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[Longitudinality in childcare provided through Family Health Strategy]
Elenice Maria Cecchetti Vaz1, Rafaella Karolina Bezerra Pedrosa Magalhães2, Beatriz Rosana Gonçalves de Oliveira Toso3
1Departamento de Enfermagem Materno-Infantil e Psiquiátrica, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil.
Insights
This study assessed continuity of care in Brazil's Family Health Strategy for children under 10. While most caregivers felt comfortable with consistent providers, the overall score for this attribute met the minimum standard, indicating room for improvement.
Area of Science:
- Pediatrics
- Public Health
- Health Services Research
Context:
- The Family Health Strategy (FHS) in Brazil aims to provide comprehensive primary care.
- Continuity of care, or longitudinality, is a key attribute of primary healthcare quality.
- Evaluating longitudinality is crucial for understanding the effectiveness of FHS in child healthcare.
Purpose:
- To evaluate the longitudinality attribute of childcare within the Family Health Strategy.
- To assess caregiver perceptions of consistent professional relationships in pediatric care.
- To determine if FHS meets established standards for continuity of care in child health.
Summary:
- A quantitative survey of 344 caregivers of children under 10 in João Pessoa, Brazil, was conducted.
- Data collected via the Brazil PCATool (child version) revealed high caregiver satisfaction with consistent providers (89.5%) and communication (81.9%).
- The average score for longitudinality was 6.6, meeting the minimum acceptable threshold.
Impact:
- Findings suggest FHS facilities are oriented towards the longitudinality attribute.
- The study highlights the need for targeted improvements to enhance continuity of care for children under ten.
- Results provide insights for optimizing primary pediatric care services within the FHS framework.
Objective:
To evaluate the longitudinality attribute in childcare provided through the Family Health Strategy.
Method:
Quantitative survey performed with 344 caregivers of children below 10 years old, registered in the family health strategy of Distrito Sanitario III in João Pessoa, Paraiba. Data were collected from July to December, 2012, from the Brazil PCATool child version form and analyzed using descriptive statistics.
Results:
Among the aspects evaluated, it is highlighted that 89.5% of caregivers said they were consulted by the same professionals, and 81.9% felt good talking to the professional. The average score for the longitudinality component was satisfactory, with a 6.6 value.
Conclusion:
The health facilities assessed are guided towards the longitudinality attribute, however, the target mean score was exactly the cutoff value, implying the need for a thoughtful look at the improvement of the attribute in the care of children under ten years.
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