Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0102-311X00242219 http://hdl.handle.net/11449/209215 |
Resumo: | The aim was to assess the association between the organizational quality of children's healthcare in primary care services and variables in the management context. An evaluative survey in 151 primary care services in 40 municipalities (counties) in the interior of the State of Sao Paulo, Brazil, answered the QualiAB in 2014 Services were scored according to 41 children's health indicators which comprised quality groups distributed by quartiles and were associated with 17 management indicators. The following were not associated with the quality groups: participation in the More Doctors Program/Provab-Medico (p = 0.102), availability of social services (p = 0.315), and high-risk pregnancy (p = (1814). The association was significant for all the others. Although for some variables, groups G1 and G2 were similar to the more polar groups (GO and G3), the latter showed differences in all the variables. The services belonging to the group considered as having the best quality (G3) were mostly organized in the Family Health Unit/Mixed model (p = 0.018), administered under outsourced management (p < 0.001), regularly supplied prenatal care (p < 0.001), had a general practitioner or family physician available on a 24/7 basis (p = 0.09), and had a support network consisting mainly of CAPSi and CAPSAd III and children's health services (p < 0.001). They also reported holding weekly team meetings (p < 0.001), studying cases of spontaneous demand (p < 0.001), and changing the management and organization of care based on the evaluative process (p = 0.004). In conclusion, organizational quality does not depend only on practices by health professionals, but also on administrators' decisions. |
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Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, BrazilHealth EvaluationHealth ServicesPrimary Health CareChild HealthHealth ManagementThe aim was to assess the association between the organizational quality of children's healthcare in primary care services and variables in the management context. An evaluative survey in 151 primary care services in 40 municipalities (counties) in the interior of the State of Sao Paulo, Brazil, answered the QualiAB in 2014 Services were scored according to 41 children's health indicators which comprised quality groups distributed by quartiles and were associated with 17 management indicators. The following were not associated with the quality groups: participation in the More Doctors Program/Provab-Medico (p = 0.102), availability of social services (p = 0.315), and high-risk pregnancy (p = (1814). The association was significant for all the others. Although for some variables, groups G1 and G2 were similar to the more polar groups (GO and G3), the latter showed differences in all the variables. The services belonging to the group considered as having the best quality (G3) were mostly organized in the Family Health Unit/Mixed model (p = 0.018), administered under outsourced management (p < 0.001), regularly supplied prenatal care (p < 0.001), had a general practitioner or family physician available on a 24/7 basis (p = 0.09), and had a support network consisting mainly of CAPSi and CAPSAd III and children's health services (p < 0.001). They also reported holding weekly team meetings (p < 0.001), studying cases of spontaneous demand (p < 0.001), and changing the management and organization of care based on the evaluative process (p = 0.004). In conclusion, organizational quality does not depend only on practices by health professionals, but also on administrators' decisions.Univ Estadual Paulista, Fac Med, Botucatu, SP, BrazilUniv Sao Paulo, Fac Saude Publ, Sao Paulo, BrazilUniv Estadual Paulista, Fac Med, Botucatu, SP, BrazilCadernos Saude PublicaUniversidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Sanine, Patricia Rodrigues [UNESP]Dias, Adriano [UNESP]Machado, Dinair Ferreira [UNESP]Tortorelli Zarili, Thais Fernanda [UNESP]Loziglia Carrapato, Josiane Fernandes [UNESP]Placideli, Nadia [UNESP]Nunes, Luceime Olivia [UNESP]Mendonca, Carolina Siqueira [UNESP]Lodeiro Castanheira, Elen Rose [UNESP]2021-06-25T11:51:49Z2021-06-25T11:51:49Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article14application/pdfhttp://dx.doi.org/10.1590/0102-311X00242219Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 37, n. 1, 14 p., 2021.0102-311Xhttp://hdl.handle.net/11449/20921510.1590/0102-311X00242219S0102-311X2021000105016WOS:000619052900001S0102-311X2021000105016.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporCadernos De Saude Publicainfo:eu-repo/semantics/openAccess2023-10-12T06:05:50Zoai:repositorio.unesp.br:11449/209215Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-12T06:05:50Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
title |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
spellingShingle |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil Sanine, Patricia Rodrigues [UNESP] Health Evaluation Health Services Primary Health Care Child Health Health Management |
title_short |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
title_full |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
title_fullStr |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
title_full_unstemmed |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
title_sort |
Influence of municipal management on the organization of children's healthcare in primary care services in the interior of the State of Sao Paulo, Brazil |
author |
Sanine, Patricia Rodrigues [UNESP] |
author_facet |
Sanine, Patricia Rodrigues [UNESP] Dias, Adriano [UNESP] Machado, Dinair Ferreira [UNESP] Tortorelli Zarili, Thais Fernanda [UNESP] Loziglia Carrapato, Josiane Fernandes [UNESP] Placideli, Nadia [UNESP] Nunes, Luceime Olivia [UNESP] Mendonca, Carolina Siqueira [UNESP] Lodeiro Castanheira, Elen Rose [UNESP] |
author_role |
author |
author2 |
Dias, Adriano [UNESP] Machado, Dinair Ferreira [UNESP] Tortorelli Zarili, Thais Fernanda [UNESP] Loziglia Carrapato, Josiane Fernandes [UNESP] Placideli, Nadia [UNESP] Nunes, Luceime Olivia [UNESP] Mendonca, Carolina Siqueira [UNESP] Lodeiro Castanheira, Elen Rose [UNESP] |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Sanine, Patricia Rodrigues [UNESP] Dias, Adriano [UNESP] Machado, Dinair Ferreira [UNESP] Tortorelli Zarili, Thais Fernanda [UNESP] Loziglia Carrapato, Josiane Fernandes [UNESP] Placideli, Nadia [UNESP] Nunes, Luceime Olivia [UNESP] Mendonca, Carolina Siqueira [UNESP] Lodeiro Castanheira, Elen Rose [UNESP] |
dc.subject.por.fl_str_mv |
Health Evaluation Health Services Primary Health Care Child Health Health Management |
topic |
Health Evaluation Health Services Primary Health Care Child Health Health Management |
description |
The aim was to assess the association between the organizational quality of children's healthcare in primary care services and variables in the management context. An evaluative survey in 151 primary care services in 40 municipalities (counties) in the interior of the State of Sao Paulo, Brazil, answered the QualiAB in 2014 Services were scored according to 41 children's health indicators which comprised quality groups distributed by quartiles and were associated with 17 management indicators. The following were not associated with the quality groups: participation in the More Doctors Program/Provab-Medico (p = 0.102), availability of social services (p = 0.315), and high-risk pregnancy (p = (1814). The association was significant for all the others. Although for some variables, groups G1 and G2 were similar to the more polar groups (GO and G3), the latter showed differences in all the variables. The services belonging to the group considered as having the best quality (G3) were mostly organized in the Family Health Unit/Mixed model (p = 0.018), administered under outsourced management (p < 0.001), regularly supplied prenatal care (p < 0.001), had a general practitioner or family physician available on a 24/7 basis (p = 0.09), and had a support network consisting mainly of CAPSi and CAPSAd III and children's health services (p < 0.001). They also reported holding weekly team meetings (p < 0.001), studying cases of spontaneous demand (p < 0.001), and changing the management and organization of care based on the evaluative process (p = 0.004). In conclusion, organizational quality does not depend only on practices by health professionals, but also on administrators' decisions. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-25T11:51:49Z 2021-06-25T11:51:49Z 2021-01-01 |
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://dx.doi.org/10.1590/0102-311X00242219 Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 37, n. 1, 14 p., 2021. 0102-311X http://hdl.handle.net/11449/209215 10.1590/0102-311X00242219 S0102-311X2021000105016 WOS:000619052900001 S0102-311X2021000105016.pdf |
url |
http://dx.doi.org/10.1590/0102-311X00242219 http://hdl.handle.net/11449/209215 |
identifier_str_mv |
Cadernos De Saude Publica. Rio De Janiero: Cadernos Saude Publica, v. 37, n. 1, 14 p., 2021. 0102-311X 10.1590/0102-311X00242219 S0102-311X2021000105016 WOS:000619052900001 S0102-311X2021000105016.pdf |
dc.language.iso.fl_str_mv |
por |
language |
por |
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Cadernos De Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
14 application/pdf |
dc.publisher.none.fl_str_mv |
Cadernos Saude Publica |
publisher.none.fl_str_mv |
Cadernos Saude Publica |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
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UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964531651248128 |