Avaliação da qualidade da atenção básica utilizando a doença respiratória da infância como traçador, em um distrito sanitário do município de São Paulo

Revista Brasileira de Saúde Materno Infantil

Oswaldo Yoshimi Tanaka²  Antônio Carlos Gomes Do Espírito Santo¹ 

[1] ,Universidade de São Paulo Faculdade de Saúde Pública Departamento de Prática de Saúde PúblicaSão Paulo SP ,Brasil

关键词: Primary health care;    Health services evaluation;    Evaluation methods;    Atenção básica à saúde;    Avaliação de serviços de saúde;    Métodos de avaliação;   

DOI  :  10.1590/S1519-38292008000300012

来源: SciELO

【 摘 要 】

OBJECTIVES: to assess quality of the primary care using respiratory diseases as a tracer. METHODS: the evaluative approach is based on Donabedian's referencial connected to Kessner's tracers methodology. The sample is formed by 768 children from 0 to 5 years old, presenting respiratory symptoms, attended at seven basic health units from the Sanitary District of Brasilândia, in the city of São Paulo, State of São Paulo, Brazil. Medical registrations and interviews with mothers or responsibles were the information sources. RESULTS: more accurate child medical examination evidences significant association with favorable evolution, mainly on moderate clinical forms. Although aspects related to the accessibility demonstrated by the health team seem to influence decisively on care quality evaluated by users, mainly the medical doctor. Mothers education level appears to have no influence in the favorable evolution. CONCLUSIONS: the tracer methodology has the potentiality to facilitate the critical analysis of the health care. It is important to focus on the outcome of the health care. The children respiratory diseases are important tracer for the quality assessment on health services.

【 授权许可】

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