Longitudinality and community orientation in the context of indigenous health.

Autor:	Rocha ESC; Universidade Federal do Amazonas. Manaus, Amazonas, Brazil., Pina RMP; Universidade Federal do Amazonas. Manaus, Amazonas, Brazil., Parente RCP; Fundação Oswaldo Cruz. Manaus, Amazonas, Brazil., Garnelo MLP; Fundação Oswaldo Cruz. Manaus, Amazonas, Brazil., Lacerda RA; Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2021 Mar 03; Vol. 74 (1), pp. e20190872. Date of Electronic Publication: 2021 Mar 03 (Print Publication: 2021).
DOI:	10.1590/0034-7167-2019-0872
Abstrakt:	Objectives: to analyze, from healthcare professionals' perspectives, the longitudinality and community orientation in Primary Health Care, offered both in the Special Indigenous Health District and in the primary network that assists non-indigenous population in municipal health services in Upper Rio Negro region. Methods: a cross-sectional study with 116 professionals, 87 (75%) of indigenous health, 29 (25%) of municipal services. Primary Care Assessment Tool, professional version, used by Upper Rio Negro for Social Sciences region. For association of variables, chi-square test and Kruskal-Wallis were used. Results: longitudinality obtained an unsatisfactory score (6.4 and 6.5), as well as community orientation (6.1 and 5.6) for both services. Weaknesses refer to professional turnover, little knowledge about users' living conditions, precarious employment relationship. In indigenous health, satisfaction was higher when compared to municipal services. Conclusions: it is necessary to improve work management in health services, seeking to guarantee the quality of performance of professionals.
Databáze:	MEDLINE
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