Even without a coordinating role in the health care network, the delivery of primary health care through teams was positively evaluated in Portugal as promoting increased access, continuity, and humanization of health services.

Objetivou-se investigar os limites e as potencialidades das diretrizes gerais das gestões da Atenção Básica das capitais brasileiras para o apoio institucional. O estudo é descritivo, exploratório, qualitativo, realizado de fevereiro a outubro de 2014, a partir do módulo IV do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Incluíram-se 22 formulários de gestão de capitais brasileiras analisados com o software Atlas ti.7.1 e análise de conteúdo. Nas capitais brasileiras, as condições de gerir os processos para a institucionalização do apoio não é uma realidade predominante. Conclui-se que essas gestões precisam ser apoiadas na condução desses processos.

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Objetivo: avaliar a relação entre porte populacional dos municípios e as características de estrutura e processo de cuidado da atenção primária em tuberculose no Brasil. Método: estudo transversal. Participaram 12.656 profissionais de equipes da Estratégia de Saúde da Família, , submetidas à Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica, onde houve atendimento de casos de tuberculose. Utilizou-se a análise do Qui-quadrado e teste de Kruskal Wallis para verificar a associação entre as variáveis e o porte dos municípios. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa sob número 21904. Resultados: observa-se diferença significativa (p<0,001) entre o acesso, a coordenação do cuidado, a qualidade técnica da atenção à tuberculose e o porte do município. Conclusão: as características de estrutura e processo do cuidado no controle da tuberculose estão relacionadas ao porte populacional do município. ABSTRACTObjective: to evaluate the relationship between population size and characteristics of structure and care process of primary attention to tuberculosis in Brazil. Methods: cross-sectional study. A total of 12656 professionals from family health strategy teams were analysed, measured by External Evaluation of the Program for Access and Quality Improvement in Primary Care, where there were cases of tuberculosis. Data analysis was performed using chi-square and Kruskal Wallis tests to verify association between variables and municipality sizes. Research was approved by Ethics in Research Committee - Protocol #21904. Results: significant difference between access, coordination of care, technical quality of attention to tuberculosis and municipality size was observed (p <0.001). Conclusion: characteristics of structure and care process in control of tuberculosis are related to municipal population size.RESUMENObjetivo: evaluar la relación entre el tamaño poblacional y las características de la estructura y el proceso asistencial de atención primaria a la tuberculosis en Brasil. Método: estudio transversal. Se analizó un total de 12656 profesionales de los equipos de estrategia de salud familiar, medidos por la Evaluación Externa del Programa de Acceso y Mejora de la Calidad en Atención Primaria, donde hubo casos de tuberculosis. El análisis de los datos se realizó utilizando pruebas de chi-cuadrado y Kruskal Wallis para verificar la asociación entre variables y tamaños de municipios. La investigación fue aprobada por Ethics in Research Committee - Protocol # 21904. Resultados: se observó una diferencia significativa entre el acceso, la coordinación de la atención, la calidad técnica de la atención a la tuberculosis y el tamaño del municipio (p <0,001). Conclusión: las características de la estructura y el proceso de atención en el control de la tuberculosis están relacionados con el tamaño de la población municipal. DOI: http://dx.doi.org/10.12957/reuerj.2017.17284

This research aims at describing the professional practices of Primary Health Care teams regarding rapid tests for STDs. It follows a descriptive study under a quantitative approach; participants include 18 municipalities, 94 Basic Health Units, and 100 staff teams working on Family Health Strategies. The sample was composed of the managers and the staff members directly involved in the testing, while the variables included adhesion to the tests and factors regarding the testing process. Data collection was performed in loco through a semi-structured instrument. Rapid tests were offered by 93% of the teams, 78.5% offering the tests to any users. In 89.2% of the staff teams, the nurse was solely responsible for collecting tests; 55.9% of members did not feel confident about reporting on a positive result, while 63.1% of those who considered the community health agent the main form of outreach assessed their performance as inadequate. Treatment against syphilis accounts for 50.5%. There is fair adhesion to testing by part of the staff teams; the focus on the nurse, however, leads to an increase in their workload, highlighting their protagonism, leading to a reflection on professional practices and paving the way for different realities to be further investigated