Quality assessment of primary care by health professionals: a comparison of different types of services

被引：41

作者：

Leite de Castro, Rodrigo Caprio ^{[1
]}

Knauth, Daniela Riva ^{[1
]}

Harzheim, Erno ^{[1
]}

Hauser, Lisiane ^{[1
]}

Duncan, Bruce Bartholow ^{[1
]}

机构：

[1] Univ Fed Rio Grande do Sul, Programa Posgrad Epidemiol, Fac Med, BR-90035003 Porto Alegre, RS, Brazil

来源：

CADERNOS DE SAUDE PUBLICA | 2012年 / 28卷 / 09期

关键词：

Health Services Evaluation; Quality of Health Care; Primary Health Care; INFANT-MORTALITY; BRAZIL; DETERMINANTS; NORTHEAST; PROGRAM; IMPACT;

D O I：

10.1590/S0102-311X2012000900015

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In Porto Alegre, Rio Grande do Sul State, Brazil, public primary healthcare (PHC) is provided by traditional Basic Health Units (BHU), the Family Health Strategy (FHS), the Murialdo Health Center (MHC), and the Community Health Service (CHS) of Grupo Hospitalar Conceicao. This study compares the quality of adult healthcare among these different types of services. Quality of care was measured by interviews focusing on the experience of physicians and nurses in the services (n = 340), using the Primary Care Assessment Tool. Overall scores for the FHS, MHC, and CHS were significantly higher than for the BHU. The CHS also showed a significantly higher overall score compared to the FHS and MHC. In the multivariate analysis, the variables "specialized training in PHC" and "continuing education" were associated with high overall score. Thus, expansion of FHS coverage and investment in professional training are important potential strategies for improving PHC in Porto Alegre.

引用

页码：1772 / 1784

页数：13

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