Hatisuka Marla Fabiula de Barros, Moreira Ricardo Castanho, Cabrera Marcos Aparecido Sarria
Universidade Estadual de Londrina. Rodovia Celso Garcia Cid, PR-445, Km 380, Campus Universitário. 86057-970 Londrina PR Brasil.
Universidade Estadual do Norte do Paraná. Bandeirantes PR Brasil.
Cien Saude Colet. 2021 Sep;26(9):4341-4350. doi: 10.1590/1413-81232021269.11542020. Epub 2020 Aug 7.
The article assesses the relationship between the Infant Mortality Rate (IMR) and the percentage of health units that obtained good performance ratings in the appraisal by the National Program to Improve Access and Quality (PMAQ) of Primary Care in Brazilian states and the relation to the variables involved. Using a descriptive study, the results of the performance assessment of the participating units of the third cycle of PMAQ (2015-2017) and the relationship with the IMR (2015-2017) were analyzed. Descriptive, Pearson correlation, and cluster analysis were performed. The results revealed that there is a negative and moderate correlation (-0.534) between the IMR and the units with a good and statistically significant (p=0.005) performance rating. With cluster analysis, it was possible to confirm that Brazilian states from different regions reveal similarities in the variables of the study. Thus, there is a relationship between IMR and units with a good performance rating. The results also showed that the similarities between the states are not restricted to the region in which they are located. Therefore, the importance of investing in primary care training is paramount in terms of an effective impact on the health of the population.
本文评估了巴西各州婴儿死亡率（IMR）与在国家改善初级医疗服务可及性和质量计划（PMAQ）评估中获得良好绩效评级的卫生单位百分比之间的关系，以及与相关变量的关系。采用描述性研究方法，分析了PMAQ第三周期（2015 - 2017年）参与单位的绩效评估结果以及与IMR（2015 - 2017年）的关系。进行了描述性分析、Pearson相关性分析和聚类分析。结果显示，IMR与绩效评级良好且具有统计学显著性（p = 0.005）的单位之间存在负向且中等程度的相关性（-0.534）。通过聚类分析，可以确认不同地区的巴西各州在研究变量方面存在相似性。因此，IMR与绩效评级良好的单位之间存在关联。结果还表明，各州之间的相似性并不局限于其所在地区。因此，就对人群健康产生有效影响而言，投资于初级医疗培训至关重要。
