Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System's guidelines

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorSecretaria de Estado da Saúde de São Paulo-
Autor(es): dc.contributorUniversidade Estadual do Oeste do Paraná-
Autor(es): dc.creatorCastanheira, Elen Rose Lodeiro-
Autor(es): dc.creatorDuarte, Lígia Schiavon-
Autor(es): dc.creatorde Oliveira Viana, Mônica Martins-
Autor(es): dc.creatorNunes, Luceime Olívia-
Autor(es): dc.creatorZarili, Thais Fernanda Tortorelli-
Autor(es): dc.creatorMendonça, Carolina Siqueira-
Autor(es): dc.creatorSanine, Patricia Rodrigues-
Data de aceite: dc.date.accessioned2025-08-21T16:33:18Z-
Data de disponibilização: dc.date.available2025-08-21T16:33:18Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/0102-311XEN099723-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/300308-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/300308-
Descrição: dc.descriptionThis study analyzes the main organization patterns used by primary health care (PHC) services in municipal networks and evaluates them according to indicators of local management-administration interface. Evaluative research analyzed 461 municipalities in São Paulo, Brazil, that participated in the Primary Care Services Quality Assessment Survey (QualiAB) in 2017/2018, classified according to the organizational arrangements composition of 2,472 PHC services. Eight indicators of local management and administration were selected to evaluate the identified patterns. Results indicate two groups of municipalities: homogeneous, with services presenting the same arrangement (43.6%); and heterogeneous, with different arrangements (56.4%). These were subdivided into seven patterns that ranged from homogeneous-traditional, homogeneous-Family Health Strategy, homogeneous-mixed, and different combinations in the heterogeneous group. All indicators showed significant differences between groups (p < 0.001), especially the homogeneous-traditional group, which presented an organizational pattern far from the desired model of a comprehensive and problem-solving PHC. Those integrated with family health units (FHU) and basic health units with community health workers and/or family health teams (BHU/FHU) showed a pattern closer to a comprehensive model -with planning and evaluation actions committed to the local reality and qualification of care. Implementation of federal and state policies are essential for defining the PHC health care model adopted by municipalities.-
Descrição: dc.descriptionFaculdade de Medicina de Botucatu Universidade Estadual Paulista Júlio de Mesquita Filho-
Descrição: dc.descriptionInstituto de Saúde Secretaria de Estado da Saúde de São Paulo-
Descrição: dc.descriptionCentro de Ciências Biológicas e da Saúde Universidade Estadual do Oeste do Paraná-
Descrição: dc.descriptionFaculdade de Medicina de Botucatu Universidade Estadual Paulista Júlio de Mesquita Filho-
Idioma: dc.languageen-
Relação: dc.relationCadernos de Saude Publica-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectHealth Services Evaluation-
Palavras-chave: dc.subjectHealthcare Models-
Palavras-chave: dc.subjectOrganization and Administration-
Palavras-chave: dc.subjectPrimary Health Care-
Título: dc.titlePrimary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System's guidelines-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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