Abstract
This article focuses on the implementation of the Family Health Program (FHP) in municipalities (counties) in the State of Amazonas, Brazil, analyzing potential population coverage, evidence of change in the health care model, and impact (2004 and 2008). Implementation was classified as fair versus unsatisfactory. The findings showed an increase in the number of municipalities with the FHP implemented, as well as in the program's coverage (which nevertheless was less than 50% of the population). Concerning change in the health care model, no municipalities were observed with a high rate of change. As for impact, there was a decrease in low impact and an increase in high impact. The final classification did not show a statistically significant change from one year to the next, and unsatisfactory implementation prevailed in the municipalities of the State of Amazonas. Evaluation of the FHP is not simple, since there are various factors involved in the issue. Further studies could reveal the factors that explain the program's suboptimal implementation in the State of Amazonas.
Highlights
Desde sua criação, o Programa Saúde da Família (PSF) é uma estratégia que vem se estendendo no território nacional
This article focuses on the implementation of the Family Health Program (FHP) in municipalities in the State of Amazonas, Brazil, analyzing potential population coverage, evidence of change in the health care model, and impact (2004 and 2008)
The findings showed an increase in the number of municipalities with the FHP implemented, as well as in the program’s coverage
Summary
Figura 1 Diagrama dos componentes da análise: indicadores, medidas, parâmetros, escores e classificação final. Se a distribuição das categorias é dependente, e os resíduos padronizados revelam os padrões característicos de cada categoria de classificação nos anos de estudo, segundo o excesso ou falta de ocorrências, permitindo concluir a respeito da significância das associações. A Tabela 1 apresenta os resultados dos indicadores e das variáveis por municípios, nos anos de 2004 e 2008. Na Tabela 2, é possível visualizar a classificação dos indicadores e o teste qui-quadrado com os resíduos padronizados, indicando as categorias onde houve diferença nos os anos de estudo. Tabela 1 Distribuição dos indicadores e classificação da implantação do Programa Saúde da Família nos municípios do Amazonas, Brasil, 2004 e 2008
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
