Article

Desempenho do PSF no Sul e no Nordeste do Brasil: avaliação institucional e epidemiológica da Atenção Básica à Saúde

Ciência & Saúde Coletiva (Impact Factor: 0.4). 01/2006; DOI: 10.1590/S1413-81232006000300015
Source: DOAJ

ABSTRACT A pesquisa, desenvolvida dentro dos Estudos de Linha de Base do Proesf analisou o desempenho do Programa Saúde da Família (PSF) em 41 municípios dos Estados de Alagoas, Paraíba, Pernambuco, Piauí, Rio Grande do Norte, Rio Grande do Sul e Santa Catarina. Utilizou delineamento transversal, com grupo de comparação externo (atenção básica tradicional). Entrevistou 41 presidentes de Conselhos Municipais de Saúde, 29 secretários municipais de Saúde e 32 coordenadores de Atenção Básica. Foram caracterizados a estrutura e o processo de trabalho em 234 Unidades Básicas de Saúde (UBS), incluindo 4.749 trabalhadores de saúde; 4.079 crianças; 3.945 mulheres; 4.060 adultos e 4.006 idosos. O controle de qualidade alcançou 6% dos domicílios amostrados. A cobertura do PSF de 1999 a 2004 cresceu mais no Nordeste do que no Sul. Menos da metade dos trabalhadores ingressaram por concurso público e o trabalho precário foi maior no PSF do que em UBS tradicionais. Os achados sugerem um desempenho da Atenção Básica à Saúde (ABS) ainda distante das prescrições do SUS. Menos da metade da demanda potencial utilizou a UBS de sua área de abrangência. A oferta de ações de saúde, a sua utilização e o contato por ações programáticas foram mais adequados no PSF.

Download full-text

Full-text

Available from: Elaine Thumé, Aug 15, 2015
0 Followers
 · 
262 Views
  • Source
    • "Most of the limited range of specific FHS team characteristics available for evaluation showed little or no association with hospitalization rates. Diverse evaluations of the Brazilian Family Health Strategy have shown positive results in relation to evaluations of users, managers and health professionals (Macinko et al. 2004; Brown and Prescott 2006; Harzheim et al. 2006b; Guanais and Macinko 2009), to the availability of health care and to access and use of services (Elias 2006; Facchini 2006; Harzheim et al. 2006a; Piccini 2006; Viana 2006). Favourable results have also been shown for reduction of infant mortality (Macinko et al. 2006; Aquino et al. 2009) and for increased labour supply and employment, increased school attendance and decreased fertility among the registered populations (Rocha and Soares 2009). "
    [Show abstract] [Hide abstract]
    ABSTRACT: How to provide effective and efficient care to the burgeoning and aging populations of the major cities of low- and middle-income countries constitutes one of the principle public health issues of our times. We evaluated the Family Health Strategy, the Brazilian national health system's public approach to primary health care, in the major city of Belo Horizonte, describing trends and factors associated with hospitalizations for primary care sensitive conditions following the implementation of 506 family health teams, most of which were established in 2002. We conducted an ecological study covering 2003 to 2006, using mixed models to investigate time trends in public system hospitalizations as well as their association with social vulnerability and primary care team characteristics. Sensitive conditions accounted for 115,340 (26.4%) hospitalizations. Over the 4-year period, hospitalizations for sensitive conditions declined by 17.9%, vs only 8.3% for non-sensitive ones (P<0.001). Hospitalization for sensitive conditions declined 22% for women in areas of high social vulnerability vs 9% for women in areas of low vulnerability (P<0.001); for men, 17% vs 10% (P=0.11). Though the ecologic nature of our study limits the confidence with which conclusions can be affirmed, the Family Health Strategy appears to have contributed to a major reduction in hospitalizations due to primary care sensitive conditions in this large Brazilian metropolis, while at the same time promoting greater health equity.
    Health Policy and Planning 06/2011; 27(4):348-55. DOI:10.1093/heapol/czr043 · 3.00 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to evaluate the prevalence of access to continuous-use medicines for treat- ment of systemic arterial hypertension, diabetes mellitus, and/or mental health problems, and the associated factors. A cross-sectional study was developed under the Project for the Expan- sion and Consolidation of the Family Health Program in 41 cities in South and Northeast Bra- zil. The sample included 4,060 adults and 4,003 elderly living in the coverage areas for primary health care clinics. Prevalence of access to con- tinuous-use medicines was 81% in non-elderly adults and 87% in the elderly. Greater access was associated with the following factors: adults in South Brazil - older age, higher socioeconomic status, type of chronic disease, and participation in support groups in the primary health clinic area; adults in the Northeast - systemic arterial hypertension with or without diabetes mellitus; elderly in the South - more schooling; and elder- ly in the Northeast - older age, more schooling, non-smoking, enrolment in the primary health care clinic coverage area, and the family health care model. The results show important inequity in health, reinforcing the need for policies to ex- pand access, mainly for lower-income popula- tion groups.
    Cadernos de Saúde Pública 01/2008; 24(2). DOI:10.1590/S0102-311X2008000200005 · 0.89 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This cross-sectional study, carried out in 41Brazilian cities, describes the conditions of the basic health units (UBS) in relation to architectur- al barriers. A sample of 240 UBS with different mo- dalities of basic attention was selected at ran- dom. The professionals working in the UBS answered a standardized questionnaire about architectonic barriers in their units.Approximately 60% of the UBS were classified as inadequate in relation to easy access for the elderly and subjects with disabilities. The existence of steps, the lack of railings, the inex- istence of slopes, the lack of bathrooms adapted for the users of wheelchairs, and the inadequate wait- ing rooms were a constant in the studied UBS. The conclusion is that many architectural barriers make the access to the health services difficult. The popu- lation aging and the consequent increasing demand for healthcare by the elderly, the increase of chronic diseases and use of UBS by disabled persons make an urgent institutional intervention for improving the physical the structure of the UBS indispensable.
Show more