Implementation of an improvement cycle in the care of a primary health care

• Main Author: Nunes,Tainara Barbosa
• Publication Date: 2021
• Other Authors: Souza,Éricka Cecília Resende de, Gama,Zenewton André da Silva, Medeiros,Wilton Rodrigues, Mendonça,Ana Elza Oliveira de
• Format: Article
• Language: eng
• Source: Revista Brasileira de Enfermagem (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100171
• topic: User Embracement; Primary Health Care; Health Services Research; Community Participation; Total Quality Management

ABSTRACT Objectives: to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center. Methods: quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test. Results: after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification). Conclusions: the improvement cycle was an effective quality management method.