Abstract
Background
Since the 2000s, there has been a plan in Brazil for the reorganization of care for Arterial Hypertension. However, there are still few studies that identify and classify its degree of implementation.
Objective
To assess the degree of implementation of the Assistance Program for People with Hypertension.
Method
This is evaluative research carried out in the Family Health Strategy in the city of Maringá-Paraná, between April and June 2013, with nurses from 63 teams. The instrument used evaluated the structural dimensions, care practice, and organization of care, with a maximum score of 337 points. Tertiles were adopted as criteria for classification: incipient (1st tertile), intermediate (2nd tertile), and advanced (3rd tertile).
Results
The scores obtained ranged from 146.3 to 255.4 points. The Program was classified as advanced in four teams (6.3%) and intermediate in others (93.7%). In the structural dimension, all teams were advanced; in care practice, 16 teams were incipient, 43 intermediate, and four advanced; in the organization of care, four teams were incipient, 58 intermediate, and one advanced.
Conclusion
There are weaknesses in the implementation of the Program concerning the organization and care provided to patients, requiring professional training and action based on public policies and protocols.
Keywords:
health evaluation; hypertension; primary health care; program development; health public policy
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