Influences of the program for access and quality improvement in work processes in primary care

Authors

  • Lucilene Renó Ferreira Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Programa de PósGraduação em Enfermagem
  • João Antônio da Silva Júnior Universidade Federal de São Paulo, Escola Paulista de Enfermagem
  • Thaís Arrigotti Universidade Federal de São Paulo, Escola Paulista de Enfermagem
  • Vanessa Ribeiro Neves 3 Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Administração em Serviços de Saúde e Enfermagem,
  • Anderson da Silva Rosa Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Saúde Coletiva

DOI:

https://doi.org/10.1590/s1980-220x2017046403407

Keywords:

Primary Health Care, Health Evaluation, Program Evaluation, Health Services Administration, Health Information Management

Abstract

Objective: To assess the perception of professionals of Family Health Strategy Teams on the National Program for Access and Quality Improvement in Primary Care and the possible changes in the work processes resulting from its implementation. Method: Oral history methodology conducted with members of Basic Health Units’ teams who participated in the first two cycles of the Program in São Paulo. Results: Six team members participated in the research. The professionals described the use of information to support the planning, diverged on the changes in the organization of the service and identified contributions to the direction of the teams and the control of the activities. The implementation of the Program led to changes in professional practice and favored autonomy and teamwork. The Community Health Workers stood out in the information acquisition process, and the teams found difficulties to organize the information. The collection and retrieval of information contributed to broaden the professionals’ view of the service, and the interviewees criticized the fragility of information dissemination in the Units. Conclusion: Despite its limitations, the Program led to direct improvements in the work of the teams in Primary Care.

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Published

2019-02-27

Issue

Section

Original Article

How to Cite

Ferreira, L. R., Silva Júnior, J. A. da, Arrigotti, T., Neves, V. R., & Rosa, A. da S. (2019). Influences of the program for access and quality improvement in work processes in primary care. Revista Da Escola De Enfermagem Da USP, 52, e03407. https://doi.org/10.1590/s1980-220x2017046403407