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Enfermería Global

On-line version ISSN 1695-6141

Abstract

COSTA-MAIA-MONTEIRO, Vínícius et al. Assessment of the level of implementation of primary health care attributes as an indicator of the quality of care provided to quilombola communities in the state of Rio Grande do Norte. Enferm. glob. [online]. 2022, vol.21, n.68, pp.484-530.  Epub Nov 28, 2022. ISSN 1695-6141.  https://dx.doi.org/10.6018/eglobal.507371.

Objective:

To evaluate the degree of implementation of the attributes of primary health care as an indicator of the quality of care provided to quilombola communities in the state of Rio Grande do Norte.

Methodology:

This is an evaluative study carried out in 33 quilombola communities certified in the state by Palmares Cultural Foundation. Fifty-one professionals, physicians, nurses and nursing technicians, who work in primary health care, participated in the study using the Primary Care Assessment-Brazil version. The essential attributes, capacity, performance, and the derived attributes were considered: accessibility, logitudinality, coordination - information systems, coordination - care integration, integrality, family orientation and community orientation. The percentage of identified answers was distributed in four classifications: not implemented (from 0 to 25%); incipiently implemented (from 26% to 50%); partially implemented (from 51% to 75%); totally implemented (from 76% to 100%).

Results:

From the analysis, it was found that the PHC actions in quilombola communities in Rio Grande do Norte were classified as fully implemented (82.2%), considering the dimensions capacity (77.92%) and performance (85.56%). When observing the derived attributes: longitudinality (92.94%), coordination - information systems (80.88%), integrality - available services (85.91%), family orientation (87.45%), and community orientation (92.16%), it is noted that these dimensions were also fully implemented. Only the dimensions accessibility (74.51%) and coordination - integration of care (56.86%) were considered as partially implemented.

Conclusion:

It was possible to carry out a situational diagnosis of PHC actions in quilombola communities, identifying the weaknesses and potentialities in the provision of health care to these communities.

Keywords : Health Evaluation; Black Population Health; Primary Health Care.

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