Qualidade da Atenção Primária à Saúde segundo Enfermeiros: Web Survey

Abstract

ABSTRACT The presence and extent of attributes of Primary Care represent quality in health and can be assessed. This study aimed to evaluate the quality of Primary Health Care according to nursing professionals working in the municipality of south of Minas Gerais - Brazil. This is a cross-sectional, descriptive and analytical study, with an evaluative approach, based on a web survey conducted with 16 nurses working in Primary Health Care. An electronic questionnaire with free and informed consent was prepared. personal, training and labor characterization of professionals and questions from the Primary Care Assessment Tool Brazil for professionals. This tool was used in the pilot test and for data collection that took place between November 2018 and March 2019, by email, through automatic verification of the instrument by participants. Data were analyzed and analyzed using descriptive and inferential statistics. A research was approved by the Research Ethics Committee of the Federal University of Alfenas, according to CAEE nº 97909018.0.0000.5142 and opinion nº 2.893.179. Of the participants, 87.5% nurses belonged to Family Health Equipment (urban and rural) and 12.5% ​​to traditional Basic Health Units; 87.5% were female, with an average of 34 years and 27.06 months of experience; 44.44% had attended postgraduate studies in Family Health. Higher scores were found in the following attributes: Coordination - Information Systems, with 8.96 points; and Family Guidance, with 9.44 points. First Contact - Accessibility presented the lowest score with 4.12 points. Regarding the relationship between the participants' characterization variables and the attribute scores, there were associations between the variables: Post Graduation with Coordination - Care Integration; Type of Community Guided Service; and Type of Service with Derived Score; as well as correlations between: Time of Graduation with Age; Coordination - Family Guided Information System; Comprehensive Family Orientation - Services Provided; Comprehensiveness - Services Available with Derived Score, Essential Score, and Derived Score. Thus, it was possible to elaborate the electronic version of an important health assessment instrument; characterize the participating nurses; evaluate the presence and extension of attributes of Primary Health Care, according to the perspective of these professionals; and to verify the existence of relationship between the characteristics of professionals and the scores generated by them. The research shows a quality primary care from the nurses' point of view, with predominance of borderline scores at the cutoff point, followed by high scores. Finally, it is expected that this work contributes to the consolidation of studies that interrelate nursing, health assessment and qualification of Primary Care; with a situational diagnosis with the potential to assist in health policy management; and with the induction of advances regarding the offer and expansion of the attributes of Primary Care to users and professionals of the Unified Health System.