0852/2013 - Avaliação do enfoque familiar e orientação para a comunidade na Estratégia Saúde da Família Evaluation of family focus and community orientation in the Family Health Strategy
• Siane Rocha Almeida Pinheiro - PINHEIRO, S.R.A. - Universidade Federal do Maranhão - <sirial@hotmail.com>
• LIBERATA CAMPOS COIMBRA - COIMBRA, L.C - Universidade Federal do Maranhão - <liberata@uol.com.br>
Área Temática:
Avaliação de Serviços de Saúde
Resumo:
A Estratégia Saúde da Família deve ser focada na unidade familiar e construída operacionalmente na esfera comunitária. A pesquisa avaliou o enfoque familiar e a orientação para a comunidade como atributos da Atenção Primária em Saúde, comparando se as respostas diferem entre usuários, profissionais e gestores. Trata-se de pesquisa avaliativa de abordagem quantitativa de base populacional, realizada de janeiro de 2010 a março de 2011 no município de São Luís - MA. Trabalhou-se com a população de 32 gestores e 80 profissionais com mais de seis meses de experiência na Estratégia e com amostra de 883 usuários selecionados por conglomerados. Foram utilizados questionários validados no Brasil a partir dos componentes do Primary Care Assessment Tool (PCATool). O índice composto do enfoque familiar foi de 2,7 para os usuários, 4,9 para os profissionais e 5,3 para os gestores (p<0,001). No pós-teste as diferenças foram entre os usuários e profissionais, e usuários e gestores. O índice composto da orientação para a comunidade foi de 2,9 para os usuários, 3,9 para os profissionais e 4,8 para os gestores (p<0,001). Os gestores atribuíram percentuais mais altos em todos os indicadores, depois os profissionais e por último os usuários. Os dois atributos tiveram avaliação insatisfatória na percepção dos usuários.
Palavras-chave:
Atenção Primária
Avaliação em Saúde
Estratégia Saúde da Família
Abstract:
The Family Health Strategy should be focused on the family unit and constructed operationally within the Community sphere. The research assessed the family focus and community orientation as attributes of Primary Health Care, comparing the responses among users, professionals and managers. It is an evaluative study of a population-based quantitative approach, held from January 2010 to March 2011 in São Luís - MA. The study involved a population of 32 managers and 80 professionals with more than six months of experience in the Family Health Strategy and 883 users were selected by means of cluster sampling. Questionnaires validated in Brazil were used based on the components of the Primary Care Assessment Tool (PCATool). The composite index of the family focus was 2.7 for users, 4.9 for professionals and 5.3 for managers (p <0.001). After the posttest, differences were detected between users and professionals, and users and managers. The composite index of community orientation was 2.9 for users, 3.9 for professionals and 4.8 for managers (p <0.001). Managers attributed highest percentages in all indicators, then professionals and ultimately users. Both attributes were unsatisfactory rated in the perception of the users.
Keywords:
Primary Care
Evaluation in Health
Familiar Health Strategy
Evaluation of family focus and community orientation in the Family Health Strategy
Resumo (abstract):
The Family Health Strategy should be focused on the family unit and constructed operationally within the Community sphere. The research assessed the family focus and community orientation as attributes of Primary Health Care, comparing the responses among users, professionals and managers. It is an evaluative study of a population-based quantitative approach, held from January 2010 to March 2011 in São Luís - MA. The study involved a population of 32 managers and 80 professionals with more than six months of experience in the Family Health Strategy and 883 users were selected by means of cluster sampling. Questionnaires validated in Brazil were used based on the components of the Primary Care Assessment Tool (PCATool). The composite index of the family focus was 2.7 for users, 4.9 for professionals and 5.3 for managers (p <0.001). After the posttest, differences were detected between users and professionals, and users and managers. The composite index of community orientation was 2.9 for users, 3.9 for professionals and 4.8 for managers (p <0.001). Managers attributed highest percentages in all indicators, then professionals and ultimately users. Both attributes were unsatisfactory rated in the perception of the users.
Palavras-chave (keywords):
Primary Care
Evaluation in Health
Familiar Health Strategy
Alencar, M.N., QUEIROZ, R.C. de S., Morais, A.P.P, Silva, A.A.M, PINHEIRO, S.R.A., COIMBRA, L.C. Avaliação do enfoque familiar e orientação para a comunidade na Estratégia Saúde da Família. Cien Saude Colet [periódico na internet] (2013/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avaliacao-do-enfoque-familiar-e-orientacao-para-a-comunidade-na-estrategia-saude-da-familia/13147?id=13147