Cardoso Marcelle de Oliveira, Vieira-da-Silva Ligia Maria
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2012 Jul;28(7):1273-84. doi: 10.1590/s0102-311x2012000700006.
In order to test a method for evaluating coverage of primary healthcare services in Salvador, Bahia State, Brazil (2000-2007), a study of spatial and temporal clusters was performed, with the city and its 12 health districts as the analytical units. The real and potential coverage rates were estimated for various primary care procedures. Estimation of coverage rates used both the Ministry of Health guideline and a second standard aimed at establishing an approximation to the population's health needs. The data were obtained from the Outpatient Information System of the Unified National Health System (SIA-SUS). Low coverage rates were observed, despite a slight increase in real coverage for medical consultations (7.8%) and basic nursing care (66.7%). Meanwhile, dental consultations showed a 40% reduction. The study discussed the possibilities for using the methodology to monitor coverage and its limitations given the deficiencies in the information systems.
为了测试一种评估巴西巴伊亚州萨尔瓦多市（2000 - 2007年）初级医疗服务覆盖情况的方法，开展了一项时空聚类研究，以该市及其12个卫生区作为分析单位。对各种初级保健程序的实际和潜在覆盖率进行了估计。覆盖率估计既采用了卫生部的指导方针，也采用了旨在接近人群健康需求的第二个标准。数据来自统一国家卫生系统（SIA - SUS）的门诊信息系统。尽管医疗咨询（7.8%）和基本护理（66.7%）的实际覆盖率略有上升，但仍观察到覆盖率较低。与此同时，牙科咨询下降了40%。鉴于信息系统存在缺陷，该研究讨论了使用该方法监测覆盖率的可能性及其局限性。
