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Evaluation of at-risk infant care: comparison between models of primary health care
Alessandra Giannella Samelli1, Gislene Andrade Tomazelli1, Maria Helena Morgani de Almeida2
1Universidade de São Paulo. Faculdade de Medicina. Curso de Fonoaudiologia do Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil.
Insights
Primary health care for at-risk infants in São Paulo showed low scores, regardless of management model. The Family Health Strategy performed better than traditional units but still requires improvement in accessibility and family guidance.
Area of Science:
- Public Health
- Pediatrics
- Health Services Research
Background:
- At-risk infants require coordinated health care networks.
- Primary health care plays a crucial role in managing infant health.
- Evaluating primary health care attributes is essential for service quality.
Purpose of the Study:
- To analyze the health care network for at-risk infants in São Paulo.
- To compare primary health care attributes between Family Health Strategy and traditional basic health units.
Main Methods:
- Survey of at-risk infants born in western São Paulo (2013-2014).
- Active search and application of the PCATool - child version.
- Sample of 81 infants' guardians participated.
Main Results:
- Family Health Strategy units received better user evaluations than traditional units.
- Overall and essential scores were low for both models, indicating dissatisfaction.
- Family Health Strategy outperformed traditional units in most attributes, except information system coordination.
Conclusions:
- Low scores across models highlight dissatisfaction with accessibility, integrality, and family guidance.
- Current primary health care performance may negatively impact infant health care quality.
- Improvements are needed in primary health care delivery for at-risk infants.
Objectives:
To analyze the health care network for at-risk infants in the western region of the city of São Paulo, with the primary health care as coordinator, and to compare the presence and extension of attributes of primary health care in the services provided, according to the service management model (Family Health Strategy and traditional basic health units).
Methods:
A survey was conducted with all at-risk infants born in the western region of São Paulo between 2013 and 2014. The children were then actively searched for a later application of the PCATool - child version. The total of 233 children were located in the territory; 113 guardians agreed to participate, and 81 composed the final sample.
Results:
Regarding the results of PCATool for overall and essential scores, the units with Family Health Strategy were better evaluated by users, when compared with traditional basic health units, showing a statistically significant difference. However, these scores were low for both management models. Regarding attributes, the Family Health Strategy presented better performance compared with traditional basic health units for most of them, except for coordination of information systems. Of ten assessed attributes, seven reached values ≥6.6 for Family Health Strategy and two for the traditional basic health unit.
Conclusions:
Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants' health care.
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