Evaluation of the Family Health Strategy implementation in Santa Catarina in 2004 and 2008

Revista Brasileira de Epidemiologia

Costa, Filipe Ferreira¹  Calvo, Maria Cristina Marino¹ 

[1] Universidade Federal de Santa Catarina, Florianópolis, Brazil

关键词: Family Health Program;    Health evaluation;    Health services coverage;    Primary health care;    Evaluation;    Health servicesINTRODUCTIONThe Family Health Program (FHP)1 was set into motion in 1994 with the purpose of reorganizing the healthcare model in Brazil and gradually became part of the network of health services offered in the majority of Brazilian cities;   

DOI  :  10.1590/1809-4503201400020020ENG

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

This study aimed to evaluate the implementation of the Family Health Program in municipalities of the State of Santa Catarina, Brazil at two different periods (2004 and 2008). Two hundred forty-four (83%) municipalities with complete health information data comprised the sample. Indicators of coverage, evidence of change in the healthcare model, and impact were calculated based on health system database. Official documents and observed distribution of measures at the country level were used in order to classify municipalities within each indicator. A high coverage level increased from 73 to 83% of the cities between 2004 and 2008. Most of them showed poor evidence of change in the healthcare model at both time points. Increased proportion of cities showed low levels of morbidity by diseases sensible to the primary health care from 2004 to 2008. Despite the fact that was improvement in coverage and impact indicators over four years, most of the cities studied showed poor evidence of change in the healthcare model, warning to the review of the health care practices and organization by health professionals and managers.

【 授权许可】

Unknown