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Assessment of the essential attributes of Primary Health Care for children
Juliane Pagliari Araujo1, Cláudia Silveira Viera2, Beatriz Rosana Gonçalves de Oliveira2
1Instituto Federal do Paraná. Londrina, Paraná, Brazil.
Insights
Primary health care for children shows weak essential attribute scores, indicating a need for improvement in structure and process. The study evaluated 23 health units using the PCATool Brazil, child version.
Area of Science:
- Pediatric primary care
- Health services research
- Public health
Background:
- Evaluating essential attributes of primary health care (PHC) is crucial for child well-being.
- Assessing the structure and process of PHC services provides insights into service quality.
Purpose of the Study:
- To identify the presence and extent of essential attributes in PHC services for children.
- To evaluate the structure and process of child-focused primary healthcare.
Main Methods:
- Quantitative, evaluative study in 23 basic health units in Parana State.
- Survey of 548 caregivers of children under 12 using the Primary Care Assessment Instrument (PCATool Brazil), child version.
- Calculation of essential and general PHC scores with a cut-off score of ≥6.6.
Main Results:
- Structural attribute scores: Accessibility (5.5), Kinship (6.9), Integrality - Services Available (6.0), Coordination - System Information (7.4).
- Process attribute scores: First Visit - Use (8.6), Longitudinally (6.1), Integrality - Services Provided (6.1), Coordination - Integration of Care (6.9).
Conclusions:
- The essential PHC score was 6.6 and the general score was 6.3.
- Findings indicate a weak focus on essential attributes in primary health care for children.
Objective:
To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process.
Method:
Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6.
Results:
The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care - Services Available (6.0) and Coordination - System information (7.4). As for the Process, the following results were obtained: First visit - Use (8.6), Longitudinally (6.1), Integrality - Services Provided (6.1) and Coordination - Integration of Care (6.9).
Conclusion:
The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.
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