Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions

Ferrer, Ana Paula Scoleze; Grisi, Sandra

doi:10.1590/1806-9282.62.06.513

Cited by 11 publications

(17 citation statements)

References 29 publications

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“…The data collection in the present Claudia Silveira Viera E-mail: clausviera@gmail.com CORRESPONDING AUTHOR Las puntuaciones de los atributos esenciales con relación a la estructura son: Accesibilidad (5,5), Grado de afiliación (6,9), Integralidad -Servicios Disponibles (6,0) y Coordinación -Sistema de información (7,4). En cuanto al Proceso, se encuentran: Acceso de Primer Contacto -Utilización (8,6), Longitudinalidad (6,1), Integralidad -Servicios Prestados (6,1) y Coordinación -Integración de los Cuidados (6,9). Conclusión: La puntuación principal fue de 6,6 y la general, 6,3, demostrando una orientación precaria de la atención primaria a la salud.…”

Section: Design Setting and Study Datesunclassified

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Assessment of the essential attributes of Primary Health Care for children

et al. 2018

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Objective: To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process. Method: Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6. Results: The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care -Services Available (6.0) and Coordination -System information (7.4). As for the Process, the following results were obtained: First visit -Use (8.6), Longitudinally (6.1), Integrality -Services Provided (6.1) and Coordination -Integration of Care (6.9). Conclusion: The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.

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Section: Design Setting and Study Datesunclassified

“…Despite the transformations in health policies and guidelines directed at children, the scenario of child morbidity and mortality reveals a lack of articulation and Integrality of care, shown through the high rates of preventable child mortality (66.56%) and hospitalizations for preventable conditions (65.2%) (5)(6)(7)(8)(9) .…”

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confidence: 99%

Assessment of the essential attributes of Primary Health Care for children

et al. 2018

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“…A Brazilian study showed that many emergency situations could have been resolved in PHC, and that many patients prefer to go straight to emergency services, often because they value the services of greater technological density, distorting the concept of complexity, in which PHC is characterized as "basic care", conceived of as "elementary" or "less complex." (13) The mean score for the Longitudinality attribute was satisfactory, and reached the highest value of the study. This can be attributed to the higher Degree of Affiliation with specialized services, as a regular source of follow-up for these children over time.…”

Section: Discussionmentioning

confidence: 81%

“…In addition, it is important to increase the number of Family Health Teams and to reflect about new arrangements for a PHC designed for a coordinating effort. (7)(8)(9)(10)(11)(12)(13)(14)(15)(16) In relation to Integrality, the score values were low in both the available services and the provided services. Specialized Services performed better than PHC services.…”

Section: Discussionmentioning

confidence: 99%

Atenção primária à criança com diabetes mellitus tipo 1: perspectiva de cuidadores

et al. 2017

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Objective: To evaluate and compare the quality of primary care provided for children with type 1 diabetes mellitus, among the types of public health care services, based on the experience of their main caregivers. Methods: Cross-sectional study, grounded in health assessment, using interviews with 55 caregivers of children with type 1 diabetes mellitus, based on the Primary Care Assessment Tool-Child Version. Results: Most of the attributes of primary health care presented unsatisfactory scores, including the general and essential scores. A greater link with the specialized service (pediatric endocrinology clinics) was found. Although the general and essential scores did not attain satisfactory values, the specialized services achieved better results than the primary health care services, showing, from the perception of the consumers, relevant differences between services. Specialized services were perceived as regular sources of care, and better providers of primary health care practices. This point may be related to the greater contact of the participants with the professionals from the specialized services, and the readiness of these services to care for children with type 1 diabetes mellitus, suggesting fragilities in the primary health care services. Conclusion: The health care of children with type 1 diabetes mellitus, in the studied municipality, shows little presence and extension of primary care attributes, with fragmented and disconnected actions, leading to losses in the integration and expansion of the care network. ResumoObjetivo: Avaliar e comparar a qualidade da atenção primária ofertada às crianças com diabetes mellitus tipo 1 entre os tipos de serviços públicos de atenção à saúde na experiência dos seus principais cuidadores. Métodos: Estudo transversal, fundamentado em avaliação em saúde, a partir de entrevistas com 55 cuidadores de crianças com diabetes mellitus tipo 1, com base no instrumento de avaliação Primary Care Assessment Tool-versão criança. Resultados: Grande parte dos atributos da atenção primária à saúde apresentou escores considerados insatisfatórios, inclusive os escores Geral e Essencial. Foi encontrado maior vínculo com o serviço especializado (ambulatórios de endocrinologia pediátrica). Apesar dos escores Geral e Essencial não terem alcançado valores satisfatórios, os serviços especializados apresentaram melhores resultados que os serviços de atenção primária à saúde, mostrando, na percepção dos usuários, diferenças relevantes entre os serviços. Os serviços especializados foram percebidos como fontes regulares de atenção e melhores fornecedores de práticas de atenção primária à saúde. Tal apontamento pode estar relacionado ao maior contato dos participantes com os profissionais dos serviços especializados e prontidão desses serviços na atenção às crianças com diabetes mellitus tipo 1, sugerindo fragilidades nos serviços de atenção primária à saúde. Conclusão: A atenção à saúde das crianças com diabetes mellitus tipo 1 no município estudado apresenta pouca presença e ex...

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“…Regarding this structural component, this study revealed the lowest score (3.09), while the Use component was better evaluated, as previously mentioned. This finding is somewhat paradoxical, since the patient must first recognize the service as accessible and then use it, demonstrating that the availabilities of the services do not meet the expectations of the population (3,20) .…”

Section: Discussionmentioning

confidence: 99%

Primary care features in child hospitalization: First-contact access and Longitudinality

et al. 2018

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Objective: to identify two features of primary health care, namely First-contact access and Longitudinality in hospitalized children. Methods: cross-sectional study carried out in two hospitals with 120 children under five years of age hospitalized due to sensitive conditions of primary health care. Data collection performed using the Primary Care Assessment Tool. Results: the degree of affiliation obtained a better score (approximately 8.0), being the only one among all components of the instrument satisfactorily evaluated (≥6.6). Longitudinality (>4.0) had a lower score than First-contact access (5.6). According to the parents, the nurse was the professional who had most performed the follow-up in childcare. Conclusion: the results point to weaknesses in services and carergivers' dissatisfaction, evidenced by the poor following to the Primary Health Care principles. Descriptors: Child Care; Primary Health Care; Nursing. Objetivo: identificar os atributos da atenção primária à saúde Acesso de primeiro contato e Longitudinalidade em crianças hospitalizadas. Métodos: estudo transversal, realizado em dois hospitais, com 120 crianças menores de cinco anos de idade internadas por condições sensíveis à atenção primária em saúde. Coleta de dados realizada utilizando o Primary Care Assessment Tool. Resultados: o grau de afiliação obteve melhor escore (aproximadamente 8,0), sendo o único entre todos os componentes do instrumento avaliado de forma satisfatória (≥6,6). A Longitudinalidade (>4,0) apresentou menor escore em comparação ao Acesso de primeiro contato (5,6). Segundo os pais, o enfermeiro foi o profissional que mais realizou o acompanhamento na Puericultura. Conclusão: os resultados apontam fragilidades nos serviços e insatisfação dos cuidadores, evidenciados pela baixa orientação aos princípios da Atenção Primária à Saúde. Descritores: Cuidado da Criança; Atenção Primaria à Saúde; Enfermagem.

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Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions

Cited by 11 publications

References 29 publications

Assessment of the essential attributes of Primary Health Care for children

Assessment of the essential attributes of Primary Health Care for children

Atenção primária à criança com diabetes mellitus tipo 1: perspectiva de cuidadores

Primary care features in child hospitalization: First-contact access and Longitudinality

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