Structure for the work and composition of Family Health Support Unit teams: national survey - Program for Improving Primary Health Care Access and Quality (PMAQ), 2013

Seus, Thamires Lorenzet; Silveira, Denise Silva da; Tomasi, Elaine; Thumé, Elaine; Facchini, Luiz Augusto; Siqueira, Fernando Vinholes

doi:10.5123/S1679-49742019000300017

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 28 (3) • 2019 • https://doi.org/10.5123/S1679-49742019000300017 linkcopy

Structure for the work and composition of Family Health Support Unit teams: national survey - Program for Improving Primary Health Care Access and Quality (PMAQ), 2013^*

SCIMAGO INSTITUTIONS RANKINGS

Objective: to describe the structure of Family Health Support Unit (FHSU) teams with regard to physical space, training received, continuing education and professionals that support Primary Health Care (PHC) teams in Brazil, in 2013.

Methods: this is a descriptive study using data from the external evaluation stage of the Program for Improving Primary Health Care Access and Quality (PMAQ).

Results: the 1,773 FHSU teams mainly used shared clinics at primary health care centers (85.7%); 63.4% of professionals were offered specific training when they started work at their FHSU, while 67.4% were offered continuing education; the teams received support mainly from physiotherapists (87.4%) and Physical Education professionals (87,0%).

Conclusion: the structure available for FHSU teams is in accordance with the guidelines; some FHSU professionals have not received any specific training for the job.

Keywords:
Structure of Services; Primary Health Care; Health Evaluation; Patient Care Team

Aspects	FHSU team work characteristics
Aspects	N	%
Spaces made available for carrying out FHSU activities (n=1,773)
Exclusive consulting room	689	38.8
Consulting room shared with team	1,520	85.7
Meeting room in health center	1,290	72.7
Spaces in health center territory	1,467	82.7
Other	636	35.8
Availability of vehicle for FHSU (n=1,773)
Yes	1,333	75.2
FHSU needs met according to vehicle availability (n=1,333)
Always	540	40.6
Nearly always	527	39.5
Sometimes	211	15.8
Rarely	52	3.9
Never	3	0.2
Availability of supplies for carrying out FHSU activities (n=1,773)
Yes	1,471	83.0

Variables	N	%
Provision of specific training about FHSU when the professional started work there (n=1,773)
Yes for all professionals	808	45.6
Yes for some professionals	315	17.8
No	650	36.6
Type of training provided to FHSU professionals when they started work there (n=1,123)
Introductory course	549	48.9
Capacity building workshop	694	61.8
Informative meeting	697	62.1
Other	189	16.8
Opinion of FHSU professionals on quality of training provided (n=1,123)
Very good	302	26.9
Good	674	60.0
Regular	134	11.9
Poor	13	1.2
Provision of continuing education for FHSU professionals (n=1,773)
Yes for all professionals	915	51.6
Yes for some professionals	280	15.8
No	578	32.6
Opinion of FHSU professionals on quality of continuing education provided (n=1,195)
Very good	303	25.4
Good	734	61.4
Regular	141	11.8
Poor	15	1.2
Very poor	2	0.2
Themes covered by continuing education activities (n=1,195)
Primary Health Care principles and guidelines	860	72.0
Organization of the Primary Health Care work process	841	70.4
Organization of the FHSU work process	949	79.4
Discussion of complex cases and/or building a Unique Therapy Project	800	66.9
Methods for working with groups	731	61.2
Surveillance actions in the territory	636	53.2
Chronic conditions	827	69.2
Mental health	896	75.0
Women’s health	789	66.0
Children’s health	798	66.8
Rehabilitation/Health of People with Disabilities	758	63.4
Social conflict situations (violence, use of alcohol and other drugs etc.)	909	76.0

FHSU professionals supporting PHC teams (n=17,157)	PHC teams supported by FHSU professionals
FHSU professionals supporting PHC teams (n=17,157)	N	%
Physiotherapi st	14,993	87.4
Physical Education professional	14,931	87.0
Veterinarian	14,580	85.0
Social Worker	11,850	69.0
Nutritionist	10,665	62.2
Pharmacist	7,012	40.19
Public Health Physician	4,248	24.7
Pediatrician	3,017	17.6
Gynecologist	2,850	16.6
Art-Educator	1,022	6.0
Occupational Therapist	882	5.1
Psychologist	636	3.7
Geriatrician	519	3.0
Obstetrician	414	2.4
Occupational Health Physician	326	1.9
Acupuncturist	285	1.7
Clinical Medicine Physician	229	1.3
Homeopathic Physician	174	1.0

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Structure for the work and composition of Family Health Support Unit teams: national survey - Program for Improving Primary Health Care Access and Quality (PMAQ), 2013*

Structure for the work and composition of Family Health Support Unit teams: national survey - Program for Improving Primary Health Care Access and Quality (PMAQ), 2013^*