| Autor: |
Costa LB; Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará (UFC). R. Prof. Costa Mendes 1281/1282, Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil.; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil., Mota MV; Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará (UFC). R. Prof. Costa Mendes 1281/1282, Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil., Porto MMA; Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará (UFC). R. Prof. Costa Mendes 1281/1282, Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil., Fernandes CSGV; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil., Santos ET; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil., Oliveira JPM; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil., Mota TC; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil., Porto ALDS; Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará (UFC). R. Prof. Costa Mendes 1281/1282, Rodolfo Teófilo. 60430-140 Fortaleza CE Brasil., Alencar MNA; Centro de Ciências da Saúde, Faculdade de Medicina, Universidade de Fortaleza (UNIFOR). Fortaleza CE Brasil. |
| Abstrakt: |
Primary Health Care (PHC) is the "front door" and keystone of Brazil's public health system, meaning that the evaluation of the quality of primary care services is of utmost importance. Using the Primary Care Assessment Tool (PCAT), this study evaluated the performance of public PHC services in Fortaleza from the view of adult service users. We conducted a cross-sectional study of 233 adult service users from 19 primary care centers (PCCs) between June and December 2019, collecting data on the sociodemographic and epidemiological characteristics of users and structural features of PCCs. The association between user and PCC characteristics and primary care attribute scores was measured by multilevel logistic regression. Most participants were women, aged between 30 and 59 years, brown, house owners, had completed high school, did not own health insurance, and belonged to families with at least 4 members. The lowest and highest-scoring attributes were "first contact accessibility" and "first contact utilization" (2.8 and 8.1, respectively). The overall essential and general scores were 6.0 and 5.7, respectively. Having complete health teams, more community health workers, and a family and community medicine residency program had a positive effect on the general score (p<0.05). Overall, the public services analyzed in Fortaleza received a low performance rating from the adult service users. |
