Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.1590/1518-8345.1069.2672 |
Resumo: | Objective: to analyze the influence of contextual indicators on the performance of cities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study using secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the cities stratified in the dimensions on size of the coverage group, supply, coordination and integration. When necessary, the chi-square test with Yates correction or Fisher’s exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n = 15,876; 92.3%). Statistically significant differences were observed between the cities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the cities that make up group 6 tend to perform better in these dimensions, with a better performance in all dimensions analyzed in groups 4, 5 and 6. Conclusion: weakness in smaller cities, confirming inequities in the potential access to Primary Health Care in Brazil as challenges for universal coverage. The preponderant role of nurses for its achievement is highlighted. |
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Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?Health Services AccessibilityPrimary Health CareUniversal CoveragePublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingObjective: to analyze the influence of contextual indicators on the performance of cities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study using secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the cities stratified in the dimensions on size of the coverage group, supply, coordination and integration. When necessary, the chi-square test with Yates correction or Fisher’s exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n = 15,876; 92.3%). Statistically significant differences were observed between the cities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the cities that make up group 6 tend to perform better in these dimensions, with a better performance in all dimensions analyzed in groups 4, 5 and 6. Conclusion: weakness in smaller cities, confirming inequities in the potential access to Primary Health Care in Brazil as challenges for universal coverage. The preponderant role of nurses for its achievement is highlighted.Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)Global Health and Tropical Medicine (GHTM)RUNUchôa, Severina Alice da CostaArcêncio, Ricardo AlexandreFronteira, InêsCoêlho, Ardigleusa AlvesMartiniano, Claudia SantosBrandão, Isabel Cristina AraújoYamamura, MellinaMaroto, Renata MeloSilva, Anny Karine Freire da2018-05-11T22:05:08Z2016-01-012016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1590/1518-8345.1069.2672eng0104-1169PURE: 2392922http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100304&tlng=enhttps://doi.org/10.1590/1518-8345.1069.2672info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:20:07Zoai:run.unl.pt:10362/36622Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:35.604246Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
title |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
spellingShingle |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? Uchôa, Severina Alice da Costa Health Services Accessibility Primary Health Care Universal Coverage Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
title_short |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
title_full |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
title_fullStr |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
title_full_unstemmed |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
title_sort |
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? |
author |
Uchôa, Severina Alice da Costa |
author_facet |
Uchôa, Severina Alice da Costa Arcêncio, Ricardo Alexandre Fronteira, Inês Coêlho, Ardigleusa Alves Martiniano, Claudia Santos Brandão, Isabel Cristina Araújo Yamamura, Mellina Maroto, Renata Melo Silva, Anny Karine Freire da |
author_role |
author |
author2 |
Arcêncio, Ricardo Alexandre Fronteira, Inês Coêlho, Ardigleusa Alves Martiniano, Claudia Santos Brandão, Isabel Cristina Araújo Yamamura, Mellina Maroto, Renata Melo Silva, Anny Karine Freire da |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Instituto de Higiene e Medicina Tropical (IHMT) Population health, policies and services (PPS) Global Health and Tropical Medicine (GHTM) RUN |
dc.contributor.author.fl_str_mv |
Uchôa, Severina Alice da Costa Arcêncio, Ricardo Alexandre Fronteira, Inês Coêlho, Ardigleusa Alves Martiniano, Claudia Santos Brandão, Isabel Cristina Araújo Yamamura, Mellina Maroto, Renata Melo Silva, Anny Karine Freire da |
dc.subject.por.fl_str_mv |
Health Services Accessibility Primary Health Care Universal Coverage Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
topic |
Health Services Accessibility Primary Health Care Universal Coverage Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
description |
Objective: to analyze the influence of contextual indicators on the performance of cities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study using secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the cities stratified in the dimensions on size of the coverage group, supply, coordination and integration. When necessary, the chi-square test with Yates correction or Fisher’s exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n = 15,876; 92.3%). Statistically significant differences were observed between the cities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the cities that make up group 6 tend to perform better in these dimensions, with a better performance in all dimensions analyzed in groups 4, 5 and 6. Conclusion: weakness in smaller cities, confirming inequities in the potential access to Primary Health Care in Brazil as challenges for universal coverage. The preponderant role of nurses for its achievement is highlighted. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 2016-01-01T00:00:00Z 2018-05-11T22:05:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1590/1518-8345.1069.2672 |
url |
https://doi.org/10.1590/1518-8345.1069.2672 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0104-1169 PURE: 2392922 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100304&tlng=en https://doi.org/10.1590/1518-8345.1069.2672 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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