The Brazilian primary health care response to the COVID-19 pandemic: individual and collective approaches

被引：2

作者：

Bousquat, Aylene ^{[1
]}

Giovanella, Ligia ^{[2
]}

Facchini, Luiz ^{[3
]}

Mendonca, Maria Helena Magalhaes ^{[2
]}

Nedel, Fulvio Borges ^{[4
]}

Cury, Geraldo ^{[5
]}

Mota, Paulo Henrique dos Santos ^{[1
]}

Schenkman, Simone ^{[1
]}

Chueiri, Patricia Sampaio ^{[6
]}

Alves, Maria Cecilia Goi Porto ^{[7
]}

机构：

[1] Univ Sao Paulo, Fac Publ Hlth, Dept Polit Management & Hlth, Sao Paulo, SP, Brazil

[2] Natl Sch Publ Hlth ENSP, Rio De Janeiro, Brazil

[3] Univ Fed Pelotas, Fac Med, Dept Social Med, Pelotas, RS, Brazil

[4] Univ Fed Santa Catarina UFSC, Dept Publ Hlth, Florianopolis, Brazil

[5] Univ Fed Minas Gerais, Fac Med, Dept Social & Prevent Med, Belo Horizonte, Brazil

[6] Hosp Israelita Albert Einstein, Fac Israelita Ciencias Saude Albert Einstein, Sao Paulo, Brazil

[7] Govt State Sao Paulo, Dept Hlth, Inst Hlth, Sao Paulo, Brazil

来源：

FRONTIERS IN PUBLIC HEALTH | 2023年 / 11卷

关键词：

primary health care; COVID-19; pandemic; Brazil; health services; family health; health survey;

D O I：

10.3389/fpubh.2023.1212584

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

ObjectivesBrazil'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.MethodsA 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.ResultsNine 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.ConclusionThe observed profiles, individually and collectively-oriented, convey disputes on Brazilian health policies since 2016, and regional structural inequalities.

引用

页数：13

共 42 条

[1] Combating COVID-19 under Bolsonaro's federalism: a case of intergovernmental incoordination [J].

Abrucio, Fernando Luiz ;

Grin, Eduardo Jose ;

Franzese, Cibele ;

Segatto, Catarina Ianni ;

Couto, Claudio Goncalves .

REVISTA DE ADMINISTRACAO PUBLICA, 2020, 54 (04) :663-677

[2] Responses to COVID-19 in five Latin American countries [J].

Alejandra Benitez, Maria ;

Velasco, Carolina ;

Sequeira, Ana Rita ;

Henriquez, Josefa ;

Menezes, Flavio M. ;

Paolucci, Francesco .

HEALTH POLICY AND TECHNOLOGY, 2020, 9 (04) :525-559

[3] Barriers and Enablers in Implementing Electronic Consultations in Primary Care: Scoping Review [J].

Baines, Rebecca ;

Tredinnick-Rowe, John ;

Jones, Ray ;

Chatterjee, Arunangsu .

JOURNAL OF MEDICAL INTERNET RESEARCH, 2020, 22 (11)

[4] Political and institutional perils of Brazil's COVID-19 crisis [J].

Barberia, Lorena G. ;

Gomez, Eduardo J. .

LANCET, 2020, 396 (10248) :367-368

[5] Long COVID and Health Inequities: The Role of Primary Care [J].

Berger, Zackary ;

de Jesus, Vivian Altiery ;

Assoumou, Sabrina A. ;

Greenhalgh, Trisha .

MILBANK QUARTERLY, 2021, 99 (02) :519-541

[6] Typology of the structure of basic Brazilian health units (vol 33, 2017) [J].

Bousquat, A. ;

Giovanella, L. ;

Fausto, M. C. R. ;

Fusaro, E. R. ;

Mendonca, M. H. M. ;

Gagno, J. ;

Viana, Ald'A .

CADERNOS DE SAUDE PUBLICA, 2018, 34 (01)

[7]

Carvalho André Luís Bonifácio de, 2022, Saúde debate, V46, P62, DOI 10.1590/0103-11042022e104

[8] Countries test tactics in 'war' against COVID-19 [J].

Cohen, Jon ;

Kupferschmidt, Kai .

SCIENCE, 2020, 367 (6484) :1287-1288

[9] Primary care in the time of COVID-19: monitoring the effect of the pandemic and the lockdown measures on 34 quality of care indicators calculated for 288 primary care practices covering about 6 million people in Catalonia [J].

Coma, Ermengol ;

Mora, Nuria ;

Mendez, Leonardo ;

Benitez, Mencia ;

Hermosilla, Eduardo ;

Fabregas, Mireia ;

Fina, Francesc ;

Mercade, Albert ;

Flayeh, Souhel ;

Guiriguet, Carolina ;

Ballo, Elisabet ;

Leon, Nuria Martinez ;

Mas, Ariadna ;

Cordomi, Silvia ;

Lejardi, Yolanda ;

Medina, Manuel .

BMC FAMILY PRACTICE, 2020, 21 (01)

[10] Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR (Publication with Expression of Concern) [J].

Corman, Victor M. ;

Landt, Olfert ;

Kaiser, Marco ;

Molenkamp, Richard ;

Meijer, Adam ;

Chu, Daniel K. W. ;

Bleicker, Tobias ;

Bruenink, Sebastian ;

Schneider, Julia ;

Schmidt, Marie Luisa ;

Mulders, Daphne G. J. C. ;

Haagmans, Bart L. ;

van der Veer, Bas ;

van den Brink, Sharon ;

Wijsman, Lisa ;

Goderski, Gabriel ;

Romette, Jean-Louis ;

Ellis, Joanna ;

Zambon, Maria ;

Peiris, Malik ;

Goossens, Herman ;

Reusken, Chantal ;

Koopmans, Marion P. G. ;

Drosten, Christian .

EUROSURVEILLANCE, 2020, 25 (03) :23-30

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