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初级卫生保健中的医疗协调和纵向服务:巴西亚马孙地区的经验

Care coordination and longitudinality in primary health care in the Brazilian Amazon.

机构信息

Fundação de Medicina Tropical. Manaus, Amazonas, Brazil.

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2020 Apr 22;73(3):e20180841. doi: 10.1590/0034-7167-2018-0841. eCollection 2020.

DOI:10.1590/0034-7167-2018-0841
PMID:32321132
Abstract

OBJECTIVES

to evaluate the attributes of primary health care, care coordination and longitudinality, from the perception of the professional and patients in the state of Amazonas, Brazil.

METHODS

quantitative evaluative study, in which was used an external evaluation instrument with 469 professionals and 1,888 patients from 367 primary health care facilities that adhered to the Program for Improving Access and Quality of primary health care (Portuguese acronym: PMAQ) standardized by the Ministry of Health. Data were grouped by multivariate cluster analysis in order to find a classification of primary health care from the perspective of professionals and patients.

RESULTS

the attributes of coordination and longitudinality are still expressed in a weak and undeveloped way in the Brazilian Amazon scenario.

CONCLUSIONS

it is necessary to recognize the organizational barriers and what could promote conditions for the performance of health care teams in the perspective of a continuous, integral and coordinated care.

摘要

目的

评估初级卫生保健的属性,从巴西亚马孙州的专业人员和患者的角度评估其协调性和纵向性。

方法

这是一项定量评估研究,使用了外部评估工具,对来自 367 个符合卫生部标准化的改善初级卫生保健服务可及性和质量计划(葡萄牙语缩写:PMAQ)的初级卫生保健机构的 469 名专业人员和 1888 名患者进行了评估。数据通过多变量聚类分析进行分组,以便从专业人员和患者的角度找到初级卫生保健的分类。

结果

在巴西亚马孙地区,协调性和纵向性的属性仍然表现得薄弱和不发达。

结论

有必要认识到组织障碍,以及哪些因素可以促进医疗团队在连续、整体和协调的护理方面的表现。

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