Avaliação da orientação à atenção Primária à Saúde da Criança

• Autor(a) principal: Damasceno, Simone Soares
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/5146
• topic: Atenção Primária à Saúde; Avaliação de serviços; Saúde da criança; Primary health care; Evaluation of services; Child´s health; CIENCIAS DA SAUDE::ENFERMAGEM

The presence of attributes of the Primary Health Care qualifies the services of basic attention ensuring a higher effectiveness of the developed actions. The general objective was to evaluate the guidance degree related to the child´s Primary Health Care in the Family Health Strategy and the specific ones were to identify the presence and scope of Primary Care attributes concerning the child´s health; to verify the association between the user´s characteristics and the quality of child´s health care in the Family Health Strategy; and to analyze the effectiveness of the child´s health care by means of the association among the Primary Care attributes. It is an evaluative and cross-sectional study of quantitative approach. A total of 344 children´s family members in Family Health Units took part in the research. Data collection occurred from October 2012 to January 2013 by using the Primary Care Evaluation Tool, child´s version, and a tool structured for collecting the families´ socio-demographic data. Data were analyzed in the light of descriptive statistics, distribution of absolute/relative frequencies, calculation of average and construction of scores for the measured attributes, following the guidance contained in the tool´s manual issued by the Health Ministry. In order to analyze the association among the variables, univariate statistical tests and the adaptation of a logistic regression model were used. The study followed the guidelines of the Resolution number 466/12 of the National Council of Health, and obtained favorable opinion of the Research Ethics Committee number 044/2012 and CAAE number 01295412.2.1001.0107. High scores for the access attribute were verified in their procedural component, use and longitudinality which highlight that the service is reference for infantile care and it has been used as regular source of care. Longitudinality is favored by the existence of a suitable information system, procedural component of the coordination. Nevertheless, it was observed commitment of the structural dimension of access accessibility, of the integrality attribute in both evaluated dimensions available and offered services, which consequently resulted in the low family and community guidance. From the user´s characteristics associated to the satisfactory evaluation of the service, the affiliation degree was highlighted which was presented as possibility for a better evaluation of the Family Health Strategy. Probably, the bond is the factor related to the satisfactory evaluation once it provides favorable conditions for the offer of measured attributes. This result emphasizes the importance of the bond for the quality of primary care services in the child´s health. It can be concluded that the Family Health Strategy still is not directed to the child´s Primary Health Care in the investigated context, but it focuses on attaining satisfactory levels for the evaluated attributes, highlighting the need for improving aspects of the service process and structure, especially related to the access accessibility and integrality attributes, in addition to the attributes derived from family and community guidance with the purpose of qualifying the developed actions.