Evaluation of accessibility in primary health care from the perspective of managers
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/28759 |
Resumo: | Introdution: The Brazilian public system is enabled by Primary Health Care, wich presents as the first preferential contact of users with the health service. Given this importance, select a service evaluation as a search management tool that can detect potential service weaknesses and potentials. Objective: To assess the presence and extension of the accessibility attribute from the perspective of primary health care managers. Material and methods: Evaluative cross-sectional study. Data were collected from 42 managers of primary health care units, through the self-administered questionnaire Primary Care Assessment Tool-Brazil, version for professionals. Statistical analysis was performed using the Statiscal Package for Social Sciences software (version 22). The Mann Whitney U test was used to compare the scores the attention models (eSF na eAB), areas (rural and urban), training and professional qualification, with a significance level of 5%. Results: Accessibility was unsatisfactory in all analyzes, with better evaluation of Family Health teams (p=0,375) in the rural areas (p=0,528) among professionals who havespecialization in Family health (p=0,685) and Family health residency (p=0,196). Conclusion: The study pointed out structural weaknesses of the service regarding accessibility, and identified the importance of investments in the qualification of professionals as a factor that promotes better access to the service. |
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Evaluation of accessibility in primary health care from the perspective of managersAvaliação da acessibilidade na atenção primária à saúde na perspectiva dos gerentesPrimary Health CareAccess to Health ServicesHealth Services AdministrationHealth EvaluationAtenção Primária à SaúdeAcesso aos Serviços de SaúdeAdministração de Serviços de SaúdeAvaliação em SaúdeIntrodution: The Brazilian public system is enabled by Primary Health Care, wich presents as the first preferential contact of users with the health service. Given this importance, select a service evaluation as a search management tool that can detect potential service weaknesses and potentials. Objective: To assess the presence and extension of the accessibility attribute from the perspective of primary health care managers. Material and methods: Evaluative cross-sectional study. Data were collected from 42 managers of primary health care units, through the self-administered questionnaire Primary Care Assessment Tool-Brazil, version for professionals. Statistical analysis was performed using the Statiscal Package for Social Sciences software (version 22). The Mann Whitney U test was used to compare the scores the attention models (eSF na eAB), areas (rural and urban), training and professional qualification, with a significance level of 5%. Results: Accessibility was unsatisfactory in all analyzes, with better evaluation of Family Health teams (p=0,375) in the rural areas (p=0,528) among professionals who havespecialization in Family health (p=0,685) and Family health residency (p=0,196). Conclusion: The study pointed out structural weaknesses of the service regarding accessibility, and identified the importance of investments in the qualification of professionals as a factor that promotes better access to the service. Introdução: O sistema público brasileiro está alicerçado pela atenção primária à saúde, que se caracteriza como o primeiro contato preferencial dos usuários com o serviço de saúde. Nesse contexto, destaca-se a avaliação do serviço como uma ferramenta de gestão que busca detectar possíveis fragilidades e potencialidades do serviço. Objetivo: Avaliar a presença e extensão do atributo acessibilidade na perspectiva dos gerentes da atenção primária à saúde. Material e métodos: Estudo transversal de caráter avaliativo. Os dados foram coletados entre 42 gerentes das unidades de atenção primária à saúde, por meio do questionário auto aplicável Primary Care Asssessment Tool – Brasil, versão para profissionais. A análise estatística foi realizada através do software Statiscal Package for the Social Sciences (versão 22). O teste U de Mann Whitney foi utilizado para comparação dos escores entre os modelos de atenção (eSF e eAB), áreas (rural e urbana), formação e qualificação profissional, com nível de significância de 5%. Resultados: A acessibilidade mostrou-se insatisfatória em todas as análises, com melhor avaliação das equipes de Saúde da Família (p=0,375), na área rural (p=0,528), entre os profissionais que possuem especialização em saúde da família (p=0,685) e residência em saúde da família (p=0,196). Conclusão: O estudo apontou fragilidades estruturais do serviço no que diz respeito à acessibilidade e identificou a importância de investimentos na qualificação dos profissionais como fator que promove melhor acesso ao serviço.Editora UFJF2019-11-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/2875910.34019/1982-8047.2019.v45.28759HU Revista; v. 45 n. 3 (2019): HU Revista 45 anos - Edição Comemorativa; 283-2881982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/28759/19828Coelho Moura Garcia, MarianaFonda Barra, JhayneAndrade e Silva, Érikada Conceição Oliveira Coelho, Angélica info:eu-repo/semantics/openAccess2019-11-28T12:38:52Zoai:periodicos.ufjf.br:article/28759Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2019-11-28T12:38:52HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Evaluation of accessibility in primary health care from the perspective of managers Avaliação da acessibilidade na atenção primária à saúde na perspectiva dos gerentes |
title |
Evaluation of accessibility in primary health care from the perspective of managers |
spellingShingle |
Evaluation of accessibility in primary health care from the perspective of managers Coelho Moura Garcia, Mariana Primary Health Care Access to Health Services Health Services Administration Health Evaluation Atenção Primária à Saúde Acesso aos Serviços de Saúde Administração de Serviços de Saúde Avaliação em Saúde |
title_short |
Evaluation of accessibility in primary health care from the perspective of managers |
title_full |
Evaluation of accessibility in primary health care from the perspective of managers |
title_fullStr |
Evaluation of accessibility in primary health care from the perspective of managers |
title_full_unstemmed |
Evaluation of accessibility in primary health care from the perspective of managers |
title_sort |
Evaluation of accessibility in primary health care from the perspective of managers |
author |
Coelho Moura Garcia, Mariana |
author_facet |
Coelho Moura Garcia, Mariana Fonda Barra, Jhayne Andrade e Silva, Érika da Conceição Oliveira Coelho, Angélica |
author_role |
author |
author2 |
Fonda Barra, Jhayne Andrade e Silva, Érika da Conceição Oliveira Coelho, Angélica |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Coelho Moura Garcia, Mariana Fonda Barra, Jhayne Andrade e Silva, Érika da Conceição Oliveira Coelho, Angélica |
dc.subject.por.fl_str_mv |
Primary Health Care Access to Health Services Health Services Administration Health Evaluation Atenção Primária à Saúde Acesso aos Serviços de Saúde Administração de Serviços de Saúde Avaliação em Saúde |
topic |
Primary Health Care Access to Health Services Health Services Administration Health Evaluation Atenção Primária à Saúde Acesso aos Serviços de Saúde Administração de Serviços de Saúde Avaliação em Saúde |
description |
Introdution: The Brazilian public system is enabled by Primary Health Care, wich presents as the first preferential contact of users with the health service. Given this importance, select a service evaluation as a search management tool that can detect potential service weaknesses and potentials. Objective: To assess the presence and extension of the accessibility attribute from the perspective of primary health care managers. Material and methods: Evaluative cross-sectional study. Data were collected from 42 managers of primary health care units, through the self-administered questionnaire Primary Care Assessment Tool-Brazil, version for professionals. Statistical analysis was performed using the Statiscal Package for Social Sciences software (version 22). The Mann Whitney U test was used to compare the scores the attention models (eSF na eAB), areas (rural and urban), training and professional qualification, with a significance level of 5%. Results: Accessibility was unsatisfactory in all analyzes, with better evaluation of Family Health teams (p=0,375) in the rural areas (p=0,528) among professionals who havespecialization in Family health (p=0,685) and Family health residency (p=0,196). Conclusion: The study pointed out structural weaknesses of the service regarding accessibility, and identified the importance of investments in the qualification of professionals as a factor that promotes better access to the service. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28759 10.34019/1982-8047.2019.v45.28759 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28759 |
identifier_str_mv |
10.34019/1982-8047.2019.v45.28759 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/28759/19828 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 45 n. 3 (2019): HU Revista 45 anos - Edição Comemorativa; 283-288 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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1796798243701522432 |