Structure and work process regarding child care in Primary Health Care in Brazil: an ecological study with data from the Program for Primary Health Care Access and Quality Improvement 2012-2018

被引:0
作者
Dos Santos, Danilo Marcelo Araujo [1 ]
Coelho Alves, Claudia Maria [1 ]
Hernandes Rocha, Thiago Augusto [2 ]
de Sousa Queiroz, Rejane Christine [1 ]
da Silva, Nubia Cristina [3 ]
Abreu Fonseca Thomaz, Erika Barbara [1 ]
机构
[1] Univ Fed Maranhao, Programa Posgrad Saude Colet, Sao Luis, Maranhao, Brazil
[2] Global Emergency Med Innovat & Implementat, Div Emergency Med, Durham, NC USA
[3] Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil
来源
EPIDEMIOLOGIA E SERVICOS DE SAUDE | 2021年 / 30卷 / 01期
关键词
Primary Health Care; Health Evaluation; Indicators of Health Services; Child Health; Ecological Studies; HOSPITALIZATIONS; TIME; OLD;
D O I
10.1590/S1679-49742021000100012
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To assess the structure of primary health care centers (PHCCs) and the work process of primary care teams in child care in Brazil. Methods: This was an ecological study with data from the three cycles of the Program for Primary Health Care Access and Quality Improvement 2012-2018, by states and regions. Seven structural and thirteen procedural indicators were analyzed. Student's t-test was used to compare indicator averages between regions. Results: 85,845 teams participated in the three cycles of the program, grouped into 68,320 PHCCs. In the last evaluation cycle (2017-2018), mean percentage adequacy rates were higher among the structure indicators: health center operation (99%), equipment/materials (82%), vaccine availability (74%) and medication dispensing (70%). Population without coverage (68%) and making appointments with specialists (52%) corresponded to the lowest percentages of adequacy of process indicators. Conclusion: Process indicators had higher levels of adequacy than structure indicators.
引用
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页数:12
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