Prevalência do atributo acesso de primeiro contato na atenção primária à saúde da criança e do adolescente

Abstract

This dissertation aims to analyze the prevalence and the factors associated to the presence of the First Contact Access attribute of children and adolescents in primary health care services in the municipalities of the 4th Regional Health Coordination / Rio Grande do Sul. Methodology: Quantitative approach, observational, descriptive, transversal and multilevel, carried out at two levels: contextual (municipalities) and individual (child / adolescent). It was applied with caregivers of children and adolescents aged 0 to 18 years, incomplete, in the health services of the 32 municipalities belonging to the coordination. The contextual data were collected on official websites of the Brazilian Federal Government and the individual data were collected through a socio-economic questionnaire and the Primary Care Assessment Tool - Brazil child version. Results: In the contextual variables, the population size was statistically significant for the presence of the First Contact Access attribute, so the municipalities with up to 5 thousand inhabitants were the ones that presented the highest prevalence of this attribute. In the individual variables, users aged 12 to 18 years incomplete, this phase understood as adolescence, had a 22% greater prevalence of access when compared to children under 5 years. Another feature is that not having a health plan makes users have a higher prevalence of access when compared to those who have health insurance. Users who had lower monthly family income better assessed first contact access to health services. Conclusion: At the end of the study, we obtained the publication of a scientific article about integrative review on temá, in a journal of international scope and two articles for later submission in scientific journals. It is hoped to favor the practice of health evaluation in primary care in the country, as well as to contribute to actions capable of improving the quality, planning and execution of health actions, articulating structure and process of services.