Banca de DEFESA: JULIANA MOTA FERREIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : JULIANA MOTA FERREIRA
DATA : 15/09/2018
HORA: 10:00
LOCAL: Departamento de Odontologia
TÍTULO:

PRIMARY HEALTH CARE: ASSESSMENT OF ATTRIBUTES AND IDENTIFICATION OF QUALITY AND SERVICE IMPROVEMENT STRATEGIES

PALAVRAS-CHAVES:

primary health care; family Health; evaluation of health services; quality of health care; Quality Indicators

PÁGINAS: 24
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Primary Health Care (PHC) is the first level of care within the of the health system, and has four essential attributes: first contact, continuity and integrality of care, and coordination of the assistance. It also adds three other characteristics (attributes derivatives), which qualify actions in PHC: family-centered attention, community orientation, and cultural competence. Identifying the presence and extension of these attributes is important in order to define a service as really oriented towards PHC, and allows to verify the association between these and the results - effectiveness - of the health care of the population. In this way, the evaluative process acquires an essential role for the effectiveness and quality of health actions and services, and consists of the initial stage of the qualification process and should be followed by development of interventions and strategies aimed at improving quality indicators. Within this context, this The purpose of this study was to evaluate the attributes of PHC in a Northeast of Brazil; identify health quality indicators; and describe strategies used at the national and international levels to improvement of services. First, a descriptive cross-sectional study with the purpose of evaluating the presence and extension of APS attributes, instrument of PCATool-Brazil. In a second At the same time, a systematic review was carried out, in the period from 2011 to 2015, describing international experiences related to advances and improvements in PHC; identify which indicators are used to qualify the APS; and to describe interventions or strategies used in Brazil to

improve the quality of results. The analysis of the attributes showed that the The mean total score was 6.88 ± 0.91. The average score for the attribute essential was 6.61 ± 0.91 and for the derived attribute was 7.80 ± 1.30. O first-contact component showed low mean (3.76 ± 1.11), whereas the information coordination system presented the highest average score (8.06 ± 1.60). The review of strategies used in several countries showed that the majority of the studies were related to coordination of care, programs or models to manage practices, and technology tools. As for the quality indicators, compiled 18 domains. Interventions or strategies related to quality indicators were, for the most part, directed towards promotion of health and prevention of diseases, using health education, pharmaceutical and nutritional guidance and technological resources. It was concluded that the evaluation of the attributes showed a strong orientation towards primary health care, considering accessibility as a major challenge of APS in Brazil. The review of international practices and experiences has proved to be a relevant mechanism to identify possible solutions for overcome obstacles and achieve better results. The recognition of quality indicators essential for improving care delivery It also provides additional support for monitoring the quality of the APS. It highlights the multidisciplinarity involved in studies that health systems, and a broader view of planning, quality of services, public policies, health process, among others, for a better understanding of reality.

MEMBROS DA BANCA:
Externo ao Programa - 2374605 - AURIGENA ANTUNES DE ARAUJO
Externo ao Programa - 2583642 - FLAVIA CHRISTIANE DE AZEVEDO MACHADO
Externo à Instituição - GEORGIA COSTA DE ARAUJO SOUZA - UERN
Presidente - 1149531 - IRIS DO CEU CLARA COSTA
Externo à Instituição - MARIA DO CARMO EULÁLIO - UEPB