导言

A. M. Terrón, J. Olivencia
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引用次数: 0

摘要

目的:评价初级卫生保健属性的执行程度,将其作为向北里奥格兰德州的黑人社区提供的保健质量的一个指标。方法:这是一项评估性研究,由Palmares文化基金会在该州认证的33个quilombola社区进行。51名从事初级卫生保健工作的专业人员、医生、护士和护理技术人员使用初级保健评估——巴西版参与了这项研究。考虑了基本属性、容量、性能和衍生属性:可达性、逻辑性、协调-信息系统、协调-护理一体化、完整性、家庭导向和社区导向。确定答案的百分比分为四类:未实施(从0到25%);初步实施(从26%到50%);部分实施(从51%到75%);完全实现(从76%到100%)。结果:通过分析发现,从能力(77.92%)和绩效(85.56%)两个维度来看,北里奥格兰德州“歌落波拉”社区的初级卫生保健行动被划分为全面实施(82.2%)。从纵向性(92.94%)、协调性(80.88%)、完整性(85.91%)、家庭取向(87.45%)和社区取向(92.16%)的衍生属性来看,这些维度也得到了充分的实现。只有可及性维度(74.51%)和护理协调一体化维度(56.86%)被认为部分实施。结论:有可能对“黑人”社区的初级卫生保健行动进行情景诊断,确定向这些社区提供卫生保健的弱点和潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Introducción
: Objective: To evaluate the degree of implementation of the attributes of primary health care as an indicator of the quality of care provided to quilombola communities in the state of Rio Grande do Norte . Methodology: This is an evaluative study carried out in 33 quilombola communities certified in the state by Palmares Cultural Foundation. Fifty-one professionals, physicians, nurses and nursing technicians, who work in primary health care, participated in the study using the Primary Care Assessment-Brazil version. The essential attributes, capacity, performance, and the derived attributes were considered: accessibility, logitudinality, coordination - information systems, coordination - care integration, integrality, family orientation and community orientation. The percentage of identified answers was distributed in four classifications: not implemented (from 0 to 25%); incipiently implemented (from 26% to 50%); partially implemented (from 51% to 75%); totally implemented (from 76% to 100%). Results: From the analysis, it was found that the PHC actions in quilombola communities in Rio Grande do Norte were classified as fully implemented (82.2%), considering the dimensions capacity (77.92%) and performance (85.56%). When observing the derived attributes: longitudinality (92.94%), coordination - information systems (80.88%), integrality - available services (85.91%), family orientation (87.45%), and community orientation (92.16%), it is noted that these dimensions were also fully implemented. Only the dimensions accessibility (74.51%) and coordination - integration of care (56.86%) were considered as partially implemented. Conclusion: It was possible to carry out a situational diagnosis of PHC actions in quilombola communities, identifying the weaknesses and potentialities in the provision of health care to these communities.
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