0109/2023 - Consulta de puericultura na Estratégia Saúde da Família em municípios do interior do Estado da Paraíba, Brasil Childcare consultation at the Family Health Strategy in municipalities in the interior of the State of Paraíba, Brazil
Objetivo: Avaliar a consulta de puericultura realizada por profissionais de saúde que atuam na Estratégia Saúde da Família em municípios do Estado da Paraíba, comparar o desempenho segundo o tipo de equipe de saúde (Programa Mais Médicos ou convencional) e analisar a associação da satisfação do usuário com as ações desenvolvidas. Métodos: Estudo transversal que avaliou as condições de estrutura das unidades de saúde, o processo de trabalho dos profissionais de saúde e a satisfação do usuário, observando-se as consultas de puericultura em 22 equipes. Resultados: Na estrutura, destacaram-se fragilidades no vínculo laboral e nos conhecimentos dos profissionais sobre as curvas de crescimento infantil. Nas 175 consultas observadas foi possível constatar negligenciamento no preenchimento da Caderneta de Saúde da Criança, na obtenção de dados do consumo alimentar e nas práticas de orientação. Apenas 36% das consultas foram classificadas com tempo de duração adequado. Houve maior satisfação para consultas realizadas em equipes do Programa Mais Médicos, com maior tempo de duração e com melhor desempenho nas práticas de orientação. Conclusão: A implementação da consulta de puericultura apresenta lacunas importantes que podem influenciar a satisfação materna com as mesmas, nomeadamente as práticas de orientação e o tempo de consulta.
Palavras-chave:
Atenção Primária à Saúde, Cuidado da Criança, Avaliação de Processos (Cuidados de Saúde), Desempenho Profissional.
Abstract:
Objective: To evaluate the childcare consultation carried out by health professionals working at the Family Health Strategy in municipalities in the State of Paraíba, to compare performance according to the type of health team (Programa Mais Médicos or conventional) and to analyze the association of user satisfaction with the developed actions. Methods: It is a cross-sectional study that evaluated the structural conditions of health units, the work process of health professionals and user satisfaction, observing childcare consultations in 22 health teams. Results: In the structure, weaknesses in the employment relationship and in the professionals\' knowledge about child growth curves were highlighted. In the 175 consultations observed was possible to detect the neglect of filling out the Child Health Handbook, in obtaining data on food consumption and in guidance practices. Only 36% of the consultations were classified with adequate duration. There was greater satisfaction for consultations developed in health teams of the Programa Mais Médicos, when it lasted longer and the better performance in guidance practices. Conclusion: The implementation of the childcare consultation show important gaps that can influence maternal satisfaction with them, namely guidance practices and consultation time.
Keywords:
Primary Health Care, Child Care, Process Assessment (Health Care), Work Performance.
Childcare consultation at the Family Health Strategy in municipalities in the interior of the State of Paraíba, Brazil
Resumo (abstract):
Objective: To evaluate the childcare consultation carried out by health professionals working at the Family Health Strategy in municipalities in the State of Paraíba, to compare performance according to the type of health team (Programa Mais Médicos or conventional) and to analyze the association of user satisfaction with the developed actions. Methods: It is a cross-sectional study that evaluated the structural conditions of health units, the work process of health professionals and user satisfaction, observing childcare consultations in 22 health teams. Results: In the structure, weaknesses in the employment relationship and in the professionals\' knowledge about child growth curves were highlighted. In the 175 consultations observed was possible to detect the neglect of filling out the Child Health Handbook, in obtaining data on food consumption and in guidance practices. Only 36% of the consultations were classified with adequate duration. There was greater satisfaction for consultations developed in health teams of the Programa Mais Médicos, when it lasted longer and the better performance in guidance practices. Conclusion: The implementation of the childcare consultation show important gaps that can influence maternal satisfaction with them, namely guidance practices and consultation time.
Palavras-chave (keywords):
Primary Health Care, Child Care, Process Assessment (Health Care), Work Performance.
Pedraza, Dixis. Consulta de puericultura na Estratégia Saúde da Família em municípios do interior do Estado da Paraíba, Brasil. Cien Saude Colet [periódico na internet] (2023/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/consulta-de-puericultura-na-estrategia-saude-da-familia-em-municipios-do-interior-do-estado-da-paraiba-brasil/18735?id=18735
