Evaluation of accessibility in primary health care from the perspective of managers

Detalhes bibliográficos
Autor(a) principal: Coelho Moura Garcia, Mariana
Data de Publicação: 2019
Outros Autores: Fonda Barra, Jhayne, Andrade e Silva, Érika, da Conceição Oliveira Coelho, Angélica
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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spelling 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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