Ciência & Saúde Coletiva
Print version ISSN 1413-8123
SANTOS, Adriano Maia dos et al. Healthcare practices of Family Health Teams in four major cities. Ciênc. saúde coletiva [online]. 2012, vol.17, n.10, pp. 2687-2702. ISSN 1413-8123. http://dx.doi.org/10.1590/S1413-81232012001000018.
This paper examines reports on how care is administered by Family Health Teams (FHT) doctors and nurses in four state capitals. It identifies issues relating to priority actions, routine activities and the association between the professional profile and how selected activities are performed, in an attempt to ascertain how far these approximate to the comprehensive approach to primary health care. The cross-section reflects results from data collected via self-applied questionnaires. Cross-analyses were made using the Pearson chi-square (÷2) test for categorical variables. A and B variables are, or are not, associated, at a 5% level of significance. The analyses point to a tendency to strike a balance in meeting programmed and spontaneous demand, corroborating the person-centered approach. Action to address chronic infectious disorders is not a priority for all FHTs, which impairs health surveillance actions and comprehensive care. Home visits are not yet a weekly activity for all personnel. Lack of involvement in community activities restricts care to conventional practices and undermines the logic of change of model. Contradictions identified between training and practice indicate a need to review policies for ongoing professional development.
Keywords : Primary healthcare; Family health program; Health evaluation; Health professional; Human resource training.