Health care, quality certification and institutional support: a focus on primary health care in Brazil

被引：4

作者：

Gonzaga da Matta-Machado, Antonio Thomaz ^{[1
]}

dos Santos, Alaneir de Fatima ^{[1
]}

Xavier de Abreu, Daisy Maria ^{[2
]}

Jorge, Alzira Oliveira ^{[1
]}

Rodrigues dos Reis, Clarice Magalhaes ^{[2
]}

de Lourdes Dayrell de Lima, Angela Maria ^{[2
]}

Lobato de Araujo, Lucas Henrique ^{[2
]}

机构：

[1] Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil

[2] Univ Fed Minas Gerais, Ctr Estudios Salud Colect & Nutr, Belo Horizonte, MG, Brazil

来源：

SALUD PUBLICA DE MEXICO | 2016年 / 58卷 / 03期

关键词：

public health; primary care; quality assessment; Brazil;

D O I：

10.21149/spm.v58i3.7895

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To provide an overview of the distribution of institutional support in primary care in Brazil and to identify associations between the activities of institutional support and the outcome of the certification of the National Programme for Improving Access and Quality in Primary Health Care (PMAQ). Materials and methods. A cross-sectional study was conducted through interviews with 16 960 professionals in Brazil in 2012.To examine the relationship between the received support and the quality of health care it was made a multiple binary logistic regression. Results. A positive relationship between high-level support and certification in the sub-dimensions analyzed was observed: women and child care, diabetes mellitus/ hypertension and mental health.The support activities which contributed most were: self-assessment, shared assessment, targeted workshops and training. Conclusion. Institutional support activities have helped to improve the quality and access of the population to healthcare in the country.

引用

页码：358 / 365

页数：8

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