0351/2020 - Pesquisa Nacional de Saúde (PNS-2019) e o Primary Care Asssement Tool (PCAT): a construção de uma nova linha de base para avaliação dos serviços de saúde no Brasil Brazilian National Health Survey (PNS-2019) and the Primary Care Asssement Tool (PCAT): developing a new baseline for evaluating health services in Brazil
Existem inúmeros instrumentos para a avaliação dos serviços de APS no mundo, dentre eles a família de instrumentos do Primary Care Assessment Tool (PCAT), desenvolvido e disseminado por Starfield & Shi para avaliar a existência e extensão das características dos serviços de atenção primária em saúde. Reforçando a importância do uso desse instrumento no Brasil, o Ministério da Saúde publicou em 2020, uma nova edição da versão brasileira que informa a metodologia utilizada para tais instrumentos, resgatando o papel do IBGE como grande avaliador externo do SUS. O IBGE incluiu de forma pioneira em seu principal inquérito amostral domiciliar, a Pesquisa Nacional de Saúde, um módulo de perguntas da versão reduzida do PCAT para usuários adultos. Os principais resultados globais encontrados para o Brasil (escore geral =5,9) informam que aqueles que mais utilizam os serviços de APS (adultos com morbidades referidas), são também os que avaliam mais positivamente tais serviços. Também foram observadas diferenças entre os moradores de domicílios cadastrados pelas equipes de saúde da família, entre os que recebem visitas de agentes comunitários e agentes de endemias e, por faixa etária (os mais idosos avaliam de forma mais positiva os serviços).
Palavras-chave:
atenção primária à saúde, avaliação em saúde, inquéritos domiciliares, PCAT, IBGE, Brasil
Abstract:
There are numerous instruments for the evaluation of PHC services in the world, including the family of instruments of the Primary Care Assessment Tool (PCAT), developed and disseminated by Starfield & Shi to assess the existence and extent of the characteristics of primary health care services. Reinforcing the importance of using this instrument in Brazil, the Ministry of Health published in 2020 a new edition of the Brazilian version that informs the methodology used for such instruments, rescuing the role of IBGE as a major external evaluator of SUS. IBGE pioneered in its main household random sample survey, the National Health Survey, a question module of the reduced version of the PCAT for adult users. The main global results found for Brazil (general PCAT score = 5.9) inform that those who use PHC services (adults with referred morbidities) the most are also those who evaluate these services most positively. Differences were also observed between the residents of households registered by the family health teams, between those who receive visitscommunity agents and endemic agents, and by age group (older people evaluate services more positively).
Keywords:
primary health care, health evaluation, household surveys, PCAT, IBGE, Brazil
Brazilian National Health Survey (PNS-2019) and the Primary Care Asssement Tool (PCAT): developing a new baseline for evaluating health services in Brazil
Resumo (abstract):
There are numerous instruments for the evaluation of PHC services in the world, including the family of instruments of the Primary Care Assessment Tool (PCAT), developed and disseminated by Starfield & Shi to assess the existence and extent of the characteristics of primary health care services. Reinforcing the importance of using this instrument in Brazil, the Ministry of Health published in 2020 a new edition of the Brazilian version that informs the methodology used for such instruments, rescuing the role of IBGE as a major external evaluator of SUS. IBGE pioneered in its main household random sample survey, the National Health Survey, a question module of the reduced version of the PCAT for adult users. The main global results found for Brazil (general PCAT score = 5.9) inform that those who use PHC services (adults with referred morbidities) the most are also those who evaluate these services most positively. Differences were also observed between the residents of households registered by the family health teams, between those who receive visitscommunity agents and endemic agents, and by age group (older people evaluate services more positively).
Palavras-chave (keywords):
primary health care, health evaluation, household surveys, PCAT, IBGE, Brazil
Pinto, L. F., Silva, V.S.T.M. Pesquisa Nacional de Saúde (PNS-2019) e o Primary Care Asssement Tool (PCAT): a construção de uma nova linha de base para avaliação dos serviços de saúde no Brasil. Cien Saude Colet [periódico na internet] (2020/Nov). [Citado em 05/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/pesquisa-nacional-de-saude-pns2019-e-o-primary-care-asssement-tool-pcat-a-construcao-de-uma-nova-linha-de-base-para-avaliacao-dos-servicos-de-saude-no-brasil/17833?id=17833
