Atenção integral à comunidade: autoavaliação das equipes de saúde da família

Cássio de Almeida Lima, Kênia Souto Moreira, Brunna Cristina Silva Barbosa, Raimundo Lelis de Souza Junior,Mânia de Quadros Coelho Pinto,Simone de Melo Costa

Avances en Enfermería(2019)

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摘要
Objective : to analyze the self-assessment of family health teams in terms of full care for community health. Method : analytical cross-sectional research in a city in the state of Minas Gerais, Brazil. The 75 health teams existing in the city during the data collection period joined the evaluation program. The teams without information about the 35 quality standards analyzed were excluded. 35 items of the sub-dimension full care of the “self-assessment for the improvement of access and quality of basic care” were examined, a validated instrument of the Brazilian Ministry of Health. Descriptive and bivariate statistical analyses were performed by the Likelihood ratio, Anova and Pearson correlation tests. Self-assessment was compared by location (urban and rural) and the components of the professional team. Results : among teams, thirty-eight (54.28 %) were at the satisfactory level and seven (10 %), in the unsatisfactory. A better classification was observed for urban area ( p = 0.010). The nursing technical professional categories ( p = 0.030), physician ( p = 0.018), surgeon-dentist ( p ≤ 0.001), and odontology assistant/technician ( p = 0.001) correlated positively with higher score. Conclusions : there was a need to improve the performance of the teams. The findings have implications for managers and professionals, with an impact on the care and action of the nurse.
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