Is the management of obesity in primary health care appropriate in Brazil?
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626 |
Resumo: | This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions. |
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Is the management of obesity in primary health care appropriate in Brazil?O manejo da obesidade na atenção primária à saúde no Brasil é adequado?ObesityPrimary Health CareQuality of Health CareObesidadeAtenção Primária à SaúdeQualidade da Assistência à SaúdeThis study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions.El objetivo de este estudio es describir la adecuación de las unidades básicas de atención (UBS) en Brasil, respecto a su estructura y proceso de trabajo para la gestión de la obesidad, así como evaluar la satisfacción de los usuarios con los servicios de las UBS. Este estudio transversal se realizó con datos del 2013-2014 del Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Básica (PMAQ) - una iniciativa para evaluar el desempeño de los equipos de las UBS. Se recogieron datos entre 2013 y 2014 a través de entrevistas a equipos y usuarios de las UBS. Todos los indicadores del cuidado adecuado para la obesidad fueron definidos en el ámbito del artículo, basados en datos del PMAQ. De las 24.055 UBS analizadas, localizadas en 4.845 ciudades diferentes, solamente un 7,6% tenía una estructura adecuada para la gestión de la obesidad. Asimismo, solo un 26,6% de los 114.615 usuarios entrevistados de UBS informaron de un acceso adecuado, y un 27,8% de las UBS presentaron una organización adecuada del servicio. La atención en salud fue considerada como “buena” o “muy buena” por parte de un 82,4% de los usuarios. Estos indicadores variaron de acuerdo con la región geográfica, mostrando mejores resultados en el Sur y Sureste. Nuestros resultados sugieren que el país tal vez se encuentre todavía en un estadio inicial de sistematización del cuidado con la obesidad, presentando significantes disparidades entre regiones.O estudo tem como objetivo descrever a adequação das unidades básicas de saúde (UBS) em relação à estrutura e ao processo de trabalho relacionados ao manejo da obesidade, além de avaliar a satisfação dos/as usuários/as com os serviços de saúde. Este estudo transversal foi realizado utilizando dados do Programa Nacional de Melhoria do Acesso e da Qualidade (PMAQ) 2013-2014, uma iniciativa nacional para avaliar o desempenho das equipes de saúde. A coleta de dados ocorreu em 2013 e 2014 através de entrevistas com equipes e usuários/as dos serviços saúde. Todos os indicadores de adequação para o cuidado da obesidade foram criados no âmbito do artigo, com base nos dados do PMAQ. Foram avaliadas 24.055 UBS em 4.845 municípios, além de dados de 114.615 usuários/as. Apenas 7,6% das UBS analisadas tinham estrutura adequada para o tratamento da obesidade. O acesso adequado foi observado em 26,6%, e a organização adequada dos serviços foi encontrada para 27,8% das UBS. Os cuidados de saúde foram classificados como “bons” ou “muito bons” por 82,4% dos usuários/as. Esses indicadores variaram por região geográfica, com melhores resultados para as regiões Sul e Sudeste. Os resultados sugerem que, possivelmente, o país ainda está na fase inicial de sistematização dos cuidados com a obesidade, com significativas disparidades entre as regiões.Reports in Public HealthCadernos de Saúde Pública2021-12-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626Reports in Public Health; Vol. 37 No. 13 (2021): Supplement 1Cadernos de Saúde Pública; v. 37 n. 13 (2021): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16988https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16989https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16990https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16991Mariana Souza LopesPatrícia Pinheiro de FreitasMaria Cecília Ramos de CarvalhoNathália Luíza FerreiraMariana Carvalho de MenezesAline Cristine Souza Lopesinfo:eu-repo/semantics/openAccess2024-03-06T15:30:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7626Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:46.579269Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Is the management of obesity in primary health care appropriate in Brazil? O manejo da obesidade na atenção primária à saúde no Brasil é adequado? |
title |
Is the management of obesity in primary health care appropriate in Brazil? |
spellingShingle |
Is the management of obesity in primary health care appropriate in Brazil? Mariana Souza Lopes Obesity Primary Health Care Quality of Health Care Obesidade Atenção Primária à Saúde Qualidade da Assistência à Saúde |
title_short |
Is the management of obesity in primary health care appropriate in Brazil? |
title_full |
Is the management of obesity in primary health care appropriate in Brazil? |
title_fullStr |
Is the management of obesity in primary health care appropriate in Brazil? |
title_full_unstemmed |
Is the management of obesity in primary health care appropriate in Brazil? |
title_sort |
Is the management of obesity in primary health care appropriate in Brazil? |
author |
Mariana Souza Lopes |
author_facet |
Mariana Souza Lopes Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
author_role |
author |
author2 |
Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mariana Souza Lopes Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
dc.subject.por.fl_str_mv |
Obesity Primary Health Care Quality of Health Care Obesidade Atenção Primária à Saúde Qualidade da Assistência à Saúde |
topic |
Obesity Primary Health Care Quality of Health Care Obesidade Atenção Primária à Saúde Qualidade da Assistência à Saúde |
description |
This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16988 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16989 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16990 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7626/16991 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 37 No. 13 (2021): Supplement 1 Cadernos de Saúde Pública; v. 37 n. 13 (2021): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943393909309440 |