0072/2021 - Planejamento e apoio no processo de trabalho das equipes de atenção básica no Nordeste: análise do PMAQ-AB (3º ciclo) Planning and support in the work process of primary care teams in the Northeast: analysis of the PMAQ-AB (3rd cycle)
O objetivo deste artigo é descrever os indicadores referentes ao planejamento e apoio no processo de trabalho reportados pelas Equipes de Saúde da Família, a partir do 3º ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) na região Nordeste do Brasil. Estudo transversal, utilizando dados secundários da avaliação externa do 3º ciclo do PMAQ-AB. Dezesseis indicadores foram utilizados para averiguar as ações do processo de trabalho das equipes. Avaliaram-se 14.489 equipes de saúde da família que aderiram ao programa. Dentre os indicadores avaliados, verificou-se que as equipes realizaram reunião e planejamento das ações, autoavaliação, monitoramento e análise dos indicadores de saúde para reorganização do processo de trabalho, evidenciando os fatores determinantes e condicionantes. Nos indicadores de apoio institucional e apoio matricial para resolução de casos complexos, destacam-se a vigilância em saúde e o Núcleo Ampliado de Saúde da Família (NASF). Identificou-se que ocorreram melhorias no processo de trabalho das equipes na região Nordeste, porém, ainda precisa mudar a realidade de trabalho fragmentada e verticalizada, favorecendo um panorama de trabalho em equipe e compartilhado, influenciando diretamente no processo de trabalho.
Palavras-chave:
Atenção Primária à saúde; Estratégia Saúde da Família; Avaliação em Saúde.
Abstract:
The objective of this article is to describe the indicators related to planning and support in the work process reported by the Family Health Teams,the 3rd cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the region Northeast of Brazil. Cross-sectional study, using secondary datathe external evaluation of the 3rd cycle of the PMAQ-AB. Sixteen indicators were used to ascertain the actions of the teams\' work process. 14,489 family health teams that adhered to the program were evaluated. Among the indicators evaluated, he found that the teams held a meeting and planned actions, self-evaluated, monitored and analyzed health indicators to reorganize the work process, highlighting the determining and conditioning factors. In the indicators of institutional support and matrix support for solving complex cases, health surveillance and the Extended Family Health Center (NASF) stand out. It was identified that there were improvements in the work process of the teams in the Northeast region, but there is still a need to change the reality of fragmented and vertical work, favoring a panorama of teamwork and shared influencing directly in the work process.
Keywords:
Primary health care; Family health strategy; Health assessment.
Planning and support in the work process of primary care teams in the Northeast: analysis of the PMAQ-AB (3rd cycle)
Resumo (abstract):
The objective of this article is to describe the indicators related to planning and support in the work process reported by the Family Health Teams,the 3rd cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) in the region Northeast of Brazil. Cross-sectional study, using secondary datathe external evaluation of the 3rd cycle of the PMAQ-AB. Sixteen indicators were used to ascertain the actions of the teams\' work process. 14,489 family health teams that adhered to the program were evaluated. Among the indicators evaluated, he found that the teams held a meeting and planned actions, self-evaluated, monitored and analyzed health indicators to reorganize the work process, highlighting the determining and conditioning factors. In the indicators of institutional support and matrix support for solving complex cases, health surveillance and the Extended Family Health Center (NASF) stand out. It was identified that there were improvements in the work process of the teams in the Northeast region, but there is still a need to change the reality of fragmented and vertical work, favoring a panorama of teamwork and shared influencing directly in the work process.
Palavras-chave (keywords):
Primary health care; Family health strategy; Health assessment.
da Silva, G. T., Carvalho, F.O, MEYER, A.P.G.F.V, Gomes, G. M. S., Bezerra, L. M. M. R., Camelo, V. M., Barbosa Filho, V. C.. Planejamento e apoio no processo de trabalho das equipes de atenção básica no Nordeste: análise do PMAQ-AB (3º ciclo). Cien Saude Colet [periódico na internet] (2021/Fev). [Citado em 17/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/planejamento-e-apoio-no-processo-de-trabalho-das-equipes-de-atencao-basica-no-nordeste-analise-do-pmaqab-3-ciclo/17971?id=17971
