巴西初级卫生保健中儿童保健的结构和工作流程：2012-2018 年初级卫生保健获得和质量改进计划数据的生态研究。
Structure and work process regarding child care in Primary Health Care in Brazil: an ecological study with data from the Program for Primary Health Care Access and Quality Improvement 2012-2018.
机构信息
Universidade Federal do Maranhão, Programa de Pós-Graduação em Saúde Coletiva, São Luís, MA, Brasil.
Global Emergency Medicine Innovation and Implementation, Division of Emergency Medicine, Durham, North Carolina, United States.
出版信息
Epidemiol Serv Saude. 2021 Mar 26;30(1):e2020425. doi: 10.1590/S1679-49742021000100012.
OBJECTIVE
To assess the structure of primary health care centers (PHCCs) and the work process of primary care teams in child care in Brazil.
METHODS
This was an ecological study with data from the three cycles of the Program for Primary Health Care Access and Quality Improvement 2012-2018, by states and regions. Seven structural and thirteen procedural indicators were analyzed. Student's t-test was used to compare indicator averages between regions.
RESULTS
85,845 teams participated in the three cycles of the program, grouped into 68,320 PHCCs. In the last evaluation cycle (2017-2018), mean percentage adequacy rates were higher among the structure indicators: health center operation (99%), equipment/materials (82%), vaccine availability (74%) and medication dispensing (70%). Population without coverage (68%) and making appointments with specialists (52%) corresponded to the lowest percentages of adequacy of process indicators.
CONCLUSION
Process indicators had higher levels of adequacy than structure indicators.
目的
评估巴西儿童保健中初级卫生保健中心（PHCC）的结构和初级保健团队的工作流程。
方法
这是一项生态研究，数据来自 2012-2018 年初级卫生保健获取和质量改进计划的三个周期，按州和地区划分。分析了七个结构和十三个程序指标。学生 t 检验用于比较地区间指标平均值。
结果
该计划的三个周期共有 85845 个团队参加，分为 68320 个 PHCC。在最后一个评估周期（2017-2018 年），结构指标的平均达标率较高：卫生中心运营（99%）、设备/材料（82%）、疫苗供应（74%）和药物配给（70%）。未覆盖人群（68%）和预约专家（52%）的达标率最低。
结论
过程指标的达标率高于结构指标。
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