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Assessment of primary health care: health professionals’ perspective

Evaluación de la atención primária em la salud: vision de los profissionales de la salud

Objective

To assess primary health care attributes of access to a first contact, comprehensiveness, coordination, continuity, family guidance and community orientation.

Method

An evaluative, quantitative and cross-sectional study with 35 professional teams in the Family Health Program of the Alfenas region, Minas Gerais, Brazil. Data collection was done with the Primary Care Assessment Tool - Brazil, professional version.

Results

Results revealed a low percentage of medical experts among the participants who evaluated the attributes with high scores, with the exception of access to a first contact. Data analysis revealed needs for improvement: hours of service; forms of communication between clients and healthcare services and between clients and professionals; the mechanism of counter-referral.

Conclusion

It was concluded that there is a mismatch between the provision of services and the needs of the population, which compromises the quality of primary health care.




Primary health care; Health services evaluation; Family Health Strategy; Health personnel


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br