Abstract
Objective
To spatially analyze the indicators related to access, scope and resoluteness of services offered by Primary Health Care dimensions in the cities of northeastern Brazil.
Methods
This is an ecological study using spatial analysis techniques, using the arithmetic means and standard deviations of the ten performance indicators agreed in the third cycle of the Brazilian National Program for Improving Access and Quality of Primary Care (PMAQ-AB - Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica), whose units of analysis were the 1,794 cities from northeastern Brazil.
Results
No state reached the minimum parameter in the “Resoluteness” and “Service offer scope” dimensions. In the “Access and continuity of care” dimension, there were low-low spatial cluster for consultations on spontaneous demand and high-high for appointments with scheduled consultations. In the “Resoluteness” dimension, it was possible to observe high-high spatial clusters in cities in Rio Grande do Norte, Paraíba, Pernambuco and Alagoas. In the “Service offer scope” dimension, low-low clusters were found in cities of Maranhão, Piauí and Ceará.
Conclusion
Spatial analysis allowed us to observe that there are still difficulties in the population’s access to PC services in northeastern Brazil, which also leads to a decrease in the power of coverage and resoluteness of this level of care.
Primary health care; Health services accessibility; Family health strategy; Spatial analysis
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(A): Moran’s analysis for the “Average number of visits by physicians and nurses per inhabitant” indicator; (B): Moran’s analysis for the “Percentage of consultations by spontaneous demand” indicator; (C): Moran’s analysis for the “Percentage of appointments scheduled” indicator; (D): Moran’s analysis for the “Rate of visits by assessed health condition” indicator; (E): Moran’s analysis for the “Ratio of collection of cytopathological material from the cervix” indicator; (F): Moran’s analysis for the “First programmatic dental appointment coverage” indicator.
(A): Moran’s analysis for the “Percentage of referrals to specialized service” indicator; (B): Moran’ analysis for the “Ratio between completed treatments and first programmatic dental appointments” indicator.
(A): Moran’s analysis for the “Percentage of services offered by the PC team” indicator; (B): Moran’s analysis for the “Percentage of services offered by the Oral Health team” indicator.