Abstract
Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.
Highlights
In all countries of the world, there are changes that require a redesign of health care to respond more effectively to new and more complex needs such as demographic transition, epidemiological transition, the evolution of technology and the increase in social expectations regarding health and vital well-being
In Brazil, PHC is organized in different ways, and from the mid-1990s it was carried out predominantly in the form of the Family Health Strategy (FHS)
This strategy was designed incorporating the knowledge generated in international experiences of health systems based on primary health care and on the proposals defined in the Alma Ata Conference, with the principles of universal access, continuous, comprehensive and coordinated care aimed at the communities and their social context[2]
Summary
In all countries of the world, there are changes that require a redesign of health care to respond more effectively to new and more complex needs such as demographic transition, epidemiological transition, the evolution of technology and the increase in social expectations regarding health and vital well-being These and many other changes require health responses, demanding an organized and strong PHC[1]. In Brazil, PHC is organized in different ways, and from the mid-1990s it was carried out predominantly in the form of the Family Health Strategy (FHS) This strategy was designed incorporating the knowledge generated in international experiences of health systems based on primary health care and on the proposals defined in the Alma Ata Conference, with the principles of universal access, continuous, comprehensive and coordinated care aimed at the communities and their social context[2]. There are concepts, instruments, and measures to assess the quality of the services[1]
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