Estratégia saúde da família: avaliação das crenças dos profissionais que atuam em municípios rurais paraibanos

• Autor(a) principal: Oliveira, Suenny Fonsêca de
• Data de Publicação: 2010
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/7013
• topic: Avaliação de programas sociais; Profissionais de saúde; Evaluation of social programs; Equipe de Saúde da Família - ESF; Health professionals; CIENCIAS HUMANAS::PSICOLOGIA

The Family Health Strategy (ESF) consists in a public policy aimed at basic health care providing services of prevention, education and protection to the health of the community. Like any government policy, the ESF should be evaluated in order to enhance their actions and to identify whether the strategy has achieved its objectives and assorted positive impacts in the target population. Several authors warn to the need for introduce in the analysis the actors who are directly and indirectly related to social programs (beneficiaries, service providers, administrators), because the changes in their perceptions may have important influence on the achievement and acceptance of the program, assuming thus a methodological character that can not be disregarded. The present has as main focus the healthcare team that composes the ESF. Their beliefs about prevention health, attitudes about population and the means available to accomplish their work, are fundamental variables to base the structuring of a program that aims to serve the poor population in a preventive way. In this sense, the present study aimed to evaluate the ESF from the beliefs of professionals in the Family Health Team (EqSF) who work in municipalities in rural environment of the State of Paraíba. The general hypothesis of this study is that the assessment of EqSF professionals about ESF (consequent variable) will be the result of professionals' beliefs about the factors of the final theoretical model that guides the thesis, as much as of the socio-professional profile of the workers of ESF, such as education level, occupational category to which they belong and the mesoregion where the ESF in which they work is implemented (antecedent variables). To achieve these goals, there have been done three subsequent steps: construction and validation procedures of the evaluative instrument (studies 1 and 2 respectively) and evaluation of ESF (study 3). Study 1 aimed to build the Rating Scale of ESF by EqSF with a non-probability sample, by quota, of 220 professionals of the six categories of the ESF in six municipalities of Paraíba. The scale data were processed using the statistical package SPPS through which were performed descriptive and inferential statistics that showed the emergence of five factors, which explain jointly 39.08% of the total variance of the scale and have eigenvalues (eigenvalues) greater than 1 and general internal consistency ( ) of 0.87, which indicates a good homogeneity and consistency of the items. The final version of the Rating Scale of the ESF by EqSF was applied to a non-probability sample, by quota, in which 10 municipalities were chosen from each mesoregion of Paraíba using the criterion of population distribution (less than 25 thousand people), totalizing 40 municipalities. Participated in the other studies 812 health professionals from the six categories that make up the ESF team (doctors, nurses, dentists, ACS, ACD and nursing assistants). In general, the sample studied was shown to be sufficient to examine the differences in beliefs of health professionals in regard to socioprofessional variables presenting the following major results: 1) professionals who work in inlander municipalities of Paraíba evaluated more negatively than professionals of EqSF from the other mesoregions four of the five factors of the ESF under analysis, 2) there were differences in ratings of ESF according to the occupational category revealing differentiated beliefs according to the profession and the ESF factor analysis, 3) professionals of EqSF with medium/technical education level evaluated the accessibility of care (factor III), the understanding of the ESF (factor IV) and job qualifying (factor V) more positively than higher level professionals. The findings provided by the thesis reveal both positive and negative aspects of the strategy that can be shaped in order to correct the routes to optimize the actions of this health care model in the researched locations.