Qualidade do cuidado: Avaliação da disponibilidade de insumos, imunobiológicos e medicamentos na Atenção Básica em município de Minas Gerais, Brasil

Cássio de Almeida Lima, Kênia Souto Moreira,Mauro Henrique Nogueira Guimarães de Abreu, Davi de Melo Alvarenga Vieira, Sabrina Aparecida de Lima Mangueira,Maria Aparecida Vieira,Simone de Melo Costa

Revista brasileira de medicina(2019)

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摘要
Objective: To evaluate the Basic Care regarding the supplies, immunobiologicals and medicines available in the family health services of the municipality of Minas Gerais, Brazil. Methods : Cross-sectional, analytical research, conducted in 2014, from a ministerial instrument titled Self-Assessment for Improving Access and Quality of Primary Care, of family health teams. Eight items were considered, with values between zero and 10 points, of the total inadequacy to the total adequacy of the Basic Health Unit (UBS), to the evaluated item. The units were classified in quality standards “very unsatisfactory” to “very satisfactory” and analyzed according to rural and urban locations, level of significance pu003c0.05. Results : 75 teams participated, which presented significant inadequacy in the items: UBS dispose of all the vaccines required in the basic calendar, 5.95 (±4.003); to have supplies and medicines for the initial emergency/emergency approach, 2.33 (±2.500); presenting the basic medicines regularly, 3.68 (±3.146). The classification was regular for 45.3% of the units and unsatisfactory to 29.3%, without differences in urban or rural locations (p=0.479). Conclusion: There was an unsatisfactory evaluation, with inadequacies related to vaccines, the initial approach in emergency and emergency situations and the availability of medicines. Such a situation undermines the list of actions and the resolution of services, affecting the capacity of the team to effectively meet the population’s health demands.
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关键词
Avaliação em Saúde,Pesquisa sobre Serviços de Saúde,Atenção Primária à Saúde,Estratégia Saúde da Família,Insumos Farmacêuticos
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