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

Authors

  • Severina Alice da Costa Uchôa Universidade Nova de Lisboa; Instituto de Higiene e Medicina Tropical
  • Ricardo Alexandre Arcêncio Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Inês Santos Estevinho Fronteira Universidade Nova de Lisboa; Instituto de Higiene e Medicina Tropical
  • Ardigleusa Alves Coêlho Universidade Estadual da Paraíba; Departamento de Enfermagem
  • Claudia Santos Martiniano Universidade Estadual da Paraíba; Departamento de Enfermagem
  • Isabel Cristina Araújo Brandão Centro Universitário FACEX; Departamento de Enfermagem
  • Mellina Yamamura Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Renata Melo Maroto Universidade Federal do Rio Grande do Norte; Departamento de Odontologia

DOI:

https://doi.org/10.1590/1518-8345.1069.2672

Abstract

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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Published

2016-01-01

Issue

Vol. 24 (2016)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Potential access to primary health care: what does the National Program for Access and Quality Improvement data show? . (2016). Revista Latino-Americana De Enfermagem, 24, e2672-. https://doi.org/10.1590/1518-8345.1069.2672