Avaliação da atenção primária à saúde em Juazeiro do Norte-Ce na perspectiva dos profissionais

Abstract

The evaluation of Primary Healthy Care in Brazil as a priority of Ministry of Healthy has been developing strategies to measuring the quality of services aiming to evaluate the results achieved, regarding the organization and quality of services, considering the accelerated increase in the number of teams of Healthy Family Care implanted all over the country. The City studied similarly shows a large expansion in the number of teams, unleashing the need of a more accurate evaluation, which identifies the presence and extension of the attributes of Primary Healthy Care and fills the lack reffering to the publication of evaluative studies, specially using the instrument Primary Care Assessment Tool - professional version. It is believed that the identification of the degree of approach of the Family Healthy Teams with Primary Healthy Care produces acquirements about it's effectiveness and defines the possible impacts produced in the healthy of population. It was aimed to evaluate the Primary Healthy Care in the city of Juazeiro do Norte, from the professional's perspective. This is an evaluation research with quantitative approach and cross-sectional design, performed in the city of Juazeiro do Norte. The population involved all the professionals dental surgeons, nurses and phisicians of the Family Healthy Strategy (n=169), and it was developed with a sample of 163 professionals of both sexes. For the data collection, two questionnaires were used: the first one related to the sociodemographic profile, academic training and professional experience; and the second one called Primary Care Assessment Tool - professional version. The data collection was performed from February to March 2017, in person, through the application of the instruments, in a period previously scheduled, with an average duration of 40 minutes. The data were tabulated and analyzed by the software Statistical Package for the Social Sciences - 23 version. The evaluation of essential and general scores of attributes were found by calculating the arithmetic mean of the answers of their respective items. It was adopted as a cut-off the value of 6,60. The project was submitted to the Research Ethics Committee of Regional University of Cariri and approved with the technical advice Nº 1.940.809. 60 physicians, 63 nurses and 40 dentist surgeons participated in the study. Eight attributes of Primary Healthy Care were evaluated, with “Access of First Contact” being the attribute of lowest score (3,3) and “Coordination - Information System” with the highest score (8,5). The essential score was 6,6 and the general score was 6,8. The score of the attributes “Longitudinality”, “Coordination - Information System” and “Community Orientation” were significantly lower in the perception of dentist surgeons. The District IV expressed best scores on six attributes, denoting minor score just for the Integrality - Services Provided and Family Counseling. The District III had smaller scores. Despite the heterogeneity of the working process, it can be inferred that the Family Health Strategy of the city of Juazeiro do Norte is a provider of Primary Health Care, according to heath professionals.