Escala de Evaluación de la Eficacia de la Estrategia Salud de la Familia por los Usuarios

Melo, Cynthia de Freitas; Alchieri, João Carlos; Araújo Neto, João Lins de; Melo, Fabrício Augusto de Freitas

doi:10.1590/1413-82712016210205

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Sumário

Papers • Psico-USF 21 (2) • May-Aug 2016 • https://doi.org/10.1590/1413-82712016210205 copiar

Escala de Evaluación de la Eficacia de la Estrategia Salud de la Familia por los Usuarios

Autoría SCIMAGO INSTITUTIONS RANKINGS

Resumen

El principal acceso a los servicios del Sistema Nacional de Salud (SUS) es la Estrategia de Salud de la Familia (ESF), y necesita ser evaluada constantemente. Esta investigación tuvo como objetivo crear un instrumento de evaluación de la eficacia de la ESF, entendiendo las creencias sobre la eficacia de la ESF en una muestra estratificada no probabilística de 390 usuarios en Natal, con datos analizados utilizando estadística descriptiva, bivariante y multivariante con auxilio del software Statistical Package of Social Sciences for Windows. El nuevo instrumento con 25 ítems y escala dicotómica posee un factor, llamado Eficacia del atendimiento en la ESF, dividido en 4 sub-factores, con índice de consistencia interna alfa de Cronbach de 0,77. Se indica, incluso, que la eficacia del atendimiento fue evaluado negativamente por 74,6% de los usuarios, lo cual confirma la relevancia de la nueva escala y señala la necesidad de cambios en el funcionamiento de la ESF para poder disponer de servicios de calidad.

Palabras clave:
salud de la familia; evaluación de programa; análisis factorial

ITEMS	FACTOR 1
	1	2	3	4
6. FHP Equipment and instruments (stethoscope, scale, pressure device, dentist's chair) work properly.	0,35
11. PHF professionals come everyday from Monday to Friday, in the morning and in the afternoon.
12. The Community Health Agents (ACS) comes to my house at least once a month.	0,40
15. I thins it is wrong when the doctor in my area/street does not come (missing or on holiday), and can not be seen by another doctor from another area.	0,32
17. Here in the neighborhood need more another team of FHP.	0,32
18. Every day, many people are left without care in the PHP, because the numbers for attendance finished.	0,42
19. Short attendance numbers are given in FHP.	0,60
20. People need to wake up at dawn to take the attendance number ensure assistance in the FHP.	0,38
21. In the FHP in my neighborhood there is a reception to find what my problem is and the urgency of it before I am assisted.	0,36
22. Some people go without assistance because the FHP only works during the day in the time when they are working.	0,52
23. I know people who had to miss the job to be assisted in FHP.	0,37
24. Failure to assist during the night hinders workers´ access to care in the FHP.	0,47
27. It's hard to get an appointment for medical specialist (cardiologist, ophthalmologist, dermatologist, etc.).		0,47
28. It takes more than one month to have an exam.		0,44
29. I've had difficulty mark the return to the specialist doctor (cardiologist, ophthalmologist, and dermatologist) who assisted me.		0,56
9. The professionals´ attendance of the FHP is good.			0,38
39. In the FHP you cannot choose the doctor who will assist me.			0,46
42. I already suspected in the consultation with what the doctor had told me.			0,34
43. I trust the FHP professionals.			0,4
44. There is often a meeting held with the community to talk about the FHP problems.			0,53
54. The FHP in my neighborhood just worsens.				0,43
57. The hospital settles better my health problem than the FHP.				0,4
61. If I could choose, instead of going to the FHP, I would go to a private clinic.				0,37
62. I think the service in private practice is faster than in the FHP.				0,34
63. There is a difference between what the law says about the care in health and how it happens in practice.				0,39

Universidade de São Francisco, Programa de Pós-Graduação Stricto Sensu em Psicologia R. Waldemar César da Silveira, 105, Vl. Cura D'Ars (SWIFT), Campinas - São Paulo, CEP 13045-510, Telefone: (19)3779-3771 - Campinas - SP - Brazil
E-mail: revistapsico@usf.edu.br

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[1] Contato com os autores: Cynthia de Freitas Melo Universidade de Fortaleza, Programa de Pós-Graduação em Psicologia Av. Washington Soares, 1321, Bloco N, Sala N13, Edson Queiroz CEP: 60811-341 Fortaleza, CE, Brasil