Quality of home visits by community health workers in primary care and associated factors.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.7203.4398

Marciane Kessler, Elaine Thumé, Luiz Augusto Facchini, Luiza Carolina Moro, Elaine Tomasi

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引用次数: 0

Abstract

to evaluate community health workers' and quality of home visits associated factors.

a cross-sectional study of 38,865 teams and 140,444 Primary Care Access and Quality Improvement Program users. We established the "quality of home visits" and its association with the characteristics of the municipalities, teams and individuals, estimated by the prevalence ratio and 95% confidence intervals.

139,362 (99.2%) users said the health team had community workers. The prevalence of quality was 51.9%. After adjustments, the prevalence was higher in the Northeast (Prevalence Ratio: 1.19 [1.18-1.21]), smaller municipalities (PR: 1.06 [1.03-1.09]), among teams with area definition (PR: 1.15 [1.06-1.25]), evaluation of indicators (PR: 1.14 [1.12-1.17]) and user satisfaction (PR: 1.11 [1.08-1.13]), that considered risk and vulnerability criteria for defining the number of people under responsibility (PR: 1.05 [1.04-1.07]) and without an uncovered population of workers (PR: 1.03 [1.01-1.04]); among users with chronic diseases (PR: 1.02 [1.01-1.05]) and with someone at home with walking difficulties (PR: 1.05 [1.02-1.07]).

the importance of organizing the teams' work process for the quality of the worker's home visits and their role in health equity is highlighted.

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基层医疗机构社区保健员的家访质量及相关因素。

我们对 38,865 个团队和 140,444 名 "初级保健普及和质量改进计划 "用户进行了横断面研究，以评估社区卫生工作者和家访质量的相关因素。我们确定了 "家访质量 "及其与城市、团队和个人特征之间的关系，并通过流行率和 95% 的置信区间进行了估计。139,362（99.2%）名用户表示医疗团队中有社区工作者，质量的流行率为 51.9%。经调整后，东北部（流行率：1.19 [1.18-1.21]）、较小城市（流行率：1.06 [1.03-1.09]）、有地区定义（流行率：1.15 [1.06-1.25]）、指标评估（流行率：1.14 [1.12-1.17]）和用户满意度（流行率：1.11 [1.08-1.13]）的团队中，考虑风险和脆弱性标准以确定责任人数（流行率：1.在有慢性疾病（PR：1.02 [1.01-1.05]）和家中有人行走困难（PR：1.05 [1.02-1.07]）的用户中，强调了组织团队工作流程对工人家访质量的重要性及其在健康公平中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.