have dental offices with good structural conditions and sufficient equipment and supplies to carry out clinical activities, except those for dental prostheses, possibly due to the permanence of this service in secondary care. However, they point out that advances in access and coverage by oral health services are still necessary. Conclusion Although the theme includes other studies and reflections, the present work may contribute to discussions about the present condition, and it is recommended the active participation of all the actors involved in the care, in the search for the qualification of oral health services in this region.

scholarly journals Mental health in primary care: an evaluation using the Item Response Theory

2018 ◽  
Vol 52 ◽  
pp. 17 ◽  
Author(s):  
Hugo André da Rocha ◽  
Alaneir de Fátima dos Santos ◽  
Ilka Afonso Reis ◽  
Marcos Antônio da Cunha Santos ◽  
Mariângela Leal Cherchiglia
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Risk Stratification ◽  
Mental Health Care ◽  
Item Response ◽  
Group Care ◽  
Quality Of Primary Care ◽  
Access And Quality

OBJECTIVE: To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS: This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS: The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS: There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.

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