Avaliação dos atributos da atenção primária à saúde em Chapecó, Brasil

Bibliographic Data

ID19539265
AuthorsAngela Moreira Vitoria (Community University of Chapecó Region - Unochapecó), Erno Harzheim (0000-0002-8919-7916, Universidade Federal do Rio Grande do Sul), Silvia Pasa Takeda (Grupo Hospitalar Conceição), Lisiane Hauser (0000-0003-3324-5533, Universidade Federal do Rio Grande do Sul)
Year2013
Volume8
Issue29
Pages285-293
Publication date2013-11-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Brasileira de Medicina de Família e Comunidade (JOURNAL)
Journal identifiersISSN: 1809-5909 • E-ISSN: 2179-7994
PublisherSociedade Brasileira de Medicina de Familia e Comunidade (SBMFC) (PUBLISHER)
DOI10.5712/rbmfc8(29)832
OpenAlexW2033763303
LanguagePT
Citations received11
References cited8

Objective: In this study, we aimed to evaluate the adequacy of the structure and processes of primary health care (PHC) in a midsize city in southern Brazil. Methods: A cross-sectional study was conducted to assess the structure and processes of PHC. The structure was evaluated, based on the guidelines of the Ministry of Health, by interviewing 24 coordinators of Primary Healthcare Units (PHU); and the processes of care were assessed, based on PHC attributes measured by the Primary Care Assessment Tool (PCATool-Brazil), by interviewing 98 professional doctors and nurses. Results: We observed inadequacies regarding the high number of inhabitants attended per health team, the low offer of medical consultations, low vocational training for PHC, and lack of systematic evaluation of actions. Likewise, the processes were considered satisfactory regarding some PHC attributes and unsatisfactory in relation to first-contact access (score: 3.6) and longitudinality (score: 6.0). Conclusion: The adequacy of the health system in Chapecó would imply increasing the number of medical consultations/year by 56 thousand, building two new PHUs, stimulating vocational training for PHC, and encouraging the systematic evaluation of actions

Christian ministry · Environmental health · Family medicine · Interview · Political science · Population · Primary care · Primary health care · Vocational education · Health, Nursing, Elderly Care · Healthcare Systems and Reforms · Maternal and Neonatal Healthcare · Medicine · Nursing · Psychology

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