巴西的产前护理：2014年改善初级医疗保健可及性与质量项目的横断面研究
Prenatal care in Brazil: a cross-sectional study of the Program for Improving Primary Care Access and Quality, 2014.
作者信息
Neves Rosália Garcia, Flores-Quispe Maria Del Pilar, Facchini Luiz Augusto, Fassa Anaclaudia Gastal, Tomasi Elaine
机构信息
Universidade Federal de Pelotas, Pelotas, RS, Brasil.
出版信息
Epidemiol Serv Saude. 2020 Feb 17;29(1):e2019019. doi: 10.5123/S1679-49742020000100008. eCollection 2020.
OBJECTIVE
to describe the adequacy of primary health care center structure, requests for tests and prenatal care reported by female health service users within the scope of the Program for Improving Primary Care Access and Quality (PMAQ) in Brazil.
METHODS
this was a cross-sectional study using PMAQ Cycle II (2014) data.
RESULTS
data from 9,909 health centers, 9,905 teams, and 9,945 female health service users were included; 70.1% (95%CI 69.2;71.0) of health centers had adequate structure; 88.0% (95%CI 87.4;88.7) of the teams requested all tests; 59.8% (95%CI 58.8;60.8) of female health service users reported receiving total guidance, and 23.4% of them (95%CI 22.5;24.2) underwent all physical examination procedures; teams that participated in both Cycle I and Cycle II presented better results.
CONCLUSION
in spite of shortcomings in Primary Care structure and work process in Brazil, PMAQ appears to positively affect prenatal care.
目的
描述巴西初级医疗保健改善项目（PMAQ）范围内女性医疗服务使用者报告的初级保健中心结构、检查需求和产前护理情况。
方法
这是一项使用PMAQ第二轮（2014年）数据的横断面研究。
结果
纳入了9909个医疗中心、9905个团队和9945名女性医疗服务使用者的数据；70.1%（95%置信区间69.2；71.0）的医疗中心结构完善；88.0%（95%置信区间87.4；88.7）的团队要求进行所有检查；59.8%（95%置信区间58.8；60.8）的女性医疗服务使用者报告接受了全面指导，其中23.4%（95%置信区间22.5；24.2）接受了所有体格检查程序；参与第一轮和第二轮的团队表现出更好的结果。
结论
尽管巴西初级保健结构和工作流程存在不足，但PMAQ似乎对产前护理产生了积极影响。
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