O processo de trabalho das equipes de saúde da família antes e após adesão do programa nacional de melhoria do acesso e da qualidade da atenção básica

Introduction:Aiming to expand access and quality of Primary health Care, the Ministry of Health launches the Program for Improving Access and Quality in Primary health Care, which is an evaluation system organized in three distinct phases, connected to the increase of resources f...

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Principais autores: Silva, José Adailton da, Correia, Alisson, Santiago, Adla Françoíse de Macêdo Faustino, Barbosa, Maria Helena Pires Araújo
Formato: article
Idioma:pt_BR
Publicado em: Revista Ciência Plural
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/57407
https://doi.org/10.21680/2446-7286.2020v6n3ID20426
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Resumo:Introduction:Aiming to expand access and quality of Primary health Care, the Ministry of Health launches the Program for Improving Access and Quality in Primary health Care, which is an evaluation system organized in three distinct phases, connected to the increase of resources for Primary health Care that aims to structure the work process of professionals who work at this level of basic care. Objective:To identify the perception of professionals at the first level of care about the implementation process of the Program to Improve Access and Quality of Primary healthcare.Methodology:Exploratory and descriptive study with a qualitative approach in a municipality in the state of Rio Grande do Norte. The study participants are professionals with higher education in Primary healthcare. The semi-structured interview technique was used and the data were analyzed for content. Research approved by the Research Ethics Committee of the Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte. Results:In the perception of professionals, the implementation of the Improvement Program happened without their participation. Few of them report having meetings with the team to discuss the work process and improvement of the indicators; however, they recognize the referred Program promoted changes in the organization of the actions. As challenges, it was identified the reach to the indicators that the Program recommends, especially the monitoring and evaluation. Record books were identified as progress and setbacks as the lack of updating for professionals, in addition to self-evaluate fragile oral health.Conclusions:The program is important for the improvement of Primary healthcare in the Unified Health System; management needs to favor support for teams with participatorymanagement, provide improvement to professionals in the Family Health Strategy, empower workers thus they can participate as active subjects in building a participatory management model