Characteristics of house calls in Brazil: analysis of PMAQ-AB external evaluation cycles

Ecological study, with panel data whose units of analysis were the Primary Health Care teams in Brazil, participants of the 1st and 3rd cycles of the Program to Improve Access and Quality of Primary Care of the Unified Health System. Descriptive, inferential and spatial analyzes (alpha=5%) were performed.

Results:

There was an increase in the proportion of teams that carried out home visits at a frequency defined based on risk and vulnerability analysis and actively searched for people with respiratory symptoms and women with delayed and altered cytopathological examination. In the heat maps, the Northeast, Southeast and South regions had a higher concentration of teams that carried out the HV and carried out an active search.

Conclusion:

The maintenance and qualification of HVs must be a priority in Brazil, since there are few countries in the world with such capillarity of health services, reaching the homes of millions of people.

Keywords:
House calls; Health services; Health evaluation; Primary health care

Characteristics of house calls	Cycle 1 (17,203 PHC health teams)			Cycle 3 (38,865 PHC health teams)
Characteristics of house calls	n*	%^†	IC95%^‡	n*	%^†	IC95%^‡
The team carries out house calls	17,132	99.6	99.5-99.7	36,702	98.3	98.1-98.4
In addition to CHW, other professionals participate in the visit	14,214	82.6	82.0-83.2	29,025	77.7	77.3-78.1
The team actively searches for pregnant women, those with high blood pressure, and people who are absent	16,537	96.1	95.8-96.4	29,855	79.9	79.5-80.3
The team actively searches for respiratory symptoms	13,370	77.7	77.1-78.3	29,833	79.9	79.5-80.3
The team actively searches for postpartum women	15,447	89.8	89.3-90.2	33,391	89.4	89.1-89.7
The team actively searches for women with delayed cytopathological examination	13,026	75.7	75.1-76.4	32,199	86.2	85.8-86.5
The team actively searches for women with altered cytopathological examination	14,909	86.7	86.1-87.2	36,149	96.8	96.6-97.0
The team carries out house calls at defined intervals based on risk and vulnerability analysis	15,981	92.9	92.5-93.3	36,739	98.4	98.2-98.5
The team organizes the demand for home care	12,105	70.4	69.7-71.0	24,967	66.8	66.4-67.3

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E-mail: revbrepi@usp.br

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[1] Corresponding author:
Francenilde Silva de Sousa. Rua Barão de Itapari, 155, Centro, CEP: 65020-070, São Luís (MA), Brasil. E-mail: francenilde.sousa@discente.ufma.br