Care coordination and longitudinality in primary health care in the Brazilian Amazon.

Amanda Lia Rebelo Rabelo,Marcia Cristina Rodrigues Fausto,Maria Jacirema Ferreira Gonçalves,Juliana Gagno,Esron Soares Carvalho Rocha,Rúbia Aparecida Lacerda

doi:10.1590/0034-7167-2018-0841

Abstract

to evaluate the attributes of primary health care, care coordination and longitudinality, from the perception of the professional and patients in the state of Amazonas, Brazil. quantitative evaluative study, in which was used an external evaluation instrument with 469 professionals and 1,888 patients from 367 primary health care facilities that adhered to the Program for Improving Access and Quality of primary health care (Portuguese acronym: PMAQ) standardized by the Ministry of Health. Data were grouped by multivariate cluster analysis in order to find a classification of primary health care from the perspective of professionals and patients. the attributes of coordination and longitudinality are still expressed in a weak and undeveloped way in the Brazilian Amazon scenario. it is necessary to recognize the organizational barriers and what could promote conditions for the performance of health care teams in the perspective of a continuous, integral and coordinated care.

Highlights

Primary care is the key element of health care systems and addresses the main health problems of the population
Care coordination is an essential attribute of primary health care (PHC) systems in the provision of comprehensive healthcare through practices that ensure the continuity of care
Care coordination in PHC reflects the capacity to coordinate the actions within PHC itself, at other care levels or in institutions corresponding to other public policies involved in the care process

Summary

Introduction

Primary care is the key element of health care systems and addresses the main health problems of the population. Primary health care (PHC) even gains in importance, and a multitask health team in defined territories aims to solve the most common problems in an integral and integrated way in conjunction to other network spots. Care coordination is an essential attribute of PHC systems in the provision of comprehensive healthcare through practices that ensure the continuity of care. The objective of coordination mechanisms is to facilitate the integration between professionals and services, and offer a continuous, lasting and comprehensive health care, aspects that configure longitudinal care[1]. Interpersonal and longitudinal continuity are the aspects most directly related with bonding between professionals and patients, a major element to guarantee comprehensive care

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Results

Discussion

Conclusion