Evaluation of the attributes of Primary Health Care services from the perspective of health professionals
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.212459Keywords:
Outcome and process assessment health care, Health evaluation, Primary health care, Health personnelAbstract
Objective: To assess the presence and extent of primary health care (PHC) attributes from the perspective of health professionals. Methods: This is an analytical cross-sectional study, carried out through the self-application of the Primary Care Assessment Tool (PCATool-Brasil) questionnaire, in the health professional’s version. General, essential and derived scores were assigned to each attribute. Results: General score indicated low performance for PHC. Essential attributes Ongoing care, Coordination of Services (information systems), Comprehensiveness (services available) and derived attributes (Family-centeredness and Community orientation) showed high orientation. Family Health Teams showed significantly higher scores in the attributes Ongoing care, Comprehensiveness (services provided) and Family-centeredness. Presence of specialization and residency in family health was positively associated with the attributes Ongoing care and Coordination of Services (integration of care). Conclusions: The study identified the presence and extension of the attributes, pointed out weaknesses, potentialities and possibilities for the services, both at the organizational level and as in the work process of the professionals. The qualification of professionals was associated with better results.
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Ministry of Health (Brazil). Portaria MS/GM nº 2436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS) [Internet]. Brasília: MS; 2017 [cited 2021 Oct 4]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html
Machado GAB, Dias BM, Silva JJ, Bernardes A, Gabriel AC. Avaliação de atributos da Atenção Primária à Saúde: a perspectiva dos profissionais. Acta Paul Enferm. 2021 [cited 2023 Apr 11]; 34:eAPE00973.. Available from: http://doi.org/10.37689/acta-ape/2021AO00973
Cunha CRH, Harzheim E, Medeiros OL, D’Ávila OP, Martins C, Wollmann L, et al. Primary Health Care Portfolio: Assuring of integrality in the Family Health and Oral Health Teams in Brazil. Cien Saude Colet. 2020 [cited 2021 Oct 30];25(4):1313-26. Available from: http://doi.org/10.1590/1413-81232020254.31862019
Starfield, B. Atenção primária: equilíbrio entre necessidade de saúde, serviços e tecnologia. United Nations Educational, Scientific and Cultural Organization; Ministério da Saúde; 2002.
Perillo RD, Bernal RTI, Poças KC, Duarte EC, Malta DC. An evaluation of Primary Health Care from the users’ perspective: reflections on the usage of the Primary Care Assessment Tool-Brazil in telephone surveys. Rev Bras Epidemiol. 2020 [cited 2021 Oct 30];23:E200013.SUPL.1. Available from: http://doi.org/10.1590/1980-549720200013.supl.1
Ministry of Health (Brazil). Manual do instrumento de avaliação da atenção primária à saúde: Primary Care Assessment Tool PCATool – Brasil [Internet]. Brasília: Ministério da Saúde; 2010 [cited 2021 Oct 4]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/manual_avaliacao_pcatool_brasil.pdf
D’Avila OP, Pinto LFS, Hauser L, Gonçalves MR, Harzheim E. The use of the Primary Care Assessment Tool (PCAT): an integrative review and proposed update. Cien Saude Colet. 2017 [cited 2021 Oct 30];22(3):855-65. Available from: http://doi.org/10.1590/1413-81232017223.03312016
Prates ML, Machado JC, Silva LS, Avelar PS, Prates LL, Mendonça ET, et al. Performance of primary health care according to PCATool instrument: a systematic review. Cien Saude Colet. 2017 [cited 2021 Oct 30];22(6):1881-93. Available from: http://doi.org/10.1590/1413-81232017226.14282016
Elm Ev, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 [cited 2021 Oct 30];61(4):344-9. Available from: http://doi.org/10.1016/j.jclinepi.2007.11.008
Brazilian Institute of Geography and Statistics (IBGE) (Brazil). Cities and States: Juiz de Fora code: 3136702 [Internet]. 2021 [cited 2021 Oct 4]. Available from: https://www.ibge.gov.br/en/cities-and-states/mg/juiz-de-fora.html
Ferreira VD, Oliveira JM, Maia MAC, Santos JS, Andrade RD, Machado GAB. Assessment of Primary Healthcare attributes in one Municipality of Minas Gerais State. Esc Anna Nery Rev de Enferm. 2016 [cited 2021 Oct 30];20(4):e20160104. Available from: http://doi.org/10.5935/1414-8145.20160104
Martins JS, Abreu SCC, Quevedo MP, Bourget MMM. Estudo comparativo entre Unidades de Saúde com e sem Estratégia Saúde da Família por meio do PCATool. Rev Bras Med Fam Comunidade. 2016 [cited 2021 Oct 30];11(38):1-13. Available from: http://doi.org/10.5712/rbmfc11(38)1252
Rolim LB, Monteiro JG, Meyer APGFV, Nuto SAS, Araújo MFM, Freitas RWGF. Evaluation of Primary Health Care attributes of Fortaleza city, Ceará State, Brazil. Online Braz J Nurs. 2019 [cited 2021 Oct 30];72(1):19-26. Available from: http://doi.org/10.1590/0034-7167-2018-0033
Santos NA, Lima DR, Gontijo MKB, Martins MA, Leite RG, Silva LA, et al. Avaliação dos atributos da Atenção Primária por profissionais de Saúde. Rev APS. 2017 [cited 2021 Oct 30];20(3):339-48. Available from: http://doi.org/10.34019/1809-8363.2017.v20.15964
Lima EFA, Sousa AI, Leite FMC, Lima RCD, Souza MHN, Primo CC. Evaluation of the Family Healthcare Strategy from the Perspective of Health Professionals. Esc Anna Nery Rev de Enferm. 2016 [cited 2021 Oct 30];20(2):275-80. Available from: http://doi.org/10.5935/1414-8145.20160037
Penso JM, Périco E, Oliveira MMC, Strohschoen AAG, Carreno I, Rempel C. Avaliação da Atenção Primária à Saúde utilizando o Instrumento PCAToool-Brasil. Rev Bras Med Fam Comunidade. 2017 [cited 2021 Oct 30];12(39):1-9. Available from: http://doi.org/10.5712/rbmfc12(39)1212
Bresick GF, Sayed AR, Le Grange C, Bhagwan S, Manga N, Hellenberg D. Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organization and performance in the Western Cape Province, South Africa (2013). Afr J Prim Health Care Fam Med. 2016 [cited 2021 Oct 30];8(1):a1057. Available from: http://doi.org/10.4102/phcfm.v8i1.1057
Bresick G, von Pressentin KB, Mash R. Evaluating the performance of South African primary care: a cross-sectional descriptive survey. S Afr Fam Pract. 2019 [cited 2021 Oct 30];61(3):109–16. Available from: http://doi.org/10.1080/20786190.2019.1596666
Pesse-Sorensen K, Fuentes-García A, Ilabaca J. Estructura y funciones de la Atención Primaria de Salud según el Primary Care Assessment Tool para prestadores en la comuna de Conchalí - Santiago de Chile. Rev Med Chil. 2019 [cited 2021 Oct 30];147(3):305–13. Available from: http://doi.org/10.4067/S0034-98872019000300305
Mendes EV. A construção social da Atenção Primária à Saúde. 1. ed. Brasília: Conselho Nacional de Secretários de Saúde – CONASS; 2015.
Barra JF, Garcia MCM, Silva EA, Leite ICG, Lanza FM, Coelho ACO. Accessibility in primary care: how do health professionals evaluate it? Rev Enferm Cent-Oeste Min. 2020 [cited 2021 Oct 30];10:e3630. Available from: http://doi.org/10.19175/recom.10i0.3630
Tasca R, Massuda A, Carvalho WM, Buchweitz C, Harzheim E. Recommendations to strengthen primary health care in Brazil. Rev Panam Salud Publica. 2020 [cited 2021 Oct 30];44:e4. Available from: http://doi.org/10.26633/RPSP.2020.4
Rodrigues EMD, Bispo GMB, Costa MS, Oliveira CAN, Freitas RWJF, Damasceno MMC. Assessment of the attribute “Community Orientation” from the perspective of primary care adult users. Online Braz J Nurs. 2019 [cited 2021 Oct 30];72(3):632-9. Available from: http://doi.org/10.1590/0034-7167-2018-0601
Araújo RS, Mendonça AVM, Sousa MF. Percepção dos usuários e profissionais de saúde no Distrito Federal: os atributos da atenção primária. Saúde Debate. 2015 [cited 2021 Oct 30];39(105):387-99. Available from: http://doi.org/10.1590/0103-110420151050002007
Morosini MVGC, Fonseca AF, Lima LD. Política Nacional de Atenção Básica 2017: retrocessos e riscos para o Sistema Único de Saúde. Saúde Debate. 2018 [cited 2021 Oct 30];42(116):11-24. Available from: http://doi.org/10.1590/0103-1104201811601
Turci MA, Lima-Costa MF, Macinko J. Influência de fatores estruturais e organizacionais no desempenho da atenção primária à saúde em Belo Horizonte, Minas Gerais, Brasil, na avaliação de gestores e enfermeiros. Cad Saude Publica. 2015 [cited 2021 Oct 30];31(9):1941-52. Available from: http://doi.org/10.1590/0102-311X00132114
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Copyright (c) 2024 Jhayne Fonda Barra, Cosme Rezende Laurindo, Mariana Coelho Moura Garcia, Fábio da Costa Carbogim, Thiago Cesar Nascimento, Simone Albino da Silva, Érika Andrade e Silva, Isabel Cristina Gonçalves Leite, Fernanda Moura Lanza, Angélica da Conceição Oliveira Coelho
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