Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy
ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.
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Associação Brasileira de Saúde Coletiva
2017
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oai:scielo:S1415-790X20170004007142017-12-13Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health StrategyFlôr,Cristina RabeloOliveira,Cláudia Di LorenzoCardoso,Clareci SilvaRabelo,Cleonice FerreiraGontijo,Bernardo LuisCarvalho,Suzana Freitas deBretas,Pedro Messenger CaldeiraSilva,Hygor CabralPereira,Mariana LinharesPádua,Cristiane Menezes de Primary Health Care Health Services Evaluation Health Personnel Brazil ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units.info:eu-repo/semantics/openAccessAssociação Brasileira de Saúde ColetivaRevista Brasileira de Epidemiologia v.20 n.4 20172017-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2017000400714en10.1590/1980-5497201700040013 |
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Flôr,Cristina Rabelo Oliveira,Cláudia Di Lorenzo Cardoso,Clareci Silva Rabelo,Cleonice Ferreira Gontijo,Bernardo Luis Carvalho,Suzana Freitas de Bretas,Pedro Messenger Caldeira Silva,Hygor Cabral Pereira,Mariana Linhares Pádua,Cristiane Menezes de |
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Flôr,Cristina Rabelo Oliveira,Cláudia Di Lorenzo Cardoso,Clareci Silva Rabelo,Cleonice Ferreira Gontijo,Bernardo Luis Carvalho,Suzana Freitas de Bretas,Pedro Messenger Caldeira Silva,Hygor Cabral Pereira,Mariana Linhares Pádua,Cristiane Menezes de Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| author_facet |
Flôr,Cristina Rabelo Oliveira,Cláudia Di Lorenzo Cardoso,Clareci Silva Rabelo,Cleonice Ferreira Gontijo,Bernardo Luis Carvalho,Suzana Freitas de Bretas,Pedro Messenger Caldeira Silva,Hygor Cabral Pereira,Mariana Linhares Pádua,Cristiane Menezes de |
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Flôr,Cristina Rabelo |
| title |
Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| title_short |
Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| title_full |
Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| title_fullStr |
Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| title_full_unstemmed |
Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy |
| title_sort |
primary health care as assessed by health professionals: comparison of the traditional model versus the family health strategy |
| description |
ABSTRACT: Introduction: The Family Health Strategy (FHS) should be first-contact care in the Brazilian Health System. However, Primary Health Care (PHC) still encompasses two models: the FHS and the traditional health care facilities. The expansion of the FHS has been slow and heterogeneous in many cities, rendering a comparative evaluation of key quality-related elements of PHC models crucial. Objective: To compare the performance of PHC models as perceived by health professionals. Methods: A cross-sectional study involving managers and health professionals from PHC of a medium-size city in South-eastern Brazil. Data were collected by applying the Primary Care Assessment Tool. The performance was estimated through primary health care indexes (general and partial PHCI by attributes). Univariate polytomous logistic regression was performed to compare care model performances according to their attributes. Strength of association was estimated by odds ratio with 95% confidence interval. Results: Three managers and 81 health professionals participated in the study. The FHS had a better index rating than the traditional care model for general PHCI and for the attributes longitudinality, comprehensiveness, family focus and professional level. Conclusion: Although the FHS attained higher scores compared to the traditional model, it has not yet achieved the performance expected. This scenario points to the need for increased FHS cover and quality improvements at the existing units. |
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Associação Brasileira de Saúde Coletiva |
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2017 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2017000400714 |
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