Is the management of obesity in primary health care appropriate in Brazil?
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/0102-311X00051620 http://hdl.handle.net/1843/62753 http://orcid.org/0000-0003-3128-7959 http://orcid.org/0000-0001-9355-3066 http://orcid.org/0000-0002-8947-2121 http://orcid.org/0000-0002-2751-2458 http://orcid.org/0000-0002-3069-7959 http://orcid.org/0000-0001-9782-2606 |
Resumo: | This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) – an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions. |
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2024-01-12T21:01:50Z2024-01-12T21:01:50Z2021-12-1537supl. 1https://doi.org/10.1590/0102-311X000516201678-4464http://hdl.handle.net/1843/62753http://orcid.org/0000-0003-3128-7959http://orcid.org/0000-0001-9355-3066http://orcid.org/0000-0002-8947-2121http://orcid.org/0000-0002-2751-2458http://orcid.org/0000-0002-3069-7959http://orcid.org/0000-0001-9782-2606This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) – an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions.O estudo tem como objetivo descrever a adequação das unidades básicas de saúde (UBS) em relação à estrutura e ao processo de trabalho relacionados ao manejo da obesidade, além de avaliar a satisfação dos/as usuários/as com os serviços de saúde. Este estudo transversal foi realizado utilizando dados do Programa Nacional de Melhoria do Acesso e da Qualidade (PMAQ) 2013-2014, uma iniciativa nacional para avaliar o desempenho das equipes de saúde. A coleta de dados ocorreu em 2013 e 2014 através de entrevistas com equipes e usuários/ as dos serviços saúde. Todos os indicadores de adequação para o cuidado da obesidade foram criados no âmbito do artigo, com base nos dados do PMAQ. Foram avaliadas 24.055 UBS em 4.845 municípios, além de dados de 114.615 usuários/as. Apenas 7,6% das UBS analisadas tinham estrutura adequada para o tratamento da obesidade. O acesso adequado foi observado em 26,6%, e a organização adequada dos serviços foi encontrada para 27,8% das UBS. Os cuidados de saúde foram classificados como “bons” ou “muito bons” por 82,4% dos usuários/as. Esses indicadores variaram por região geográfica, com melhores resultados para as regiões Sul e Sudeste. Os resultados sugerem que, possivelmente, o país ainda está na fase inicial de sistematização dos cuidados com a obesidade, com significativas disparidades entre as regiões.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorengUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADAENF - DEPARTAMENTO DE NUTRIÇÃOCadernos de Saúde PúblicaObesidadeAtenção primária à saúdeQualidade da assistência à saúdeServiços de saúdeObesityPrimary health careQuality of health careIs the management of obesity in primary health care appropriate in Brazil?O manejo da obesidade na atenção primária à saúde no Brasil é adequado?¿Es adecuada la gestión de la obesidad en la atención primaria en Brasil?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielosp.org/article/csp/2021.v37suppl1/e00051620/en/#Mariana Souza LopesPatrícia Pinheiro de FreitasMaria Cecília Ramos de CarvalhoNathália Luíza FerreiraMariana Carvalho de MenezesAline Cristine Souza Lopesapplication/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/1843/62753/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALIs the management of obesity in primary health care appropriate in Brazil_PDF-A.pdfIs the management of obesity in primary health care appropriate in Brazil_PDF-A.pdfapplication/pdf1027590https://repositorio.ufmg.br/bitstream/1843/62753/2/Is%20the%20management%20of%20obesity%20in%20primary%20health%20care%20appropriate%20in%20Brazil_PDF-A.pdf25f6982ea44e1a74b565ca1da682a2c0MD521843/627532024-01-12 18:30:00.171oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-01-12T21:30Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Is the management of obesity in primary health care appropriate in Brazil? |
dc.title.alternative.pt_BR.fl_str_mv |
O manejo da obesidade na atenção primária à saúde no Brasil é adequado? ¿Es adecuada la gestión de la obesidad en la atención primaria en Brasil? |
title |
Is the management of obesity in primary health care appropriate in Brazil? |
spellingShingle |
Is the management of obesity in primary health care appropriate in Brazil? Mariana Souza Lopes Obesity Primary health care Quality of health care Obesidade Atenção primária à saúde Qualidade da assistência à saúde Serviços de saúde |
title_short |
Is the management of obesity in primary health care appropriate in Brazil? |
title_full |
Is the management of obesity in primary health care appropriate in Brazil? |
title_fullStr |
Is the management of obesity in primary health care appropriate in Brazil? |
title_full_unstemmed |
Is the management of obesity in primary health care appropriate in Brazil? |
title_sort |
Is the management of obesity in primary health care appropriate in Brazil? |
author |
Mariana Souza Lopes |
author_facet |
Mariana Souza Lopes Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
author_role |
author |
author2 |
Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mariana Souza Lopes Patrícia Pinheiro de Freitas Maria Cecília Ramos de Carvalho Nathália Luíza Ferreira Mariana Carvalho de Menezes Aline Cristine Souza Lopes |
dc.subject.por.fl_str_mv |
Obesity Primary health care Quality of health care |
topic |
Obesity Primary health care Quality of health care Obesidade Atenção primária à saúde Qualidade da assistência à saúde Serviços de saúde |
dc.subject.other.pt_BR.fl_str_mv |
Obesidade Atenção primária à saúde Qualidade da assistência à saúde Serviços de saúde |
description |
This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) – an initiative to assess primary health care teams’ performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users. All indicators of adequate care for obesity were defined within the article scope, based on data from the PMAQ. Of the 24,055 UBS analyzed, located in 4,845 different cities, only 7.6% had adequate structure for obesity management. Likewise, only 26.6% of the 114,615 users interviewed reported adequate access, and 27.8% of the UBS showed adequate service organization. Healthcare was considered as “good” or “very good” by 82.4% of users. These indicators varied according to geographic region, showing better results for the South and Southeast. Our results suggest that the country may still be at the initial stage of systematizing care with obesity, presenting significant disparities among regions. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-12-15 |
dc.date.accessioned.fl_str_mv |
2024-01-12T21:01:50Z |
dc.date.available.fl_str_mv |
2024-01-12T21:01:50Z |
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 |
http://hdl.handle.net/1843/62753 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/0102-311X00051620 |
dc.identifier.issn.pt_BR.fl_str_mv |
1678-4464 |
dc.identifier.orcid.pt_BR.fl_str_mv |
http://orcid.org/0000-0003-3128-7959 http://orcid.org/0000-0001-9355-3066 http://orcid.org/0000-0002-8947-2121 http://orcid.org/0000-0002-2751-2458 http://orcid.org/0000-0002-3069-7959 http://orcid.org/0000-0001-9782-2606 |
url |
https://doi.org/10.1590/0102-311X00051620 http://hdl.handle.net/1843/62753 http://orcid.org/0000-0003-3128-7959 http://orcid.org/0000-0001-9355-3066 http://orcid.org/0000-0002-8947-2121 http://orcid.org/0000-0002-2751-2458 http://orcid.org/0000-0002-3069-7959 http://orcid.org/0000-0001-9782-2606 |
identifier_str_mv |
1678-4464 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Cadernos de Saúde Pública |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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ENF - DEPARTAMENTO DE ENFERMAGEM APLICADA ENF - DEPARTAMENTO DE NUTRIÇÃO |
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Universidade Federal de Minas Gerais |
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