Evaluation of at-risk infant care

Comparison between models of primary health care

Bibliographic Data

ID16779897
AuthorsAlessandra Gianella Samelli (0000-0002-7164-8942, Universidade de São Paulo), Gislene Andrade Tomazelli (0000-0003-3448-3023, Universidade de São Paulo), Maria Helena Morgani De Almeida (0000-0001-7266-9262, Universidade de Brasília), Fátima Corrêa Oliver (0000-0002-7288-8921, Universidade de Brasília), Silmara Rondon-Melo (0000-0002-0614-8458, Universidade de São Paulo), Daniela Regina Molini-Avejonas (0000-0002-9768-882X, Universidade de São Paulo)
Year2019
Volume53
Pages98
Publication date2019-11-18
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2019053001063
PMID31778397
OpenAlexW2983571676
LanguageEN
Citations received4
References cited8

OBJECTIVES: To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units). METHODS: A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool – child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample. RESULTS: Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit. CONCLUSIONS: Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants’ health care

Alternative medicine · Environmental health · Family health · Family medicine · Health care · Health management system · Population · Primary health care · Quality (philosophy) · Unit (ring theory) · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare · Medicine · Migration, Racism, and Human Rights · Nursing · Psychology

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