The Brazilian primary health care response to the Covid-19 pandemic

Individual and collective approaches

Dados Bibliográficos

ID22073232
AutoresAylene Emilia Moraes Bousquat (0000-0003-2701-1570, Universidade de São Paulo), Lígia Giovanella (0000-0002-6522-545X, Escola Nacional de Saúde Pública), Luiz Augusto Facchini (0000-0002-5746-5170, Universidade Federal de Pelotas), Luiz Facchini, Maria Helena M Mendonça (0000-0002-3917-9103, Escola Nacional de Saúde Pública), Fúlvio Borges Nedel (0000-0002-8059-7358, Universidade Federal de Santa Catarina), Geraldo Cunha Cury (0000-0002-0411-8343, Universidade Federal de Minas Gerais), Geraldo Cury, Paulo Henrique Dos Santos Mota (0000-0003-3507-3958, Universidade de São Paulo), Schenkman (0000-0003-1140-1056, Universidade de São Paulo, autor correspondente), Simone Schenkman, Patrícia Sampaio Chueiri (0000-0002-0811-3910, Hospital Israelita Albert Einstein), Maria Cecilia Goi Porto Alves (0000-0003-4357-9473, Federal Government of Brazil)
Ano2023
Volume11
Páginas1212584-1212584
Data de publicação2023-12-08
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1212584
PMID38145080
OpenAlexW4389500627
IdiomaEN
Citações recebidas6
Referências citadas39

Objectives Brazil’s PHC wide coverage has a potential role in the fight against COVID, especially in less developed regions. PHC should deal with COVID-19 treatment; health surveillance; continuity of care; and social support. This article aims to analyze PHC performance profiles during the pandemic, in these axes, comparing the five Brazilian macro-regions. Methods A cross-sectional survey study was carried out, using stratified probability sampling of PHC facilities (PHCF). A Composite Index was created, the Covid PHC Index (CPI). Factor analysis revealed that collective actions contrastingly behaved to individual actions. We verified differences in the distributions of CPI components between macro-regions and their associations with structural indicators. Results Nine hundred and seven PHCF participated in the survey. The CPI and its axes did not exceed 70, with the highest value in surveillance (70) and the lowest in social support (59). The Individual dimension scored higher in the South, whereas the Collective dimension scored higher in the Northeast region. PHCF with the highest CPI belong to municipalities with lower HDI, GDP per capita , population, number of hospitals, and ICU beds. Conclusion The observed profiles, individually and collectively-oriented, convey disputes on Brazilian health policies since 2016, and regional structural inequalities

2019-20 coronavirus outbreak · Coronavirus Infections · Disease · Family medicine · Outbreak · Pandemic · Primary care · COVID-19 and healthcare impacts · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare · Medicine · Virology