Primary health care as assessed by health professionals: comparison of the traditional model versus the Family Health Strategy
| Autor: | Cristina Rabelo Flôr, Clareci Silva Cardoso, Hygor Kleber Cabral Silva, Cristiane Aparecida Menezes de Pádua, Cleonice Ferreira Rabelo, Bernardo Luis Gontijo, Cláudia Di Lorenzo Oliveira, Pedro Messenger Caldeira Bretas, Suzana Freitas Carvalho, Mariana Linhares Pereira |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Epidemiology Cross-sectional study Attitude of Health Personnel Health Personnel education MEDLINE Logistic regression Health Services Evaluation 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Family Health 030505 public health Primary Health Care business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Univariate Polytomous Rasch model lcsh:RA1-1270 General Medicine Odds ratio Middle Aged Models Theoretical Confidence interval Cross-Sectional Studies Family medicine Female 0305 other medical science business Psychology Delivery of Health Care Brazil |
| Zdroj: | Revista Brasileira de Epidemiologia v.20 n.4 2017 Revista brasileira de epidemiologia Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO Revista Brasileira de Epidemiologia, Vol 20, Iss 4, Pp 714-726 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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