Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/199847
Type: Artigo de periódico
Title: Evaluation Of Innovative Strategies In The Organization Of Primary Health Care.
Author: Onocko-Campos, Rosana Teresa
Campos, Gastão Wagner de Sousa
Ferrer, Ana Luiza
Corrêa, Carlos Roberto Silveira
Madureira, Paulo Roberto de
Gama, Carlos Alberto Pegolo da
Dantas, Deivisson Vianna
Nascimento, Roberta
Abstract: To compare the performance of Primary Care Units according to the implementation of new arrangements and strategies in primary care and mental health. Evaluative research with triangulation of methods and theoretical framework of critical hermeneutics, carried out at six Primary Care Units of the two most populous health districts of the city of Campinas (Southeastern Brazil) in 2007. The Primary Care Units were analyzed according to clinical resolution, articulation between the primary care and mental health networks and implementation of health promotion strategies. Two groups were defined by cluster analysis: one with higher and another one with lower degree of implementation of the actions. The groups were compared based on the improvement in clinical follow-up, given by the occurrence of cerebral vascular accident; evaluation of dispensation of psychiatric medicines; focal groups with workers, users and community health agents; and interviews with users and relatives. Inclusive and participatory research strategies were employed. There were no pure models, but a mosaic of organizational proposals. Positive advances were identified in the group with higher implementation of innovative strategies in relation to better integration of the community agents in the Units' teams; to the workers' and agents' perception of improvement in the assistance; and to the facility for referrals and assistance of mental health cases. The difficulties identified in both groups were: communication among the levels of care and within the teams, in the implementation of matrix support, and incipient health promotion actions. The development and implementation of mechanisms to fix professionals in Primary Care in large cities are necessary. The community health agents are fundamental to perform the territorial work proposed by the Family Health Strategy, using mechanisms to integrate the community health agents into the healthcare teams in order to counterbalance the tendency to isolation. The researched arrangements proved to be potent to produce this integration.
Subject: Brazil
Community Health Workers
Delivery Of Health Care
Focus Groups
Follow-up Studies
Health Knowledge, Attitudes, Practice
Humans
Mental Health Services
Models, Organizational
Organizational Innovation
Patient Care Team
Primary Health Care
Program Evaluation
Qualitative Research
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/22252789
Date Issue: 2012
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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