Abstract
Primary health care must assume the centrality of care so that health systems address and solve the health needs of the population. To evaluate the quality of primary health care from the perspective of health professionals, including those associated with the Mais Médicos Brasil Program, verifying associations between quality of services and professional qualification. A cross-sectional study where interviews with health professionals were carried out. The quality of care was measured by means of interviews about the experience of doctors and nurses with the services, using the Primary Care Assessment Tool (PCATool-Brasil). The presence and the extension of the primary health care attributes of the Southwest II region of Goiás state, constituted by 10 municipalities, were investigated. The lowest APS Overall Score was for the first contact access attribute (3.71). The bivariate analysis showed statistical difference between the variables profession and the essential, derived and general scores. Doctors of the More Doctors Program had higher average scores (7,68 essential; 9,11 derivative; 8,04 general) when compared to other medical professionals and nurses. The findings highlight the importance of permanent evaluation of health services, especially primary care, due to its importance and centrality to the organization of other levels of care. Only from this monitoring is possible a better management orientation for strategic and resolutive investments.
Highlights
Primary health care must assume the centrality of care so that health systems address and solve the health needs of the population
Extrapolating the political issues and criticisms made about the PMM, such as its structure, its sustainability, and the idea of foreign doctors coming to Brazil, preliminary studies have shown that its implementation have made it possible to expand access and reach coverage of almost 100% of the population in small municipalities, with increased access to primary health care (PHC), ensuring greater health care
The present study aimed to evaluate PHC based on its attributes, from the perspective of professionals, through the Primary Care Assessment Tool (PCATool), verifying factors associated with the best possible care
Summary
Extrapolating the political issues and criticisms made about the PMM, such as its structure, its sustainability, and the idea of foreign doctors coming to Brazil, preliminary studies have shown that its implementation have made it possible to expand access and reach coverage of almost 100% of the population in small municipalities, with increased access to PHC, ensuring greater health care This is because it was able to link medical professionals to the Family Health Strategy (Estratégia Saúde da Família - ESF) teams, which until were inactive due to their absence, and reorganized the structure of medical education, with the increase of vacancies, the opening of new courses in regions with a low physician/inhabitants ratio, as well as strengthening the insertion of medical students in primary care units[7,8]
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Schedule a callMore From: Revista brasileira de epidemiologia = Brazilian journal of epidemiology
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