Family health coverage and care reorganization during the COVID-19 pandemic

to evaluate the reorganization of Primary Health Care services for individuals with suspected and/or confirmed COVID-19 during the critical phase of the pandemic, considering family health team coverage.

analytical cross-sectional study conducted with 1,474 managers of Primary Health Care services. Data were collected using Google Forms and analyzed by prevalence ratios, employing a Poisson regression model with random effects.

municipalities with coverage below 25% showed a 10% higher prevalence of patient distancing, a 33% higher prevalence of attending patients with suspected/confirmed COVID-19 in a separate sector, a 60% higher prevalence of using Telehealth for monitoring mild cases, and a 7% higher prevalence of providing guidance on home isolation, compared to municipalities with coverage between 25% and 49.99.

the reorganization of Primary Health Care occurred differently among Family Health Strategy, with municipalities with lower coverage more frequently implementing prevention and monitoring measures. This finding underscores the need to establish and standardize protocols to guide the reorganization of health services in public health emergencies.