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首页> 外文期刊>Cadernos de Saúde Pública >Evaluating the degree of implementation of primary health care attributes as an indicator of quality of care provided to childrenEvaluación del grado de implantación de los atributos en la atención primaria de salud, como indicador de calidad en la asiste
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Evaluating the degree of implementation of primary health care attributes as an indicator of quality of care provided to childrenEvaluación del grado de implantación de los atributos en la atención primaria de salud, como indicador de calidad en la asiste

机译：评估初级保健属性的实施程度，以此作为向儿童提供的护理质量的指标评估初级保健属性的实施程度，作为衡量护理质量的指标

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This article sought to evaluate the degree of implementation of primary health care (PHC) attributes as an indicator of the quality of care provided to children. We carried out a cross-sectional study in a middle-sized city in Minas Gerais State, Brazil. We interviewed 707 childcare workers who work with children aged 0 to 4 years (498 from the urban area and 209 from the rural area) and 22 professionals from the family health teams, using the Primary Care Assessment Tool , the Brazil criteria for socioeconomic classification and a questionnaire designed by the researchers. We calculated the PHC attribute scores based on opinions from users and professionals. Scores ≥ 6.6 were considered indicative of a high degree of attribute implementation. We used the Mann-Whitney test to compare results from the urban and rural areas. Professionals rated PHC services more highly than users. To professionals, the components with the highest scores were “information systems” and “family guidance” (both 8.9). To users, the components with the highest scores were “information systems” (7.8) and “use” (6.8) and those with the lowest scores were “care integration” (4.0) and “available services” (4.6). The scores of essential and general service attributes were higher in the rural area than in the urban area according to users, but not according to professionals. There are important divergences between evaluations from professionals and users. Rural-area services were better evaluated than those in the urban areas, despite the fact that PHC attributes have not been adequately implemented in the entire city, indicating that the quality of the care provided to children falls short of what is needed.
机译：本文试图评估初级保健（PHC）属性的实施程度，以此作为向儿童提供的护理质量的指标。我们在巴西米纳斯吉拉斯州的一个中等城市进行了横断面研究。我们使用“初级保健评估工具”，巴西的社会经济分类和评估标准，采访了707名照顾0至4岁儿童的保育员（城市地区为498名，农村地区为209名）和22名家庭保健团队的专业人员。研究人员设计的问卷。我们根据用户和专业人士的意见计算了PHC属性得分。分数≥6.6被认为是高度实施属性的指示。我们使用了Mann-Whitney检验来比较城市和农村地区的结果。专业人士对PHC服务的评价高于用户。对于专业人员而言，得分最高的要素是“信息系统”和“家庭指导”（均为8.9）。对于用户而言，得分最高的组件是“信息系统”（7.8）和“使用”（6.8），而得分最低的组件是“护理整合”（4.0）和“可用服务”（4.6）。根据用户，农村地区基本服务和一般服务属性的得分高于城市地区，但根据专业人士而言则没有。专业人士和用户的评估之间存在重大分歧。尽管没有在整个城市充分实施初级保健的属性，但农村地区的服务却比城市地区的服务得到了更好的评估，这表明向儿童提供的照料质量达不到所需要的水平。

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