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Care performance assessment of primary health care services in the State of São Paulo

The objective of this article is to present the results of the care performance assessment of primary care services in a selected sample of municipalities with more than 100 thousand inhabitants in the State of São Paulo. These municipalities were grouped into clusters. Patients and primary care providers from traditional units and Family Health Programs (FHP) were interviewed using specific questionnaires which covered the eight dimensions of primary care. Regarding the assessment made by Patients and Companions, the general index obtained was 50%, which in a way qualifies it as not very satisfactory. As for the analysis by dimensions, there is a greater level of satisfaction in the clusters with more favorable social indicators in all the studied dimensions except for the Services Available and Community Advising. Regarding the assessment made by primary care providers in traditional units and FHP, the primary care providers who work in the FHP evaluate the performance as better. In municipalities with less favorable social indicators, it is possible to evidence that the dimensions of linkages, services available, family focusing and community advising were better assessed by the FHP providers.

Primary care; Performance assessment; Family Health Program


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