2018年巴西基本网络中两岁以下儿童的护理质量:指标和相关因素

Q2 Medicine
Letícia Willrich Brum, Elaine Thumé, Alitéia Santiago Dilélio, Maria del Pilar Flores-Quispe, Nicole Borba Rios Barros, Luiz Augusto Facchini, Elaine Tomasi
{"title":"2018年巴西基本网络中两岁以下儿童的护理质量:指标和相关因素","authors":"Letícia Willrich Brum, Elaine Thumé, Alitéia Santiago Dilélio, Maria del Pilar Flores-Quispe, Nicole Borba Rios Barros, Luiz Augusto Facchini, Elaine Tomasi","doi":"10.1590/1980-549720230005","DOIUrl":null,"url":null,"abstract":"ABSTRACT Objective To evaluate the quality of care for children under two years of age in the primary health care network with data from the external evaluation of the Program for the Improvement of Access and Quality of Primary Care in 2018. Methods Users who had children under two years of age who were in the unit at the time of data collection were eligible for the study. The quality of care was evaluated using a synthetic indicator built with questions from the users’ module. The exposure variables were: region, structure of basic health units, and staff process. A univariate analysis was performed and crude and adjusted prevalence ratios were estimated. Results The sample was composed of 15.745 users who had children under the age of two years. Only 36.8% (95%CI 36,0–37,6) of users were classified as having received good quality care for their children, with a downward trend in prevalence as the child’s age increased. Better results were observed in the Northeast region, in units that presented all the inputs and vaccines and for teams that used protocols and materials, kept records, performed active search and healthy eating actions. Conclusion The prevalence of good quality of care for children under two years of age was low. These data can be useful for managers’ decision-making and for the implementation of actions aimed at professionals, that encourage a higher quality of care to children, mainly the child leaving a consultation with the next appointment scheduled and a first consultation being carried out until their seventh day of life.","PeriodicalId":35426,"journal":{"name":"Revista Brasileira de Epidemiologia","volume":"22 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Quality of care for children under two years of age in Brazil’s basic network in 2018: indicators and associated factors\",\"authors\":\"Letícia Willrich Brum, Elaine Thumé, Alitéia Santiago Dilélio, Maria del Pilar Flores-Quispe, Nicole Borba Rios Barros, Luiz Augusto Facchini, Elaine Tomasi\",\"doi\":\"10.1590/1980-549720230005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT Objective To evaluate the quality of care for children under two years of age in the primary health care network with data from the external evaluation of the Program for the Improvement of Access and Quality of Primary Care in 2018. Methods Users who had children under two years of age who were in the unit at the time of data collection were eligible for the study. The quality of care was evaluated using a synthetic indicator built with questions from the users’ module. The exposure variables were: region, structure of basic health units, and staff process. A univariate analysis was performed and crude and adjusted prevalence ratios were estimated. Results The sample was composed of 15.745 users who had children under the age of two years. Only 36.8% (95%CI 36,0–37,6) of users were classified as having received good quality care for their children, with a downward trend in prevalence as the child’s age increased. Better results were observed in the Northeast region, in units that presented all the inputs and vaccines and for teams that used protocols and materials, kept records, performed active search and healthy eating actions. Conclusion The prevalence of good quality of care for children under two years of age was low. These data can be useful for managers’ decision-making and for the implementation of actions aimed at professionals, that encourage a higher quality of care to children, mainly the child leaving a consultation with the next appointment scheduled and a first consultation being carried out until their seventh day of life.\",\"PeriodicalId\":35426,\"journal\":{\"name\":\"Revista Brasileira de Epidemiologia\",\"volume\":\"22 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Brasileira de Epidemiologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-549720230005\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira de Epidemiologia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1980-549720230005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1

摘要

【摘要】目的利用2018年初级卫生保健可及性和质量改善项目外部评价数据,评价初级卫生保健网络中2岁以下儿童的护理质量。方法:在数据收集时,有两岁以下儿童且在该单位的用户符合研究条件。护理质量的评估使用了一个综合指标,该指标由用户模块的问题组成。暴露变量为:地区、基层卫生单位结构和工作人员流程。进行了单变量分析,并估计了粗患病率和校正患病率。结果样本由15.745名有2岁以下子女的用户组成。只有36.8% (95%CI 36,0 - 37,6)的用户被归类为对他们的孩子进行了良好的护理,随着孩子年龄的增加,患病率呈下降趋势。在东北地区,提供所有投入和疫苗的单位以及使用方案和材料、保存记录、进行积极搜索和采取健康饮食行动的小组取得了较好的结果。结论2岁以下儿童良好护理质量的普及率较低。这些数据对管理人员的决策和针对专业人员的行动的实施是有用的,这些行动鼓励对儿童提供更高质量的护理,主要是在儿童离开咨询时安排下一次预约,并在他们生命的第七天之前进行第一次咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of care for children under two years of age in Brazil’s basic network in 2018: indicators and associated factors
ABSTRACT Objective To evaluate the quality of care for children under two years of age in the primary health care network with data from the external evaluation of the Program for the Improvement of Access and Quality of Primary Care in 2018. Methods Users who had children under two years of age who were in the unit at the time of data collection were eligible for the study. The quality of care was evaluated using a synthetic indicator built with questions from the users’ module. The exposure variables were: region, structure of basic health units, and staff process. A univariate analysis was performed and crude and adjusted prevalence ratios were estimated. Results The sample was composed of 15.745 users who had children under the age of two years. Only 36.8% (95%CI 36,0–37,6) of users were classified as having received good quality care for their children, with a downward trend in prevalence as the child’s age increased. Better results were observed in the Northeast region, in units that presented all the inputs and vaccines and for teams that used protocols and materials, kept records, performed active search and healthy eating actions. Conclusion The prevalence of good quality of care for children under two years of age was low. These data can be useful for managers’ decision-making and for the implementation of actions aimed at professionals, that encourage a higher quality of care to children, mainly the child leaving a consultation with the next appointment scheduled and a first consultation being carried out until their seventh day of life.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Revista Brasileira de Epidemiologia
Revista Brasileira de Epidemiologia Medicine-Medicine (all)
CiteScore
3.60
自引率
0.00%
发文量
89
审稿时长
21 weeks
期刊介绍: Revista Brasileira de Epidemiologia (Brazilian Journal of Epidemiology) - every four months, journal published by the ABRASCO - aims at publishing not previously published Original Articles, including critical reviews on specific themes, which may contribute to the development of Epidemiology and related Sciences. Revista also publishes articles in the following categories: Debate aimed at discussing different views of the same theme which may be presented as an original article followed by comments from other authors, reproduction of panels and other similar formats; Notes and Information - notes on primary results of research studies.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信