Evaluation of integrality in primary health care according to care models

• Main Author: Signor, Eduarda
• Publication Date: 2022
• Other Authors: Weiller, Teresinha Heck, Lopes, Luis Felipe Dias, Gonzales, Roxana Isabel Cardozo, Antunes, Luize Barbosa, Kesller, Marciane
• Format: Article
• Language: por; eng
• Source: Revista de Enfermagem da Universidade Federal de Santa Maria
• Download full: http://periodicos.ufsm.br/reufsm/article/view/67809
• topic: Atenção primária à saúde; Assistência integral à saúde; Integralidade em saúde; Saúde pública; Sistema único de saúde; Enfermagem; Epidemiologia; avaliação; Evaluación en Salud; Atención Primaria de Salud; Modelos de Atención de Salud; Atención Integral de Salud; Integralidad en Salud; Health Evaluation; Primary Health Care; Healthcare Models; Comprehensive Health Care; Integrality in Health

Objective: This research aims to evaluate the integrality attribute in Primary Care services of a Regional Health Coordination in Rio Grande do Sul. Method: For this, a quantitative approach method is used, developed from February to June 2015, covering 32 municipalities, based on the Primary Care Assessment Tool, applied to users who evaluated services and actions offered. Relative and absolute distribution of variables was performed and measures of central tendency were calculated, as well as Poisson regression to investigate the association. Results: In short, 1070 people were interviewed. As main results, the following stand out: the lowest Municipal Human Development Index (p=<0.001) was associated with a high score for provided (PR=1.73; CI=1.29-2.32) and available services (PR=1.73; CI=1.29-2.32). =1.89; CI=1.60-2.24). For the service available, the mixed care model had a higher score (p=0.001) and, for the service provided, the Family Health Strategy had a better evaluation (p=0.001). Conclusion: Finally, it is concluded that the traditional units have worse evaluations for the integrality attribute when compared to the Family Health Strategy and mixed ones.