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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2016
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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. |
format | Online Article Text |
id | pubmed-4822689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
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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