Universidade Federal do Amazonas. Manaus, Amazonas, Brazil.
Fundação Oswaldo Cruz. Manaus, Amazonas, Brazil.
Rev Bras Enferm. 2021 Mar 3;74(1):e20190872. doi: 10.1590/0034-7167-2019-0872. eCollection 2021.
to analyze, from healthcare professionals' perspectives, the longitudinality and community orientation in Primary Health Care, offered both in the Special Indigenous Health District and in the primary network that assists non-indigenous population in municipal health services in Upper Rio Negro region.
a cross-sectional study with 116 professionals, 87 (75%) of indigenous health, 29 (25%) of municipal services. Primary Care Assessment Tool, professional version, used by Upper Rio Negro for Social Sciences region. For association of variables, chi-square test and Kruskal-Wallis were used.
longitudinality obtained an unsatisfactory score (6.4 and 6.5), as well as community orientation (6.1 and 5.6) for both services. Weaknesses refer to professional turnover, little knowledge about users' living conditions, precarious employment relationship. In indigenous health, satisfaction was higher when compared to municipal services.
it is necessary to improve work management in health services, seeking to guarantee the quality of performance of professionals.
从医疗保健专业人员的角度分析上里奥内格罗地区特殊原住民卫生区和为原住民及非原住民提供初级保健的市级卫生服务初级网络中的纵向医疗和社区导向。
横断面研究，共纳入 116 名专业人员，87 名（75%）为原住民卫生专业人员，29 名（25%）为市级服务专业人员。上里奥内格罗地区采用初级保健评估工具专业版进行评估。采用卡方检验和克鲁斯卡尔-沃利斯检验对变量进行关联分析。
两项服务的纵向性（6.4 和 6.5）和社区导向性（6.1 和 5.6）评分均不理想。薄弱环节主要涉及专业人员流动、对用户生活条件了解甚少、就业关系不稳定。与市级服务相比，原住民卫生服务的满意度更高。
有必要改善卫生服务的工作管理，努力保障专业人员的工作质量。
