Institutional and matrix support and its relationship with primary healthcare

Revista de Saúde Pública

Alaneir De Fátima Dos Santos¹  Antônio Thomaz Gonzaga Da Matta Machado¹  Clarice Magalhães Rodrigues Dos Reis¹  Daisy Maria Xavier Abreu¹  Lucas Henrique Lobato De Araújo¹  Simone Cristina Rodrigues¹  Ângela Maria De Lourdes Dayrell De Lima¹  Alzira De Oliveira Jorge¹  Délcio Fonseca Sobrinho¹ 

关键词: Primary Health Care;    organization & administration;    Health Planning Support;    Cross-Sectional Studies;    Atenção Primária à Saúde;    organização & administração;    Apoio ao Planejamento em Saúde;    Estudos Transversais;   

DOI  :  10.1590/S0034-8910.2015049005519

来源: SciELO

【 摘 要 】

OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams.METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support – 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support model, the independent variable was “level of support” (as calculated by the sum of supporting activities for both modalities). In the matrix support model, in turn, the independent variables were the supporting activities. The multivariate analysis has considered variables with p < 0.20. The model was adjusted by the Hosmer-Lemeshow test.RESULTS The teams had institutional and matrix supporting activities (84.0% and 85.0%), respectively, with 55.0% of them performing between six and eight activities. For the institutional support, we have observed 1.96 and 3.77 chances for teams who had medium and high levels of support to have very good or good certification, respectively. For the matrix support, the chances of their having very good or good certification were 1.79 and 3.29, respectively. Regarding to the association between institutional support activities and the certification, the very good or good certification was positively associated with self-assessment (OR = 1.95), permanent education (OR = 1.43), shared evaluation (OR = 1.40), and supervision and evaluation of indicators (OR = 1.37). In regards to the matrix support, the very good or good certification was positively associated with permanent education (OR = 1.50), interventions in the territory (OR = 1.30), and discussion in the work processes (OR = 1.23).CONCLUSIONS In Brazil, supporting activities are being incorporated in primary healthcare, and there is an association between the level of support, both matrix and institutional, and the certification result.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License