PRIMARY CARE QUALITY FROM PROFESSIONALS’ PERSPECTIVE: HEALTH OF CHILDREN AND ADOLESCENTS WITH HIV

Graziela Piovesan,Clarissa Bohrer Da Silva,Cristiane Cardoso De Paula,Raquel Einloft Kleinubing,Luis Felipe Dias Lopes,Stela Maris De Mello Padoin

doi:10.1590/0104-07072017000180016

Abstract

ABSTRACT Objective: evaluate, based on the professionals’ experience, the primary health care quality in home cities of children and adolescents with HIV, treated at a specialized service. Method: cross-sectional study involving 527 professionals in 25 interior cities in Rio Grande do Sul, Brazil, in the first semester of 2014. The Primary Care Assessment Tool was applied. Pearson’s chi-square Test, the Mann Whitney Test and the Poisson Regression were used. Results: the Estratégia Saúde da Família and the primary health care service presented a high score related to the essential attributes: longitudinality (7.17 and 6.74), coordination-integration of care (6.87 and 7.03) and coordination-information systems (8.24 and 8.19); and a low score for the attribute access (3.96 and 3.8). The variables: female gender (0.009), education as general practitioner (<0.001), statutory staff (0.029), coordinator position (0.087) and not having another job (0.027) were also associated with the high score. Conclusion: the coverage of the Estratégia Saúde da Família needs to be expanded and structural and organizational shortages in the access need to be overcome.

Highlights

In the 1990’s, investments in antiretroviral treatment for HIV influenced the morbidity and mortality rates of children and adolescents, implying the need for health monitoring due to the chronic condition.[1]
The sociodemographic characteristics evidenced higher frequencies of female professionals, in line with the results found in other studies.[9,11]
Studies developed with caregivers of children presented similarity in the assessment of this attribute in primary health care (PHC),[17] and in adults.[18]. These results revealed that, independently of the social actor, the first contact access to PHC has been assessed unsatisfactorily

Summary

Introduction

In the 1990’s, investments in antiretroviral treatment for HIV influenced the morbidity and mortality rates of children and adolescents, implying the need for health monitoring due to the chronic condition.[1] The health services in Brazil, are structured for the clinical management of acute conditions.[2] That results in the search to solve health problems at the specialized services. To guarantee that this population receives a better quality of care, the care needs to be integrated between the specialized care services and the primary health care (PHC) services.[3]. Coordination refers to the integration of global user care among the different services.[5]

Objectives

Methods

Results

Discussion

Conclusion