Atenção à saúde da criança: uma análise do grau de implantação e da satisfação de profissionais e usuários em dois municípios do estado de Pernambuco, Brasil

作者: Isabella Samico , Zulmira Maria de Araújo Hartz , Eronildo Felisberto , Eduardo Freese de Carvalho

DOI: 10.1590/S1519-38292005000200012

关键词: User satisfactionHealth careNursingChild health careUnit of analysisMedicineFocus groupGerontologyUnit (housing)Interpersonal relationshipIntegrated Management of Childhood Illness

摘要: OBJECTIVES: to evaluate the implementation of child health care at two municipalities state Pernambuco, Brazil. METHODS: evaluative research, analysis. It was considered as units analysis: unit Family Health Program (FHP) with professionals trainned in Integrated Management Childhood Illness Strategy (IMCI), without this training and conventional unit. The degree achieved by case management structure evaluation. Professional users perceptions were appraised interview focus group discussion. RESULTS: satisfactory for FHP services, insatisfactory Municipality 1 2. Professionals effectiveness services interpersonal relationship good, but difficulties reference system lack integration work units. Users reported, good effectiveness, access difficulties. CONCLUSIONS: deficiencies potentiality provided nurse professional determinant aspects variability on degree. not possible define influence IMCI strategy. There is better user satisfaction units, problems integrality care.

参考文章(18)
T. Lambrechts, V. Orinda, J. Bryce, Integrated management of childhood illness: a summary of first experiences. Bulletin of The World Health Organization. ,vol. 77, pp. 582- 594 ,(1999)
A. Donabedian, The quality of care. How can it be assessed? JAMA: The Journal of the American Medical Association. ,vol. 260, pp. 1743- 1748 ,(1988) , 10.1001/JAMA.260.12.1743
Stephen M Campbell, J al Braspenning, A Hutchinson, M Marshall, Research methods used in developing and applying quality indicators in primary care Quality & Safety in Health Care. ,vol. 11, pp. 358- 364 ,(2002) , 10.1136/QHC.11.4.358
Regina Bodstein, Atenção básica na agenda da saúde Ciencia & Saude Coletiva. ,vol. 7, pp. 401- 412 ,(2002) , 10.1590/S1413-81232002000300002
Carmen Casanova, Barbara Starfield, Hospitalizations of Children and Access to Primary Care: A Cross-National Comparison: International Journal of Health Services. ,vol. 25, pp. 283- 294 ,(1995) , 10.2190/PCF7-ALX9-6CN3-7X9G
R. Jones, Primary care research: ends and means. Family Practice. ,vol. 17, pp. 1- 4 ,(2000) , 10.1093/FAMPRA/17.1.1
Mônica de Castro Maia Senna, [Equity and health policy: some reflections on the Family Health Program in Brazil]. Cadernos De Saude Publica. ,vol. 18, pp. 203- ,(2002) , 10.1590/S0102-311X2002000700020