Simone Albino da Silva

Assessment of primary health care: health professionals’ perspective

Objetivo Evaluar la atencion primaria de salud a traves de las cualidades: Acesso de Primero Contacto, Intregidad, Coordinacion, Longitudinalidad, Orientacion Familiar, Orientacion Comunitaria. Metodo Se trata de una evaluacion cuantitativa y estudio transverso con 35 equipos de profesionales de la Estrategia de Salud de la Familia, de region de Alfenas, Minas Gerais, Brasil. Para recopilar los datos, se utilizo el Instrumento de Evaluacion de la Atencion Primaria - Brasil , la version Professional. Resultados Los datos revelaron un bajo porcentaje de especialistas medicos en Atencion Primaria de Salud. Los participantes evaluo las calidades con puntajes altos, con la excepcion de Acceso Primero Contacto. El analisis de datos revelo una mejora necesidades: horarios de apertura de los servicios; las formas de comunicacion entre el usuario y el servicio y entre el usuario y el profesional, la remission y consulta. Conclusion Existe un desajuste entre la oferta de servicios y las necesidades de la poblacion, lo que compromete la calidad de la Atencion Primaria de Salud.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.

Primary Health Care Evaluation: the view of clients and professionals about the Family Health Strategy

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.

Avaliação da Atenção Primária à Saúde: visão dos profissionais de saúde

Objetivo Evaluar la atencion primaria de salud a traves de las cualidades: Acesso de Primero Contacto, Intregidad, Coordinacion, Longitudinalidad, Orientacion Familiar, Orientacion Comunitaria. Metodo Se trata de una evaluacion cuantitativa y estudio transverso con 35 equipos de profesionales de la Estrategia de Salud de la Familia, de region de Alfenas, Minas Gerais, Brasil. Para recopilar los datos, se utilizo el Instrumento de Evaluacion de la Atencion Primaria - Brasil , la version Professional. Resultados Los datos revelaron un bajo porcentaje de especialistas medicos en Atencion Primaria de Salud. Los participantes evaluo las calidades con puntajes altos, con la excepcion de Acceso Primero Contacto. El analisis de datos revelo una mejora necesidades: horarios de apertura de los servicios; las formas de comunicacion entre el usuario y el servicio y entre el usuario y el profesional, la remission y consulta. Conclusion Existe un desajuste entre la oferta de servicios y las necesidades de la poblacion, lo que compromete la calidad de la Atencion Primaria de Salud.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.

Avaliação da Atenção Primária à Saúde: a visão de usuários e profissionais sobre a Estratégia de Saúde da Família

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.

Primary care assessment from a male population perspective

OBJECTIVE to evaluate the quality of primary health care from the perspective of the male population. METHOD a cross-sectional descriptive-evaluative study conducted at the family health units of Teresina, Piauí, Brazil, with the male population being interviewed through the Primary Care Assessment Tool (PCAT). RESULTS 301 participants with mean age of 51.34 years, married, incomplete elementary school and monthly income between one and two minimum wages. The evaluation was positive for the following care domains: utilization, information system and longitudinality. The features access, comprehensiveness of care, service available and service provided, family centeredness and community orientation obtained a negative evaluation. CONCLUSION the features of primary care are unsatisfactory, indicating the need to expand access to services offered and to qualify care for male users.

Evaluación de la Atención Primaria a la Salud: la visión de usuarios y profesionales acerca de la Estrategia de Salud de la Familia

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.

Evaluación de la atención primária em la salud: vision de los profissionales de la salud

Objetivo Evaluar la atencion primaria de salud a traves de las cualidades: Acesso de Primero Contacto, Intregidad, Coordinacion, Longitudinalidad, Orientacion Familiar, Orientacion Comunitaria. Metodo Se trata de una evaluacion cuantitativa y estudio transverso con 35 equipos de profesionales de la Estrategia de Salud de la Familia, de region de Alfenas, Minas Gerais, Brasil. Para recopilar los datos, se utilizo el Instrumento de Evaluacion de la Atencion Primaria - Brasil , la version Professional. Resultados Los datos revelaron un bajo porcentaje de especialistas medicos en Atencion Primaria de Salud. Los participantes evaluo las calidades con puntajes altos, con la excepcion de Acceso Primero Contacto. El analisis de datos revelo una mejora necesidades: horarios de apertura de los servicios; las formas de comunicacion entre el usuario y el servicio y entre el usuario y el profesional, la remission y consulta. Conclusion Existe un desajuste entre la oferta de servicios y las necesidades de la poblacion, lo que compromete la calidad de la Atencion Primaria de Salud.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.