Sanine Patricia Rodrigues, Zarili Thais Fernanda Tortorelli, Nunes Luceime Olivia, Dias Adriano, Castanheira Elen Rose Lodeiro
Faculdade de Medicina, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brasil.
Cad Saude Publica. 2018 Jun 21;34(6):e00094417. doi: 10.1590/0102-311X00094417.
This article aims to identify changes in indicators for the organization of children's health services in primary care in the State of São Paulo, Brazil. An evaluative study was conducted with three series of cross-sectional evaluations with participation by 81 services, involving 32 municipalities (counties) in the central-west region of the state, who answered the Quali AB questionnaire in 2007, 2010, and 2014. The analysis used 74 children's health indicators and 7 services indicators. Comparison of the indicators evidenced changes in the organization of children's healthcare, with an improvement in the majority of the indicators in 2010 and maintenance or worsening in 2014, compared to 2007. In conclusion, children's health policy recommendations have not been fully realized in the organization of the supply of comprehensive care, although relevant issues such as childhood obesity and violence have been addressed by a few services.
本文旨在确定巴西圣保罗州初级保健中儿童保健服务组织指标的变化。开展了一项评估研究，进行了三轮横断面评估，有81个服务机构参与，涉及该州中西部地区的32个市（县），这些机构在2007年、2010年和2014年回答了Quali AB问卷。分析采用了74项儿童健康指标和7项服务指标。指标比较表明儿童医疗保健组织发生了变化，与2007年相比，2010年大多数指标有所改善，2014年则维持原状或有所恶化。总之，尽管少数服务机构已解决了诸如儿童肥胖和暴力等相关问题，但儿童健康政策建议在综合保健服务供应的组织中尚未完全实现。
