Abstract
This research aimed to correlate the indicators of Primary Health Care in their structural components with those of the process and with the results in the municipalities of Mato Grosso, Brazil, from 2008 to 2015. This is an evaluative, quantitative, retrospective research with the use of secondary data from information systems. A matrix is composed of components of the structure (potential population coverage) the process (medical consultation, home visit of doctor and nurse, referral to the specialist, and request of clinical pathology exams), and the result (hospitalization rate due to sensitive causes). It was constructed when primary care, the proportion of live births of mothers with seven or more prenatal consultations, and the infant mortality coefficient) and the descriptive analysis and Spearman correlation coefficient (rho) were performed. The study found that population coverage remained high above 83% and the process indicators suggest an improvement in family health strategy, with a reduction of 63.13% in the average referral to a specialist and 49.71% in the request for clinical pathology exams. However, there was a 7.13% reduction in the average home visit during the study period. There is a correlation between the structure and process component and between structure and result. It has been found that with the evolution of the Family Health Strategy, there were changes in some indicators of primary care, but it is not possible to state that there was a change in the care model.
Highlights
The Family Health Strategy (FHS), known as the Family Health Program, was adopt by the Ministry of Health (MH) in 1997 as an innovative model of health care in order to transform the conventional care model, centered on healing and in disease, hitherto prevalent in the Brazilian health system (Vasconcelos, Bosi, & Pontes, 2008)
The evaluation of primary care has been growing since the late 1990s, within the scope of the Primary Care Department of the Ministry of Health in order to contribute to the qualification of health care
Retrospective and quantitative research using the secondary data obtained by the information systems related to the Family Health Strategy, namely: Primary Care Information System (PCIS), HUS Hospital Information System (HIS-HUS), Live Birth Information System (LBIS), Mortality Information System (MIS) and Local Information System of the State Health Department of Mato Grosso
Summary
The Family Health Strategy (FHS), known as the Family Health Program, was adopt by the Ministry of Health (MH) in 1997 as an innovative model of health care in order to transform the conventional care model, centered on healing and in disease, hitherto prevalent in the Brazilian health system (Vasconcelos, Bosi, & Pontes, 2008). The family health teams must organize the practices in the Family Health Units (FHU), showing the multidisciplinary and interdisciplinary character, with the provision of comprehensive, continuous, quality care, taking responsibility for referrals to specialists and their follow-up for total health recovery, at home, at school and in community centers. With these changes in care practices and the organization of primary care, the FHS would be able to solve 85% of the health cases in its area of activity (Brasil, 1997). The FHS has been an inducer of this evaluation process with the challenge of conducting research that points to evidence about the different dimensions of the innovations proposed by the strategy in the organization of the system and in the population's health (Furtado & Vieira-da-Silva, 2014)
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