El producto de la atención primaria definido por profesionales y usuarios

Abstract

There was broad agreement in the product definition among health professionals and users. The relationship between health professionals and patients was a key element in all groups. The four dimensions should be included in the evaluation of PHC teams.

Population and primary health-care team characteristics explain the quality of the service

“…Through qualitative and quantitative methods [11,12] a model has been constructed using routine information data employed in health service management. Despite professional and patient focus groups identifying four dimensions of the PHC team service quality [11], further confirmatory analysis showed that the three dimensions model was the one that better fitted the structure of the data. A close relationship was found between the accessibility indicators and the professional-patient relationship indicators [12].…”

Fonoaudiologia e Núcleos de Apoio à Saúde da Família: conceitos e referências

“…Foi aplicado um questionário em funcionários e usuários do sistema público de saúde e ambas as categorias definiram como quatro principais pontos para atenção primária em saúde: o acesso aos serviços, a coordenação e continuidade da equipe de atenção primária com os outros níveis assistenciais, relação entre profissionais e usuários e a qualidade técnico-científica das equipes de atenção primária (16) . Para atingir aos objetivos à que se propõe, em todo o mundo a Atenção Primária em Saúde é organizada obedecendo a alguns princípios fundamentais que organizam o sistema da saúde.…”

Personalised care, access, quality and team coordination are the main dimensions of family medicine output

“…Among the variables that were collected from these information sources were those that could be, potentially, a measure of each one of the four dimensions proposed in the qualitative study 6 and, further, whose values would reflect the activity and capacity of the PHCT (Table 1). Accessibility and physician-patient relationship were measured with those variables evaluated by the service users with respect to the function and organisation of the PHCT, in addition to the indicators of appropriateness of the numbers of PHCT professionals employed for the catchment population.…”

“…Also included was the overall consumption, the consumption of drugs for mental health disorders, chronic conditions and for prevention, since these aspects were identified as being essential by, both, health care professionals and by the patients. 6…”

“…Equity, satisfaction and efficiency were identified as the main cross-sectional axes of the components of output. 6 Inevitably, there are different groupings of the same dimensions because many of them are intimately related. 7,8 Hence, with the objective of attempting to unify the dimensions used in evaluating these services, we planned this study to describe the groupings that best define the output of family medicine services while using the sources of information that are routinely available in health care management.…”