Integration of primary care in the healthcare network: analysis of the components in the external evaluation of the PMAQ-AB

Cadernos de saúde pública
Lenir Aparecida ChavesEli Iola Gurgel Andrade

Abstract

This cross-sectional study examined the integration of primary care in the healthcare network of the Brazilian Unified National Health System (SUS), using the Gradual Response Model of Item Response Theory. Based on data from 17,202 teams that participated in the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB, 2012), we measured gradients of integration to identify the teams' profile by level of integration. The results show that the items pertaining to matrix support measures (medical consultations, case discussions, shared clinical action, joint elaboration of therapeutic projects, permanent educational activities, work process discussions, interventions in the territory, and visits with primary care professionals) improved the performance of primary care teams. Communications devices between teams reinforced this understanding. Still, the approximately 50% of answers associated with the worst scenario for some study items evidenced the need to upgrade the integration between primary care activities and specialized care for the consolidation of comprehensive primary healthcare.

References

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Jan 16, 2007·Cadernos de saúde pública·Gastão Wagner de Sousa Campos, Ana Carla Domitti
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Citations

Aug 14, 2020·Revista brasileira de enfermagem·Danilo Carvalho RodriguesFrancisca Diana da Silva Negreiros
Aug 20, 2020·Revista da Escola de Enfermagem da U S P·Danusa da Silva CabralSimone Albino da Silva
Jul 9, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Rosângela Durso PerilloDeborah Carvalho Malta
Oct 1, 2020·Ciência & saúde coletiva·Elizabeth Louisy Marques Soares da SilvaMarília de Carvalho Lima
May 14, 2020·Cadernos de saúde pública·Juliana Azevedo FernandesGastão Wagner de Sousa Campos

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