Abstract
Aim. To evaluate the quality of Primary Health Care (PHC) models for Brazilian children. Methods. A cross-sectional study was performed with 516 parents or guardian of children in the public preschools from a city in São Paulo State, Brazil. The participants completed the questionnaires on the perception of the quality of the PHC (Primary Care Assessment Tool-PCATool), and the socioeconomic conditions in their families. The data were analyzed by statistical tests (95% confidence level). Results. Private services, Family Health Strategies (FHS), and Conventional Health Care (CHC) were the modalities of PHC used by children. Among the three modalities, in all groups were observed statistically significant differences (p<0.001), the best quality of care was provided by FHS (8.22±1.69). The CHC (5.69±1.34) and the private service (6.65±0.99) need improvement in accessibility, continuity of care, integrality, family, and community orientation. The socioeconomic class of the families was associated with modalities of PHC (p<0.001). Conclusions. The quality of primary care for children in the public health system still requires much improvement, primarily in conventional model. However, the Family Health Strategies was the model that presented the best quality of primary health care for children.
Highlights
Health is a fundamental human right and an extremely important aspect of society that requires interventions in social, governmental, economic, and health areas
One-quarter of Conventional Health Care (CHC) users reported experiencing difficulties when they took their child to a health facility for medical attention, and half of users reported having to wait more than 30 minutes for their child to receive medical care
The services provided through Family Health Strategies (FHS) can correct inequalities that impact the health of children even when they are affected by poor living and health conditions (Oliveira, Moreira & Luiz, 2019)
Summary
Health is a fundamental human right and an extremely important aspect of society that requires interventions in social, governmental, economic, and health areas. The publicly managed health system has undergone improvements, and the most important of these improvements has been the development of the Family Health Strategies (FHS) model, employed in addition to the traditional model of Conventional Health Care (CHC) (Almeida, 2018). In the CHC model, as part of a model of primary care should be able to offer health promotion, prevention, treatment and rehabilitation to patients, the professionals provide traditional care based on spontaneous demand for care and with poor interaction with the community (Martins et al 2016). In the FHS model, community-based, family-focused care is provided and care planning is offered to a delimited population (Martins et al 2016)
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