Scale for Assessment of Effectiveness of Family Health Strategy by Users

Melo, Cynthia de Freitas; Alchieri, João Carlos; Araújo Neto, João Lins de; Melo, Fabrício Augusto de Freitas

doi:10.1590/1413-82712016210205

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Papers • Psico-USF 21 (2) • May-Aug 2016 • https://doi.org/10.1590/1413-82712016210205 copy

Scale for Assessment of Effectiveness of Family Health Strategy by Users

Escala de Avaliação da Eficácia da Estratégia Saúde da Família pelos Usuários

Escala de Evaluación de la Eficacia de la Estrategia Salud de la Familia por los Usuarios

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The Family Health Strategy (ESF) is the main gateway to the services of the National Health System (SUS), which needs to be constantly reviewed. This research aimed to create an instrument for assessing the effectiveness of ESF, seizing the beliefs about the effectiveness of ESF of a non-stratified random sample of 390 users in Natal, with data analyzed using descriptive, bivariate and multivariate analysis using the Statistical Package of Social Sciences software for Windows. The new instrument with 25 items and dichotomous scale has one factor, Effectiveness of care at ESF, divided into four sub-factors, level of internal consistency with Cronbach's alpha of 0.77. It is contemplated that the effectiveness of care was evaluated negatively by 74.6% of users. In conclusion, the relevance of the new scale and the need for changes to the operation of the ESF availability of quality services are clear.

Keywords:
family health; program evaluation; factor analysis

ITEMS	FACTOR 1
	1	2	3	4
6. FHP Equipment and instruments (stethoscope, scale, pressure device, dentist's chair) work properly.	0,35
11. PHF professionals come everyday from Monday to Friday, in the morning and in the afternoon.
12. The Community Health Agents (ACS) comes to my house at least once a month.	0,40
15. I thins it is wrong when the doctor in my area/street does not come (missing or on holiday), and can not be seen by another doctor from another area.	0,32
17. Here in the neighborhood need more another team of FHP.	0,32
18. Every day, many people are left without care in the PHP, because the numbers for attendance finished.	0,42
19. Short attendance numbers are given in FHP.	0,60
20. People need to wake up at dawn to take the attendance number ensure assistance in the FHP.	0,38
21. In the FHP in my neighborhood there is a reception to find what my problem is and the urgency of it before I am assisted.	0,36
22. Some people go without assistance because the FHP only works during the day in the time when they are working.	0,52
23. I know people who had to miss the job to be assisted in FHP.	0,37
24. Failure to assist during the night hinders workers´ access to care in the FHP.	0,47
27. It's hard to get an appointment for medical specialist (cardiologist, ophthalmologist, dermatologist, etc.).		0,47
28. It takes more than one month to have an exam.		0,44
29. I've had difficulty mark the return to the specialist doctor (cardiologist, ophthalmologist, and dermatologist) who assisted me.		0,56
9. The professionals´ attendance of the FHP is good.			0,38
39. In the FHP you cannot choose the doctor who will assist me.			0,46
42. I already suspected in the consultation with what the doctor had told me.			0,34
43. I trust the FHP professionals.			0,4
44. There is often a meeting held with the community to talk about the FHP problems.			0,53
54. The FHP in my neighborhood just worsens.				0,43
57. The hospital settles better my health problem than the FHP.				0,4
61. If I could choose, instead of going to the FHP, I would go to a private clinic.				0,37
62. I think the service in private practice is faster than in the FHP.				0,34
63. There is a difference between what the law says about the care in health and how it happens in practice.				0,39

Universidade de São Francisco, Programa de Pós-Graduação Stricto Sensu em Psicologia R. Waldemar César da Silveira, 105, Vl. Cura D'Ars (SWIFT), Campinas - São Paulo, CEP 13045-510, Telefone: (19)3779-3771 - Campinas - SP - Brazil
E-mail: revistapsico@usf.edu.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Contato com os autores: Cynthia de Freitas Melo Universidade de Fortaleza, Programa de Pós-Graduação em Psicologia Av. Washington Soares, 1321, Bloco N, Sala N13, Edson Queiroz CEP: 60811-341 Fortaleza, CE, Brasil