Assessment of primary health care services for patients with suspected dengue in the city of Rio de Janeiro

• Autor(a) principal: Amaral de Freitas, Danielle
• Data de Publicação: 2019
• Outros Autores: Souza-Santos, Reinaldo, Duarte Wakimoto, Mayumi
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25761/anaisihmt.342

Primary Health Care (PHC) should have physical and organizational conditions to provide adequate care to patients with suspected dengue and prevent death. We aimed to analyze the adequacy of PHC in the city of Rio de Janeiro. It is a normative evaluation designed to assess the structure and process according to the protocols of the Ministry of Health in Brazil. A system of scores was elaborated to assess the APS, according to proposed indicators as follows: adequate (0.8 to 1); partially adequate (0.6 to 0.79); and not adequate (≤ 0.59). As for the structure, the units were partially adequate, with adequate physical and structural conditions, but inadequate regarding standards, technical procedures and number of professionals. The processes were partially adequate, with difficulties related to: implementation of protocols, standardization of assistance flows, inclusion of the multi-professional team and effective communication. In addition, some procedures related to clinical observation, essential for decreasing fatality rate were inadequate. The number of health units has proved to be insufficient, although there has been an increase in APS coverage recently. Management should establish flows to structure and support health care networks with logistical and operational conditions for qualified and effective care.