Evaluation of at-risk infant care: comparison between models of primary health care
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100288 |
Resumo: | ABSTRACT OBJECTIVES To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units). METHODS A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool – child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample. RESULTS Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit. CONCLUSIONS Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants’ health care. |
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Revista de Saúde Pública |
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Evaluation of at-risk infant care: comparison between models of primary health careInfant, NewbornRisk GroupsPrimary Health CareHealth Care Quality, Access, and EvaluationFamily Health StrategyUnified Health SystemABSTRACT OBJECTIVES To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units). METHODS A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool – child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample. RESULTS Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit. CONCLUSIONS Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants’ health care.Faculdade de Saúde Pública da Universidade de São Paulo2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100288Revista de Saúde Pública v.53 2019reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2019053001063info:eu-repo/semantics/openAccessSamelli,Alessandra GiannellaTomazelli,Gislene AndradeAlmeida,Maria Helena Morgani deOliver,Fátima CorrêaRondon-Melo,SilmaraMolini-Avejonas,Daniela Reginaeng2019-11-22T00:00:00Zoai:scielo:S0034-89102019000100288Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-11-22T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Evaluation of at-risk infant care: comparison between models of primary health care |
title |
Evaluation of at-risk infant care: comparison between models of primary health care |
spellingShingle |
Evaluation of at-risk infant care: comparison between models of primary health care Samelli,Alessandra Giannella Infant, Newborn Risk Groups Primary Health Care Health Care Quality, Access, and Evaluation Family Health Strategy Unified Health System |
title_short |
Evaluation of at-risk infant care: comparison between models of primary health care |
title_full |
Evaluation of at-risk infant care: comparison between models of primary health care |
title_fullStr |
Evaluation of at-risk infant care: comparison between models of primary health care |
title_full_unstemmed |
Evaluation of at-risk infant care: comparison between models of primary health care |
title_sort |
Evaluation of at-risk infant care: comparison between models of primary health care |
author |
Samelli,Alessandra Giannella |
author_facet |
Samelli,Alessandra Giannella Tomazelli,Gislene Andrade Almeida,Maria Helena Morgani de Oliver,Fátima Corrêa Rondon-Melo,Silmara Molini-Avejonas,Daniela Regina |
author_role |
author |
author2 |
Tomazelli,Gislene Andrade Almeida,Maria Helena Morgani de Oliver,Fátima Corrêa Rondon-Melo,Silmara Molini-Avejonas,Daniela Regina |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Samelli,Alessandra Giannella Tomazelli,Gislene Andrade Almeida,Maria Helena Morgani de Oliver,Fátima Corrêa Rondon-Melo,Silmara Molini-Avejonas,Daniela Regina |
dc.subject.por.fl_str_mv |
Infant, Newborn Risk Groups Primary Health Care Health Care Quality, Access, and Evaluation Family Health Strategy Unified Health System |
topic |
Infant, Newborn Risk Groups Primary Health Care Health Care Quality, Access, and Evaluation Family Health Strategy Unified Health System |
description |
ABSTRACT OBJECTIVES To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units). METHODS A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool – child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample. RESULTS Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit. CONCLUSIONS Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants’ health care. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100288 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100288 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2019053001063 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.53 2019 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936505583206400 |