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2023-09-29T12:49:28Z2023-09-29T12:49:28Z2017-04494258260https://doi.org/10.1016/j.aprim.2016.06.0060212-6567http://hdl.handle.net/1843/59030Brazil is currently expanding Primary Health Care (PHC) with the coexistence of two different models – the traditional model comprising Basic Health Units (BHU) and the Family Health Program (FHP). Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) have been used as an indicator to evaluate the quality of PHC, as they represent health problems that must be addressed and treated opportunely at this level of care. We have hypothesized that drug users would rate PHC more highly, since drugs can strengthen the relationship between users and the healthcare services. In a cross-section study conducted within two public inpatient services in Divinópolis city, Brazil, we compared the assessment of the PHC, as rated by patients hospitalized for ACSC, comprising users and non-users of drugs, referred to FHP or BHU. Participants were interviewed (n = 314; 69.1% drug users) and asked to answer questions related to socio-demographic, clinical/therapeutic characteristics and to the PHC performance, comprising the key attributes accessibility, gatekeeping, longitudinality, comprehensiveness, coordination, family focus, community orientation and professional training.Atualmente, o Brasil expande a Atenção Primária à Saúde (APS) com a coexistência de dois modelos distintos – o modelo tradicional composto por Unidades Básicas de Saúde (UBS) e o Programa Saúde da Família (PSF). As internações por Condições Sensíveis à Atenção Ambulatorial (ICSAP) têm sido utilizadas como indicador para avaliar a qualidade da APS, pois representam problemas de saúde que devem ser abordados e tratados oportunamente neste nível de atenção. Nossa hipótese é que os usuários de drogas avaliariam melhor a APS, uma vez que as drogas podem fortalecer a relação entre os usuários e os serviços de saúde. Em estudo transversal realizado em dois serviços públicos de internação do município de Divinópolis, Brasil, comparamos a avaliação da APS avaliada por pacientes internados por ICSAP, compreendendo usuários e não usuários de drogas, encaminhados ao PSF ou UBS. Os participantes foram entrevistados (n = 314; 69,1% usuários de drogas) e solicitados a responder questões relacionadas às características sociodemográficas, clínicas/terapêuticas e à atuação na APS, compreendendo os atributos-chave acessibilidade, gatekeeping, longitudinalidade, integralidade, coordenação, enfoque familiar, orientação comunitária e formação profissional.FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisengUniversidade Federal de Minas GeraisUFMGBrasilFAR - DEPARTAMENTO DE FARMÁCIA SOCIALAtención PrimariaSaúde públicaAssistência farmacêuticaAtenção primária à saúdeUsuários de drogasPublic healthPharmaceutical servicesPrimary health careDrug usersEvaluation of primary health care by users and non-users of drugs hospitalized for primary care-sensitive conditionsEvaluación de la atención primaria por los usuarios y no usuarios de medicamentos hospitalizados por condiciones sensibles al cuidado ambulatorioinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.sciencedirect.com/journal/atencion-primaria/vol/49/issue/4Mariana Linhares PereiraFrancisco de Assis AcurcioCristiane Aparecida Menezes de Páduaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/59030/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALEvaluation of primary health care by users and non-users of drugs hospitalized for primary care-sensitive conditions.pdfEvaluation of primary health care by users and non-users of drugs hospitalized for primary care-sensitive conditions.pdfapplication/pdf112724https://repositorio.ufmg.br/bitstream/1843/59030/2/Evaluation%20of%20primary%20health%20care%20by%20users%20and%20non-users%20of%20drugs%20hospitalized%20for%20primary%20care-sensitive%20conditions.pdf7aa31267bf6497b0f275ab284916b2c8MD521843/590302023-10-02 17:28:17.111oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-10-02T20:28:17Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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