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Revista Brasileira de Saúde Materno Infantil

versão impressa ISSN 1519-3829

Resumo

MOURA, Bárbara Laisa Alves et al. Primary health care: the structure of units as a component of health care. Rev. Bras. Saude Mater. Infant. [online]. 2010, vol.10, suppl.1, pp.s69-s81. ISSN 1519-3829.  https://doi.org/10.1590/S1519-38292010000500007.

OBJECTIVES: to assess the structure of the primary health care units in two municipalities, comparing the Family Health Units(FHU) and the conventional units. METHODS: a quantitative cross-sectional study was carried out using structured interviews and observation of the work routine of the teams as data collection techniques. Three components were evaluated: the physical environment, material resources, and staff. RESULTS: the findings provided evidence of structural shortcomings in all three components, these being more serious in the Family Health Units. The shortcomings in terms of physical structure were more serious in municipality B, where the items under evaluation were fund in less than 70% of FHUs. In both municipalities, less than 50% of units had basic equipment. In municipality A, all the conventional units had doctors and nurses, while in municipality B, 27.3% of FHUs had no doctor. Shortcomings were revealed that jeopardize biosafety and there was an absence of structures that favor the development of the kind of collective intervention that is necessary for changing the model of care by placing more emphasis on health surveillance. CONCLUSIONS: although the chains of causation that link the structure of health services to their effects are complex and involve various factors, the study findings reiterate the need for more attention to be paid to structural components when evaluating health management.

Palavras-chave : Program evaluation; Primary health care; Family health.

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