卫生专业人员认为初级卫生保健的属性:范围审查。

Revista da Escola de Enfermagem da U S P Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0149en
Brenda Lorrana de Almeida Gomes, Renata Sant'ana Braga de Sousa, Renan Felipe Neves Mota, Cynthia Assis de Barros Nunes, Nayara Figueiredo Vieira, Nunila Ferreira de Oliveira, Roxana Isabel Cardozo Gonzalez, Valéria Pagotto
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引用次数: 0

摘要

目的:根据护士和医生对初级保健属性的存在和程度的看法,确定初级保健绩效的科学依据。方法:根据Joanna Brigss研究所的建议,于2023年1月对8个数据库进行范围审查,并于2023年12月更新。关键词为“初级卫生保健评价”和“初级卫生保健质量”。包括使用PCATool-Brazil仪器的任何语言的文章,专业版,有护士和医生。结果:纳入了19项研究,发表于2012年至2022年之间,涉及巴西的9个州。初级保健服务的整体平均分介乎6.5至8.2分,其中只有两间表示初级保健服务表现欠佳。在属性方面,通达性表现最差,家庭取向表现最好。专业化和法定就业是最常见的相关因素。结论:结果表明,卫生服务的可及性仍然需要加强和/或扩大,另一方面,培训和工作人员依恋等因素加强了初级保健的绩效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Attributes of primary health care in the view of health professionals: a scoping review.

Objective: To identify the scientific evidence on the performance of PHC, based on the presence and extent of its attributes, in the view of nurses and physicians.

Method: Scoping review according to the recommendations of the Joanna Brigss Institute, carried out between January 2023 on eight databases, and updated in December 2023. The keywords "primary health care assessment" and "quality of primary health care" were used. Articles in any language were included, which used the PCATool-Brazil instrument, professional version, with a population of nurses and physicians.

Results: Nineteen studies were included, published between 2012 and 2022, in nine Brazilian states. The overall average of PHC performance ranged from 6.5 to 8.2 and only two of the total indicated low performance of PHC services. Regarding the attributes, accessibility showed the worst performance and family orientation the best in all the studies. Specialization and statutory employment were predominantly frequent as associated factors.

Conclusion: The results show that access to health services still needs to be strengthened and/or expanded and that, on the other hand, factors such as training and worker attachment strengthen PHC performance.

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