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Care coordination and longitudinality in primary health care in the Brazilian Amazon

Coordinación y longitudinalidad del cuidado en la atención primaria de salud en la Amazonia brasileña

ABSTRACT

Objectives:

to evaluate the attributes of primary health care, care coordination and longitudinality, from the perception of the professional and patients in the state of Amazonas, Brazil.

Methods:

quantitative evaluative study, in which was used an external evaluation instrument with 469 professionals and 1,888 patients from 367 primary health care facilities that adhered to the Program for Improving Access and Quality of primary health care (Portuguese acronym: PMAQ) standardized by the Ministry of Health. Data were grouped by multivariate cluster analysis in order to find a classification of primary health care from the perspective of professionals and patients.

Results:

the attributes of coordination and longitudinality are still expressed in a weak and undeveloped way in the Brazilian Amazon scenario.

Conclusions:

it is necessary to recognize the organizational barriers and what could promote conditions for the performance of health care teams in the perspective of a continuous, integral and coordinated care.

Descriptors:
Primary Health Care; Integrality in Health; Continuity of Patient Care; Health Evaluation; Health Policy

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