Avaliação da qualidade da atenção básica utilizando a doença respiratória da infância como traçador, em um distrito sanitário do município de São Paulo / Primary health care quality evaluation using respiratory diseases as tracer in a health district in the city Sao Paulo
Tanaka, Oswaldo Yoshimi; Espírito Santo, Antônio Carlos Gomes do.
Rev. bras. saúde matern. infant
; 8(3): 325-332, jul.-set. 2008. tab
Artículo
en Portugués
| ENSP, FIOCRUZ | ID: ens-26552
OBJECTIVES:
to assess quality of the primary care using respiratory diseases as a tracer.METHODS:
the evaluative approach is based on Donabedian's referencial connected to Kessner's tracers methodology. The sample is formed by 768 children from 0 to 5 years old, presenting respiratory symptoms, attended at seven basic health units from the Sanitary District of Brasilândia, in the city of São Paulo, State of São Paulo, Brazil. Medical registrations and interviews with mothers or responsibles were the information sources.RESULTS:
more accurate child medical examination evidences significant association with favorable evolution, mainly on moderate clinical forms. Although aspects related to the accessibility demonstrated by the health team seem to influence decisively on care quality evaluated by users, mainly the medical doctor. Mothers education level appears to have no influence in the favorable evolution.CONCLUSIONS:
the tracer methodology has the potentiality to facilitate the critical analysis of the health care. It is important to focus on the outcome of the health care. The children respiratory diseases are important tracer for the quality assessment on health services.(AU)
Biblioteca responsable:
BR526.1
Ubicación: BR526.1
Texto completo
Documentos relacionados