Avaliação da atenção primária na perspectiva dos profissionais de saúde
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/7824 |
Resumo: | Introduction: primary care must assume the centrality of care so that the health system meets and resolves the demands and needs of the population. The quality and efficiency of this level of care must be constantly evaluated and monitored by managers. Instruments such as the Primary Care Assessment Tool (PCATool) have been used in Brazil for this purpose. It is a questionnaire that evaluates structural aspects of process and results in primary care. Objective: to evaluate primary health care from its attributes, from the perspective of professionals, checking factors of better health care between quality of services and professional qualification. Methodology: a cross-sectional study was conducted with 41 nurses and 31 physicians in the Southwest region of the state of Goiás, using interviews using the PCATool instrument. The data were analyzed in the Stata program, version 14.0. The Cronbach's alpha coefficient was used to analyze the internal consistency of the instrument's total score. Results: in the evaluation of the attributes of primary care, it was evidenced that the lower overall primary health care score was for the accessibility attribute (3.71). The bivariate analysis showed statistical difference between the variables profession and the essential, derived and general scores. Physicians of the Mais Médicos Program had higher mean scores (8.04 p = 0.001) when compared to other medical professionals and nurses. Professionals with post-graduation in any area, obtained a better score in the derived score (p = 0.021). Conclusion: a high general orientation score for primary care is observed by health professionals, with exception for the attribute accessibility. Medical professionals linked to the Mais Médicos Program obtained better average scores on all attributes. From the monitoring of the attributes of the primary attention it is possible to know the critical points that deserve intervention, as well as to evaluate if the strategic actions implemented have been effective in the scope of the primary attention. |
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Barbosa, Maria Alveshttp://lattes.cnpq.br/5025797873585225Silva, Luiz Almeida dahttp://lattes.cnpq.br/0162033338001172Barbosa, Maria AlvesFernandes, Marcos RassiSilva, Luiz Almeida daBorges, Cristiane JoséPrado, Marinésia Aparecida dohttp://lattes.cnpq.br/8700407928975516Maia, Ludmila Grego2017-10-02T14:13:13Z2017-09-20MAIA, Ludmila Grego. Avaliação da atenção primária na perspectiva dos profissionais de saúde. 2017. 92 f. Tese (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7824Introduction: primary care must assume the centrality of care so that the health system meets and resolves the demands and needs of the population. The quality and efficiency of this level of care must be constantly evaluated and monitored by managers. Instruments such as the Primary Care Assessment Tool (PCATool) have been used in Brazil for this purpose. It is a questionnaire that evaluates structural aspects of process and results in primary care. Objective: to evaluate primary health care from its attributes, from the perspective of professionals, checking factors of better health care between quality of services and professional qualification. Methodology: a cross-sectional study was conducted with 41 nurses and 31 physicians in the Southwest region of the state of Goiás, using interviews using the PCATool instrument. The data were analyzed in the Stata program, version 14.0. The Cronbach's alpha coefficient was used to analyze the internal consistency of the instrument's total score. Results: in the evaluation of the attributes of primary care, it was evidenced that the lower overall primary health care score was for the accessibility attribute (3.71). The bivariate analysis showed statistical difference between the variables profession and the essential, derived and general scores. Physicians of the Mais Médicos Program had higher mean scores (8.04 p = 0.001) when compared to other medical professionals and nurses. Professionals with post-graduation in any area, obtained a better score in the derived score (p = 0.021). Conclusion: a high general orientation score for primary care is observed by health professionals, with exception for the attribute accessibility. Medical professionals linked to the Mais Médicos Program obtained better average scores on all attributes. From the monitoring of the attributes of the primary attention it is possible to know the critical points that deserve intervention, as well as to evaluate if the strategic actions implemented have been effective in the scope of the primary attention.Introdução: a atenção primária deve assumir a centralidade do cuidado para que o sistema de saúde atenda e resolva as demandas e necessidades da população. A qualidade e eficiência desse nível de atenção devem ser constantemente avaliadas e monitoradas pelos gestores. Instrumentos como o Primary Care Assessment Tool (PCATool) têm sido utilizados no Brasil para esse fim. Trata-se de um questionário que avalia aspectos estruturais de processo e resultados na atenção primária. Objetivo: Avaliar a Atenção Primária à Saúde a partir de seus atributos, na perspectiva dos profissionais, por meio do Primary Care Assessment Tool. Metodologia: estudo transversal, realizado com 41 enfermeiros, e 31 médicos na região Sudoeste II do estado de Goiás, por meio de entrevistas utilizando o instrumento PCATool. Os dados foram analisados no programa Stata, versão 14.0. O coeficiente Alfa de Cronbach foi utilizado para a análise de consistência interna do escore total do instrumento. Resultados: evidenciou-se que menor escore geral de atenção primária à saúde foi para o atributo acessibilidade (3.71). A análise bivariada mostrou diferença estatística entre as variáveis profissão e os escores essencial, derivado e geral. Médicos do Programa Mais Médicos apresentaram maiores pontuações médias (8,04 p=0,001) quando comparados aos outros profissionais médicos e enfermeiros. Profissionais com pós-graduação em qualquer área, obtiveram melhor pontuação média no escore derivado (p=0,021). Conclusão: A avaliação na região Sudoeste II, evidenciou alto escore geral para os atributos, exceto para o acesso de primeiro contato. O tempo de formação acadêmica e de trabalho dos profissionais avaliados mostrou-se satisfatório na Atenção Primária á Saúde. Considera-se como fatores associados entre formação, qualificação profissional e os atributos da Atenção Primária, o fato de pertencer ao Programa Mais Médicos e o nível da formação acadêmica, que estiveram mais relacionados a obtenção de melhores escores.Submitted by Franciele Moreira (francielemoreyra@gmail.com) on 2017-09-29T17:49:57Z No. of bitstreams: 2 Tese - Ludmila Grego Maia - 2017.pdf: 3038723 bytes, checksum: ef7f3e5afbfb4c99f30a4bf173c47734 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-10-02T14:13:13Z (GMT) No. of bitstreams: 2 Tese - Ludmila Grego Maia - 2017.pdf: 3038723 bytes, checksum: ef7f3e5afbfb4c99f30a4bf173c47734 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-10-02T14:13:13Z (GMT). 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dc.title.eng.fl_str_mv |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
dc.title.alternative.eng.fl_str_mv |
Evaluation of primary care by health professionals |
title |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
spellingShingle |
Avaliação da atenção primária na perspectiva dos profissionais de saúde Maia, Ludmila Grego Avaliação em saúde Atenção primária à saúde Pessoal de saúde Health staff Health assessment Primary health care CIENCIAS DA SAUDE::NUTRICAO |
title_short |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
title_full |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
title_fullStr |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
title_full_unstemmed |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
title_sort |
Avaliação da atenção primária na perspectiva dos profissionais de saúde |
author |
Maia, Ludmila Grego |
author_facet |
Maia, Ludmila Grego |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5025797873585225 |
dc.contributor.advisor-co1.fl_str_mv |
Silva, Luiz Almeida da |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/0162033338001172 |
dc.contributor.referee1.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.referee2.fl_str_mv |
Fernandes, Marcos Rassi |
dc.contributor.referee3.fl_str_mv |
Silva, Luiz Almeida da |
dc.contributor.referee4.fl_str_mv |
Borges, Cristiane José |
dc.contributor.referee5.fl_str_mv |
Prado, Marinésia Aparecida do |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8700407928975516 |
dc.contributor.author.fl_str_mv |
Maia, Ludmila Grego |
contributor_str_mv |
Barbosa, Maria Alves Silva, Luiz Almeida da Barbosa, Maria Alves Fernandes, Marcos Rassi Silva, Luiz Almeida da Borges, Cristiane José Prado, Marinésia Aparecida do |
dc.subject.por.fl_str_mv |
Avaliação em saúde Atenção primária à saúde Pessoal de saúde Health staff |
topic |
Avaliação em saúde Atenção primária à saúde Pessoal de saúde Health staff Health assessment Primary health care CIENCIAS DA SAUDE::NUTRICAO |
dc.subject.eng.fl_str_mv |
Health assessment Primary health care |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::NUTRICAO |
description |
Introduction: primary care must assume the centrality of care so that the health system meets and resolves the demands and needs of the population. The quality and efficiency of this level of care must be constantly evaluated and monitored by managers. Instruments such as the Primary Care Assessment Tool (PCATool) have been used in Brazil for this purpose. It is a questionnaire that evaluates structural aspects of process and results in primary care. Objective: to evaluate primary health care from its attributes, from the perspective of professionals, checking factors of better health care between quality of services and professional qualification. Methodology: a cross-sectional study was conducted with 41 nurses and 31 physicians in the Southwest region of the state of Goiás, using interviews using the PCATool instrument. The data were analyzed in the Stata program, version 14.0. The Cronbach's alpha coefficient was used to analyze the internal consistency of the instrument's total score. Results: in the evaluation of the attributes of primary care, it was evidenced that the lower overall primary health care score was for the accessibility attribute (3.71). The bivariate analysis showed statistical difference between the variables profession and the essential, derived and general scores. Physicians of the Mais Médicos Program had higher mean scores (8.04 p = 0.001) when compared to other medical professionals and nurses. Professionals with post-graduation in any area, obtained a better score in the derived score (p = 0.021). Conclusion: a high general orientation score for primary care is observed by health professionals, with exception for the attribute accessibility. Medical professionals linked to the Mais Médicos Program obtained better average scores on all attributes. From the monitoring of the attributes of the primary attention it is possible to know the critical points that deserve intervention, as well as to evaluate if the strategic actions implemented have been effective in the scope of the primary attention. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-10-02T14:13:13Z |
dc.date.issued.fl_str_mv |
2017-09-20 |
dc.type.status.fl_str_mv |
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MAIA, Ludmila Grego. Avaliação da atenção primária na perspectiva dos profissionais de saúde. 2017. 92 f. Tese (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/7824 |
identifier_str_mv |
MAIA, Ludmila Grego. Avaliação da atenção primária na perspectiva dos profissionais de saúde. 2017. 92 f. Tese (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017. |
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http://repositorio.bc.ufg.br/tede/handle/tede/7824 |
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por |
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por |
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600 600 600 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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Universidade Federal de Goiás |
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Programa de Pós-graduação em Ciências da Saúde (FM) |
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UFG |
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Brasil |
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Faculdade de Medicina - FM (RG) |
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Universidade Federal de Goiás |
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