Abstract
Introduction
The use of evaluation methods is a way of qualifying the health system.
Objective
The objective of the present study was to evaluate the quality of primary health care (PHC) services and compare health units with Family Health Strategy with those units with a traditional model, in Sapucaia do Sul, RS. This study identified the most vulnerable attributes among units.
Methods
This is a cross-sectional study of PHC assessment using the PCATool – Brazil instrument, version of health professionals. Respondents were network nurses. The units were compared using the average scores observed in the attributes and their 95% confidence intervals.
Results
20 (83.3%) of the 24 units evaluated, had an average general score greater than 6.60. The general score of units with FHS was 7.24 (95% CI 7.0-7.3), while the average of traditional basic health units (BHU) was 6.70 (95% CI 6.1-7.0). In most of the attributes, there was a better performance in teams with FHS, although the difference was found in the integrality attributes – available services and community guidance. Accessibility achieved the least satisfactory performance in both models.
Conclusion
The need was pointed out to improve access, to increase the reference system, and actions were shown to improve performance.
Keywords:
primary health care; health evaluation; family health strategy