Perfil sociodemográfico de pais e/ou cuidadores e de crianças de 0 a 5 anos internadas por condições sensíveis à atenção primária

Abstract

Admissions due to conditions sensitive to primary care constitute a set of diagnoses for which the primary care services offered in a timely and effective way would reduce the chances of injuries and hospitalizations, so they are considered an important quality marker of this level of attention . Another way to evaluate APS performance is by measuring each attribute through PCATool. The study aimed to characterize the sociodemographic profile of caregivers and children hospitalized for CSAP and to evaluate the care provided to them in the PHC. This is an evaluative, cross-sectional study with a quantitative approach. Interviews were conducted with 120 caregivers responsible for children up to five years of age hospitalized for diarrhea, pneumonia or asthma in two pediatric hospitals, one at the secondary level and the other at the tertiary level in Fortaleza, CE, from February to May 2016 , In which a sociodemographic questionnaire and the Primary Care Assessment Tool - Child Version were used to assess the attributes of primary care. Of the 120 interviewees, 46 (38.3%) were between 14 and 23 years of age, 72 (60%) only studied until elementary school and 38 (31.7%) came from regional 5 and 6 that have the low. According to the diagnosis of hospitalization, 84 (70%) had pneumonia, 29 (24.2%) diarrhea, 3 (2.5%) asthma, 4 (3.3%) pneumonia and diarrhea, only 58 (48.3% Children attend routine childcare consultation. Regarding the attributes of primary care, a positive evaluation was obtained only for the Affiliation attribute. Housing conditions, the caregiver's age, educational level and family income are presented as constructors of socioeconomic vulnerability. Dissatisfaction with PHC is due to disagreements between the health needs of children and what is offered by the service. This population encounters access barriers, predominance of curative and individualistic practices, lack of adequate communication between professionals and users, lack of materials, increasing the number of ICSAP. The nurse, through the child care consultation, has an important opportunity to recognize situations of risk and aggravation, allowing the early realization of measures that promote the prevention, promotion and protection of children's health.