Objective: to evaluate the attributes of primary health care as for access; longitudinality;
comprehensiveness; coordination; family counseling and community counseling in the
Family Health Strategy, triangulating and comparing the views of stakeholders
involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data
collected using the Primary Care Assessment Tool for interviews with 527 adult
clients, 34 health professionals, and 330 parents of children up to two years old,
related to 33 family health teams, in eleven municipalities. Analysis conducted in
the Statistical Package for Social Sciences software, with a confidence interval
of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low
scores. Professionals evaluated with a high score the other attributes. Clients
assigned low score evaluations for the attributes: community counseling; family
counseling; comprehensiveness - services rendered; comprehensiveness - available
services. Conclusions: the quality of performance self-reported by the professionals of the Family
Health Strategy is not perceived or valued by clients, and the actions and
services may have been developed inappropriately or insufficiently to be
apprehended by the experience of clients.
there are discrepancies between health needs of children and what is offered by the service; organizational barriers to access; absence of counter-reference; predominance of curative and long-standing and individual preventive practices; verticalization in organization of actions; and lack of good communication between professionals and users.
Primeiramente a Deus por me dar força e me permitir percorrer e finalizar mais esta caminhada. À minha orientadora Lislaine Aparecida Fracolli pela acolhida, pelos ensinamentos, pela confiança no meu trabalho, pela liberdade intelectual que me permitiu aprender experimentando um grande crescimento pessoal e profissional.
Objective To assess primary health care attributes of access to a first contact, comprehensiveness, coordination, continuity, family guidance and community orientation. Method An evaluative, quantitative and cross-sectional study with 35 professional teams in the Family Health Program of the Alfenas region, Minas Gerais, Brazil. Data collection was done with the Primary Care Assessment Tool - Brazil, professional version. Results Results revealed a low percentage of medical experts among the participants who evaluated the attributes with high scores, with the exception of access to a first contact. Data analysis revealed needs for improvement: hours of service; forms of communication between clients and healthcare services and between clients and professionals; the mechanism of counter-referral. Conclusion It was concluded that there is a mismatch between the provision of services and the needs of the population, which compromises the quality of primary health care.
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