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Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

OBJECTIVE: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. METHOD: a multicenter descriptive study based on secondary data from Exter...

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Autores principales: Uchôa, Severina Alice da Costa, Arcêncio, Ricardo Alexandre, Fronteira, Inês Santos Estevinho, Coêlho, Ardigleusa Alves, Martiniano, Claudia Santos, Brandão, Isabel Cristina Araújo, Yamamura, Mellina, Maroto, Renata Melo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822689/
https://www.ncbi.nlm.nih.gov/pubmed/26959332
http://dx.doi.org/10.1590/1518-8345.1069.2672
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author Uchôa, Severina Alice da Costa
Arcêncio, Ricardo Alexandre
Fronteira, Inês Santos Estevinho
Coêlho, Ardigleusa Alves
Martiniano, Claudia Santos
Brandão, Isabel Cristina Araújo
Yamamura, Mellina
Maroto, Renata Melo
author_facet Uchôa, Severina Alice da Costa
Arcêncio, Ricardo Alexandre
Fronteira, Inês Santos Estevinho
Coêlho, Ardigleusa Alves
Martiniano, Claudia Santos
Brandão, Isabel Cristina Araújo
Yamamura, Mellina
Maroto, Renata Melo
author_sort Uchôa, Severina Alice da Costa
collection PubMed
description OBJECTIVE: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. METHOD: a multicenter descriptive study based on secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the municipalities stratified based on size of the coverage area, supply, coordination, and integration; when necessary, the chi-square test with Yates correction or Fisher's exact test were employed. For the population variable, the Kruskal-Wallis test was used. RESULTS: the majority of participants were nurses (n=15.876; 92,3%). Statistically significant differences were observed between the municipalities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the municipalities that make up area 6 tend to have better performance in these dimensions. CONCLUSION: areas 4,5 and 6 performed better in every analyzed dimension, and the nurse had a leading role in the potential to access primary health care in Brazil.
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spelling pubmed-48226892016-04-19 Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? Uchôa, Severina Alice da Costa Arcêncio, Ricardo Alexandre Fronteira, Inês Santos Estevinho Coêlho, Ardigleusa Alves Martiniano, Claudia Santos Brandão, Isabel Cristina Araújo Yamamura, Mellina Maroto, Renata Melo Rev Lat Am Enfermagem Original Articles OBJECTIVE: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. METHOD: a multicenter descriptive study based on secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the municipalities stratified based on size of the coverage area, supply, coordination, and integration; when necessary, the chi-square test with Yates correction or Fisher's exact test were employed. For the population variable, the Kruskal-Wallis test was used. RESULTS: the majority of participants were nurses (n=15.876; 92,3%). Statistically significant differences were observed between the municipalities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the municipalities that make up area 6 tend to have better performance in these dimensions. CONCLUSION: areas 4,5 and 6 performed better in every analyzed dimension, and the nurse had a leading role in the potential to access primary health care in Brazil. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016-03-04 /pmc/articles/PMC4822689/ /pubmed/26959332 http://dx.doi.org/10.1590/1518-8345.1069.2672 Text en http://creativecommons.org/licenses/by/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Uchôa, Severina Alice da Costa
Arcêncio, Ricardo Alexandre
Fronteira, Inês Santos Estevinho
Coêlho, Ardigleusa Alves
Martiniano, Claudia Santos
Brandão, Isabel Cristina Araújo
Yamamura, Mellina
Maroto, Renata Melo
Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title_full Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title_fullStr Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title_full_unstemmed Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title_short Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?
title_sort potential access to primary health care: what does the national program for access and quality improvement data show?
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822689/
https://www.ncbi.nlm.nih.gov/pubmed/26959332
http://dx.doi.org/10.1590/1518-8345.1069.2672
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