巴西初级卫生保健机构普查（2012年）：潜在覆盖范围估计
Census of the Primary Health Care structure in Brazil (2012): potential coverage estimates.
作者信息
Poças Kátia Crestine, Freitas Lúcia Rolim Santana de, Duarte Elisabeth Carmen
机构信息
Universidade de Brasília, Área de Medicina Social da Faculdade de Medicina, Brasília-DF, Brasil.
Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília-DF, Brasil.
出版信息
Epidemiol Serv Saude. 2017 Apr-Jun;26(2):275-284. doi: 10.5123/S1679-49742017000200005.
OBJECTIVE
to estimate and discuss selected indicators of Primary Health Care (PHC) structure in Brazil in 2012.
METHODS
a descriptive ecological study was carried out using Primary Health Care Centre census data from the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB); potential coverage indicators were estimated for infrastructure, health team composition and services available.
RESULTS
the results revealed high coverage (≥70%) in Brazil for Community Health Agents (87.6%), teams providing care 5 days or more a week (71.4%), in 2 or more daily periods (70%), with nursing care services (70.9%) and dressing changes (70.4%); on the other hand, coverage is still poor (≤30%) for teams in health centres with adequate external signage (25.4%), delivering care at the weekend (28.4%) and reception of service users by health professionals (10.4%).
CONCLUSION
the findings of this study point to the great inequalities between Brazilian states in potential coverage as shown by APS structure indicators.
目的
评估并讨论2012年巴西初级卫生保健（PHC）结构的选定指标。
方法
采用描述性生态研究，使用来自国家初级保健服务可及性与质量提升计划（PMAQ-AB）的初级卫生保健中心普查数据；对基础设施、卫生团队构成和可用服务的潜在覆盖指标进行评估。
结果
结果显示，巴西社区卫生工作者（87.6%）、每周提供护理服务5天或以上的团队（71.4%）、每天分两个或更多时段提供护理服务的团队（70%）、提供护理服务（70.9%）和换药服务（70.4%）的覆盖率较高（≥70%）；另一方面，配备适当外部标识的卫生中心团队（25.4%）、周末提供护理服务（28.4%）以及卫生专业人员接待服务使用者（10.4%）的覆盖率仍然较低（≤30%）。
结论
本研究结果表明，初级卫生保健结构指标显示巴西各州在潜在覆盖方面存在巨大不平等。
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