Table 3. Primary Health Care (PHC) organization as first contact of preference, breadth and resolvability, provision of and access to specialized care, and communication between professionals according to physicians and nurses of Family Health Team (EqSF). Feira de Santana, Santo Antônio de Jesus e Vitória da Conquista, BA, Northeastern Brazil, 2013.
Indicator | Feira de Santanaa | Santo Antônio de Jesus b | Vitória da Conquista c |
---|---|---|---|
|
|
|
|
% | % | % | |
PHC organization as first contact of preference | |||
Completely agree/agree that the population first seeks USF for health care | 92 | 77 | 91 |
Completely agree/agree that with ESF the population seeks fewer hospital and specialized services | 81 | 74 | 84 |
Completely agree/agree that the population first seeks the hospital or emergency network for health care | 19 | 10 | 19 |
Completely agree/agree that USF only provides care with previous scheduling | 10 | 6 | 6 |
Completely agree/agree that USF provides care for spontaneous demand | 88 | 97 | 98 |
Completely agree/agree that the average waiting time for a medical appointment at USF exceeds 15 days | 33 | 16 | 19 |
PHC breadth and resolvability | |||
Evaluate as very satisfactory/Satisfactory the capacity of EqSF to solve 80% or more of cases treated at USF | 89 | 77 | 78 |
Provision of sample collection for lab tests at USF | 9 | 77 | 66 |
Evaluate as very satisfactory/Satisfactory the regular distribution of medicines by the team | 69 | 84 | 75 |
Provision of and access to specialized care in Healthcare Network (HN) | |||
Most common pathway for patients from care at UBS to referral to specialized care | |||
The appointment is scheduled by UBS and the date is later informed to patient | 60 | 48 | 94 |
The patient leaves UBS with a scheduled appointment | 25 | 6 | 0 |
Patients are always/Most times able to schedule other services | |||
Appointment with specialists | 75 | 61 | 63 |
Specialized test | 76 | 55 | 75 |
Hospitalization | 58 | 48 | 64 |
Communication between professionals | |||
Report completing medical record after each consultation | 94 | 100 | 98 |
Always/Most times provide written information when patients are referred to other services | 92 | 90 | 83 |
Always/Most times receive counter-referral following user’s consultation with a specialist | 13 | 10 | 5 |
Completely agree/Agree that physicians are able to provide follow-up care for users of other health services | 33 | 42 | 56 |
Completely agree/Agree that nurses are able to provide follow-up care for users of other health services | 50 | 61 | 64 |
ESF: Family Health Strategy; USF: Family Health Unit; HN: Healthcare Networks; UBS: Unidade Básica de Saúde (Basic Health Unit)
a 36 physicians and 70 nurses.
b 10 physicians and 21 nurses.
c 28 physicians and 36 nurses.