Utilização e Qualidade da Atenção Primária à Saúde: Pesquisa Nacional de Saúde 2019

• Ano de defesa: 2022
• Autor(a) principal: Silva, Carolina Teixeira
• Outros Autores: [e-mail]
• Orientador(a): Lopes, Claudia de Souza
• Banca de defesa: Levcovitz, Eduardo, Travassos, Claudia Maria de Rezende
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Coletiva
• Departamento: Centro Biomédico::Instituto de Medicina Social Hesio Cordeiro
• País: Brasil
• Palavras-chave em Português: Brasil; Atenção primária à saúde; Pesquisa nacional de saúde; PCATool
• Palavras-chave em Inglês: Brazil; Primary health care; Brazilian national health system; PCATool
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/18126

Introduction: A universal, equitable and comprehensive SUS depends on a well-structured Primary Health Care (PHC) that offers quality care, requiring continuous evaluation of the services provided. Objective: Analyze the use and evaluate the attributes of PHC in Brazil from the perspective of users. Methods: Questions about the use of PHC and the module of the National Health Survey (NHS) 2019 were investigated, which used the Primary Care Assessment Tool (PCATool-Brazil) in a reduced version for users. The scores of essential and derived attributes of PHC were identified. Results: Among the people who sought the Basic Health Unit (BHU) in the two weeks prior to the survey, 5.1% no got it in the first time they tried and the main reason (38.8%) was due to lack of vacancy or password. The best-evaluated attributes (>=6.6) were: first contact - use (7.0), longitudinality (6.6) and Coordination - care (6.8). On the other hand, the worst evaluated were: First Contact - Access (4.5), Coordination - Information System (5.6), comprehensiveness - available services (5.3), comprehensiveness-services provided (6.4), family orientation (4.9) e community orientation (4.2). Regarding the evaluation of attributes stratified by age group and regarding the presence of morbidity (cardiovascular diseases, asthma, diabetes and depression), a significant difference was found for several attributes, with a higher score among the older population and people living with at least one of the investigated morbidities. Conclusion: It is noteworthy that PHC users unsatisfactorily assess fundamental attributes for the construction of health system oriented by PHC. Such results contribute to encouraging actions that promote improvements, especially in the worst evaluated attributes: First Contact – Access, Coordination - Information System (5.6), comprehensiveness - available services, family and community orientation. The fact that older people who live with some morbidity rate better PHC suggests that services are moving towards the correct path of prioritizing users with more vulnerability.