Atenção Básica em Saúde: comparação entre PSF e UBS por estrato de exclusão social no município de São Paulo

Elias, Paulo Eduardo Mangeon; Ferreira, Clara Whitaker; Alves, Maria Cecília Góis; Cohn, Amélia; Kishima, Vanessa Sayuri Chaer; Escrivão, Álvaro; Gomes, Adriana; Bousquat, Aylene

doi:10.1590/s1413-81232006000300012

Cited by 149 publications

(191 citation statements)

References 5 publications

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“…This finding was similar to that of other studies, [23][24][25][26] demonstrating that the availability of services does not meet the expectations of the population.…”

Section: 0001supporting

confidence: 91%

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

Ferrer

Grisi

2016

Rev. Assoc. Med. Bras.

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Introduction:Hospitalizations for ambulatory care-sensitive conditions (HACSC) are considered an indicator of the effectiveness of primary health care (PHC). High rates of HACSC represent problems in the access or the quality of health care. In Brazil, HACSC rates are high and there are few studies on the factors associated with it. Objective: To evaluate the access to PHC offered to children and adolescents hospitalized due to ACSC and analyze the conditioning factors. Method: Cross-sectional study with a quantitative and qualitative approach. Five hundred and one (501) users (guardians/caregivers) and 42 professionals of PHC units were interviewed over one year. Quantitative data were obtained using Primary Care Assessment Tool validated in Brazil (PCATool-Brazil), while qualitative data were collected by semi-structured interview. The independent variables were: age, maternal education, family income, type of diagnosis, and model of care offered, and the dependent variables were access and its components (accessibility and use of services). Results: Sixty-five percent (65.2%) of hospitalizations were ACSC. From the perspective of both users and professionals, access and its components presented low scores. Age, type of diagnosis, and model of care affected the results. Conclusion: The proportion of HACSC was high in this population. Access to services is inappropriate due to: barriers to access, appreciation of the emergency services, and attitude towards health needs. Professional attitudes and opinions reinforce inadequate ideas of users reflecting on the pattern of service use.

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“…This finding was similar to that of other studies, [23][24][25][26] demonstrating that the availability of services does not meet the expectations of the population.…”

Section: 0001supporting

confidence: 91%

“…23,24 This low score given by the professionals represents the barriers imposed by the organization of the services and is reflected in the pattern of use of the network by users, given that it encourages the notion of difficulty and uncertainty of access among them.…”

Section: 0001mentioning

confidence: 99%

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

Ferrer

Grisi

2016

Rev. Assoc. Med. Bras.

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“…Observando vários estudos que utilizaram o PCATool, verificamos que os resultados não são homogêneos. Nos estudos com usuários e profissionais de saúde realizados em Petrópolis 21 e no município de São Paulo 22 , os resultados obtidos dos profissionais de saúde foram superiores no quesito do acesso quando comparados aos usuários. Ibañez et al 23 encontraram resultados semelhantes para o atributo acesso quando pesquisado em usuários e trabalhadores entre unidades ESF e UTRAD, apontando valores medianos para este atributo.…”

Section: Discussionunclassified

“…Este resultado é semelhante aos encontrados nos estudos realizados em municípios do Estado de São Paulo por Ibañez et al 23 . Nos resultados apresentados por Elias et al 22 , referentes ao município de São Paulo, foi encontrada diferença significativa entre as unidades com ESF e as unidades tradicionais apenas no estrato de maior exclusão.…”

Section: Discussionunclassified

“…Em ambos os modelos, os atributos orientação comunitária e orientação familiar obtiveram altos escores, diferindo de outros estudos realizados no País, nos quais, apesar do melhor resultado das unidades com ESF, os valores encontrados são caracterizados como de baixo escore 22,23,26 . O alto desempenho encontrado em Curitiba pode ser atribuído aos princípios incorporados na construção da APS no município, como a territorialização, a vigilância à saúde e a responsabilização sanitária, presentes em ambos os modelos.…”

Section: Discussionunclassified

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Avaliação da presença e extensão dos atributos da atenção primária em Curitiba

Chomatas

Vigo

Marty

et al. 2013

Rev Bras Med Fam Comunidade

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Prevalence of serological markers and risk factors for bloodborne pathogens in Salvador, Bahia state, Brazil

et al. 2012

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This study aimed to determine the prevalence of serological markers for HIV-1/2, HBV, HCV, Treponema cruzi and T. pallidum infections. The association of these infections with risk factors in a population from Salvador, Bahia, Brazil was also analysed. Of the 780 enrolled individuals, 545 (70%) were female and 235 (30%) were male. Seroprevalence of 0·8% (6/702), 1·3% (9/678), 1·5% (10/684), 3·5% (23/663) and 11·5% (77/668) for HIV-1/2, HBV, HCV, T. cruzi and T. pallidum infections, respectively, was observed. The seroprevalence of T. pallidum was higher in males 20% (43/210) than in females 7% (34/458) (P < 0·01). An association between age and seroprevalence for T. cruzi (P = 0·02) and T. pallidum (P < 0·01) was observed. HBsAg was associated with having tattoos (3/37 vs. 6/623, P = 0·01) and not having a steady sexual partner (5/141 vs. 4/473, P = 0·04), while anti-HIV-1/2 was associated with having tattoos (2/39 vs. 4/647, P = 0·04); however, larger studies are needed to categorically state the relationship of these risk factors with infectious agents. The prevalence of serological markers for HIV-1/2, HBV, HCV and T. cruzi was consistent with other studies.

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Atenção Básica em Saúde: comparação entre PSF e UBS por estrato de exclusão social no município de São Paulo

Cited by 149 publications

References 5 publications

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

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

Avaliação da presença e extensão dos atributos da atenção primária em Curitiba

Prevalence of serological markers and risk factors for bloodborne pathogens in Salvador, Bahia state, Brazil

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