Performance of Indicators in municipalities with High Coverage of the Family Health Strategy in the State of São Paulo

• Autor(a) principal: Lima, Rodrigo de Novaes
• Data de Publicação: 2012
• Outros Autores: Medeiros Junior, Martim Elviro de, Martins, Julie Silvia, Santos, Eduardo Pires dos, Bourget, Monique Marie Marthe
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/270
• topic: Health Services Evaluation; Health Status Indicators; Indicators of Morbidity and Mortality; Primary Health Care; Family Health Strategy; Evaluación de Servicios de Salud; Indicadores Básicos de Salud; Indicadores de Morbimortalidad; Atención Primaria de la Salud; Estrategia de Salud Familiar; Avaliação de Serviços de Saúde; Indicadores Básicos de Saúde; Indicadores de Morbimortalidade; Atenção Primária à Saúde; Estratégia Saúde da Família; Atenção Primária; Análise de Indicadores

Objective: It has been difficult to evaluate the performance of the Family Health Strategy in the State of São Paulo due to several reasons, such as the low population covered, which is paradoxically associated to health indicators above the national average. On this basis, this study tries to evaluate the strategy effectiveness in the State of São Paulo. Methods: The indicators of the Primary Care Pact and Health Pact were investigated in the municipalities that achieved 90% or more coverage of the Family Health Strategy for the past seven years. Results: Infant mortality presented a more important downward trend within the sample. The hospitalization rate for stroke was higher within the sample, but presented stability that opposes the growth in the state. The cytopathologic exams ratio was nearly double the amount found elsewhere in the State. The cure rate for tuberculosis patients was 13% higher than the state pattern and the cure rate of leprosy showed minor variation (5%), but favorable to the cities of the sample. Conclusions: The findings have led to the conclusion that the strategy demonstrated improvement in the process indicators, as well as in the results of some of the indicators studied, demanding a longer follow-up for better conclusions.