Abstract
Objective: to identify two features of primary health care, namely First-contact access and Longitudinality in hospitalized children. Methods: cross-sectional study carried out in two secondary and tertiary hospitals with 120 children under five years of age hospitalized due to sensitive conditions of primary health care. Data collection performed using the Primary Care Assessment Tool. Results: the degree of affiliation obtained a better score (approximately 8.0), being the only one among all components of the instrument satisfactorily evaluated (≥6.6). Longitudinality (>4.0) had a lower score than first-contact access (5.6). According to the parents, the nurse was the professional who had most performed the follow-up in childcare. Conclusion: the results point to weaknesses in services and carergivers' dissatisfaction, evidenced by the poor following to the Primary Health Care principles.
Highlights
In view of the obvious limitation of the hierarchical health system in the country, there has been a current tendency to structure the health care model from the Health Care Network system, which is a new way of organizing the health care system in integrated systems that can meet with effectiveness, efficiency, safety, quality and equity the health conditions of the Brazilian population[1,2].In Health Care Networks, Primary Health Care plays a prominent role in coordinating and guiding health care, as well as its features, which can be verified through Primary Health Care assessment instruments, such as the Primary Care Assessment Tool (PCA-Tool)
When dismembering the First-contact access feature, we have the first three components weighted in the Primary Health Care assessment instrument called Degree of affiliation (A), Use (B) and Accessibility (C)
We observed that many mothers/caregivers would take the child to emergency care units when they found the first symptoms of changes in the health status and they did not monitor the child’s growth and development in childcare consultations
Summary
In view of the obvious limitation of the hierarchical health system in the country, there has been a current tendency to structure the health care model from the Health Care Network system, which is a new way of organizing the health care system in integrated systems that can meet with effectiveness, efficiency, safety, quality and equity the health conditions of the Brazilian population[1,2].In Health Care Networks, Primary Health Care plays a prominent role in coordinating and guiding health care, as well as its features, which can be verified through Primary Health Care assessment instruments, such as the Primary Care Assessment Tool (PCA-Tool). The features First-contact access and Longitudinality were deepened, the former being understood as the accessibility and use of the service to each new problem or episode of a problem; and the latter presupposes the existence of a regular form of care and its use over time. The most prevalent injuries among children aged 0-5 are pneumonia and diarrhea, which continue to be the main causes of death in children[4]. These diseases have been associated with low socioeconomic levels and are closely linked to factors such as poor domestic environments, malnutrition and lack of access to basic services[5]
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