Children's health care assistance according to their families: a comparison between models of Primary Care

Revista da Escola de Enfermagem da USP

Vanessa Bertoglio Comassetto Antunes De Oliveira¹  Maria De La Ó Ramallo Veríssimo¹ 

关键词: Child;    Primary Health Care;    Health Evaluation;    Child Health;    Family Health Strategy;    Niño;    Atención Primaria de la Salud;    Evaluación de la Salud;    Salud del Niño;    Estrategia de Salud Familiar;    Criança;    Atenção Primária à Saúde;    Avaliação em Saúde;    Saúde da Criança;    Estratégia Saúde da Família;   

DOI  :  10.1590/S0080-623420150000100004

来源: SciELO

【 摘 要 】

OBJECTIVE To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. METHOD A cross-sectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. RESULTS ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. CONCLUSION The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil.

【 授权许可】

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