Program of assessment of primary care from the perspective of health professionals and managers

Abstract

Objective: to understand the perception of health professionals and managers about the benefits of the National Program for Improving Access and Quality of Primary Care. Methods: qualitative study based on the National Program for Improvement of Access and Quality of Primary Care and using evaluative research as methodological reference. Thirty-two health professionals participated in the study. Open interviews were used for data collection and the analytical steps of the Grounded Theory were used for the analysis, with the aid of ATLAS. ti software. Results: the Program brought improvements to the practice of care, which before the evaluation were not valued or developed by professionals. However, shortcomings were detected, especially regarding the conduct of the evaluation process. Conclusion: according to the study participants, the Program promoted positive experiences, which culminated in the reorganization of some activities. However, shortcomings were pointed out, mainly regarding the normative character of this evaluation.Objetivo: compreender a percepção dos profissionais de saúde e gestores acerca dos benefícios do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Métodos: estudo qualitativo, tendo como base conceitual o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica e referencial metodológico a pesquisa avaliativa. Participaram 32 profissionais de saúde. Para a coleta de dados, utilizouse a entrevista aberta e para a análise, obteve-se as etapas analíticas da Grounded Theory com auxílio do software ATLAS.ti. Resultados: o Programa proporcionou melhorias para a prática assistencial, que antes da avaliação não eram valorizadas e desenvolvidas pelos profissionais. Entretanto, insuficiências foram pontuadas, principalmente no que tange à condução do processo avaliativo. Conclusão: para os participantes do estudo, o Programa proporcionou experiências positivas, que culminaram na reorganização de algumas atividades. Entretanto, insuficiências foram apontadas, principalmente quanto ao caráter normativo dessa avaliação.

Estresse ocupacional em equipes saúde da família certificadas e não certificadas com selo de qualidade assistencial

“…In addition, this management model based on an evaluation method of work production with quality goals requires that each team member is prepared and willing to carry out the agreement, 25 since in PHC the practice must be collaborative and interprofessional to adequately achieve the desired health results, 26 which may not be occurring, as teamwork is a weakness to be improved in the health services, 27 and the perception of social support by peers was lower among the professionals from certified units.…”

Practice and Opinion of Doctors in Primary Health Care Centers Toward Referral System: Samples from Nine Governorates in Iraq

“…So providing referral information and guidelines booklet for PHC doctors could be helpful. (4, 12) workshops could integrate referral policies with communication skills training and other important programs for PHC doctors, and will be very helpful in establishing clear expectations for communication, patient satisfaction, and improvement of services (17)(18)(19)(20).…”