Abstract
to evaluate the "access to first contact" attribute, from the perspective of Primary Care Health professionals. an evaluative and cross-sectional study, carried out from February to March 2017. The sample consisted of 163 health professionals, of both genders, who worked in the basic care of the Municipality of Juazeiro do Norte, Ceará. Access to first contact was evaluated by the Primary Care Assessment Tool (PCATool). The 6.60 mark was used as the cut-off point for the evaluated attribute. access to first contact reached a score of 3.3, denoting a low degree of orientation for Primary Health Care. Nurses were the ones who evaluated the attribute more negatively (p=3.2). access to first contact obtained a low score, pointing to the fragility of the Family Health Strategy as a gateway to the Brazilian Unified Health System (Sistema Único de Saúde).
Highlights
Assessment of Primary Health Care (PHC) is a concern and, a priority for the Ministry of Health (MoH), which develops relatively research strategies in the country, with the intention of evaluating the results achieved, among them being the organization, provision and quality of health services.The implementation of the Family Health Strategy (FHS) as the structuring axis of the reorganization of the Brazilian Unified Health System (SUS - Sistema Único de Saúde), based on PHC, favors major advances in terms of greater access, higher quality of services and reconfiguration ways of producing health care in the territory[1]
A total of 163 interviews were conducted with dentists (n=40, 24.5%), nurses (n=63, 38.6%) and physicians (n=60, 38.8%) from the FHS
When questioned about the type of Higher Education Institution (HEI) where they completed the graduation, 63.8% reported having been in a public institution
Summary
Assessment of Primary Health Care (PHC) is a concern and, a priority for the Ministry of Health (MoH), which develops relatively research strategies in the country, with the intention of evaluating the results achieved, among them being the organization, provision and quality of health services.The implementation of the Family Health Strategy (FHS) as the structuring axis of the reorganization of the Brazilian Unified Health System (SUS - Sistema Único de Saúde), based on PHC, favors major advances in terms of greater access, higher quality of services and reconfiguration ways of producing health care in the territory[1]. It is possible to evaluate each attribute separately, all are interrelated, both in the care practice and in the individual or collective practice, considering that the greater the presence and the extension of an attribute, the stronger the orientation for PHC[4,5,6]. In this context, the access to first contact is distinguished as an attribute consisting of two components: structure (accessibility) and performance (use or access). Performance refers to how people perceive accessibility and use these services to achieve better health outcomes, and is not restricted to just entering the service[7]
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