Analysis of the indicators of the Family Health Program in the Metropolitan Region of São Paulo

Cesar, Paulo Augusto Monteclaro; Liberal, Márcia Mello Costa De; Marvulle, Valdecir; Zucchi, Paola

doi:10.1590/S1679-45082018GS4174

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Sumário

HEALTH ECONOMICS AND MANAGEMENT • Einstein (São Paulo) 16 (3) • 2018 • https://doi.org/10.1590/S1679-45082018GS4174 copy

Analysis of the indicators of the Family Health Program in the Metropolitan Region of São Paulo

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To analyze the Family Health Program replaced by the Family Health Strategy in 2011, based on health indicators and diseases classified as primary care sensitive.

Methods

This was a descriptive, analytical and documental study carried out in the Metropolitan Region of São Paulo between 2002 and 2007. We analyzed data from Health observatory for the Metropolitan Region of São Paulo. Pearson’s correlation and the Statistical Package for the Social Sciences software version 17.0 were used to calculate data associations.

Results

We used 30 of the 31 health indicators of 24 from the 39 studied municipalities. A total of 720 (100%) health primary care sensitive indicators were analyzed in the Metropolitan Region of São Paulo.

Conclusion

Percentages of improvements and worsening were low. In addition, some data were not presented. The majority of indicators remained stable.

Family health strategy; Health; Family; Primary health care

PCSI

Regions and municipalities	Improved n (%)	Remained unchanged n (%)	Worsened n (%)	No data n (%)
Itapevi	4 (13.3)	24 (80.0)	2 (6.6)	0 (0)
Taboão da Serra	0 (0)	24 (80.0)	4 (13.3)	2 (6.6)
São Caetano do Sul	0 (0)	21 (70.0)	7 (23.3)	2 (6.6)
Santo André	2 (6.6)	23 (76.6)	4 (13.3)	1 (3.3)
Diadema	4 (13.3)	25 (83.0)	1 (3.3)	0 (0)
Cajamar	2 (6.6)	25 (83.3)	1 (3.3)	2 (6.6)
Santa Isabel	8 (26.6)	21 (70.0)	1 (3.3)	0 (0)
Poá	5 (16.6)	21 (70.0)	2 (6.6)	2 (6.6)
Itaquaquecetuba	7 (23.3)	22 (73.3)	0 (0)	1 (3.3)
Biritiba Mirim	1 (3.3)	25 (83.3)	0 (0)	4 (13.3)
São Paulo	5 (16.6)	16 (53.3)	9 (30.0)	0 (0)
Guarulhos	2 (6.6)	21 (70.0)	7 (23.0)	0 (0)
Total	40 (11.1)	268 (74.4)	38 (10.2)	14 (3.9)
Mean	3.3 (11.0)	22.5 (75.0)	3.2 (10.7)	1.0 (3.3)

PCSI

Regions and municipalities	Improved n (%)	Remained unchanged n (%)	Worsened n (%)	No data n (%)
Pirapora do Bom Jesus	3 (10.0)	24 (80.0)	0 (0)	3 (10.0)
Jandira	2 (6.6)	26 (86.0)	0 (0)	2 (6.6)
Santana do Parnaíba	0 (0)	26 (86.0)	2 (6.6)	2 (6.6)
Juquitiba	5 (26.6)	22 (73.3)	1 (3.3)	2 (6.6)
São Lourenço da Serra	0 (0)	26 (86.9)	0 (0)	4 (13.3)
São Bernardo do Campo	1 (3.3)	27 (90.0)	1 (3.3)	1 (3.3)
Franco da Rocha	2 (6.6)	25 (83.0)	2 (6.6)	1 (3.3)
Mairiporã	1 (3.3)	26 (86.0)	2 (6.6)	1 (3.3)
Ferraz de Vasconcelos	1 (3.3)	27 (90.0)	1 (3.3)	1 (3.3)
Total	15 (5.5)	229 (84.8)	9 (3.3)	17 (6.2)
Mean	1.7 (5.7)	25.4 (84.7)	1 (3.3)	1.9 (6.3)

PCSI

Regions and municipalities	Improved n (%)	Remained unchanged n (%)	Worsened n (%)	No data n (%)
Itapecerica da Serra	0 (0)	28 (93.3)	0 (0)	2 (6.6)
Mauá	1 (3.3)	26 (86.0)	3 (10.0)	0 (0)
Francisco Morato	1 (3.3)	29 (96.6)	0 (0)	0 (0)
Total	2 (2.2)	83 (92.2)	3 (3.3)	2 (2.2)
Mean	0.7 (2.3)	27.6 (92.0)	1 (3.3)	0.7 (2.3)

PCSI

Correlated municipalities group with health indicators	Improved n (%)	Remained unchanged n (%)	Worsened n (%)	No data n (%)
Municipalities group in which FHS covering increased	40 (11.1)	268 (74.4)	38 (10.2)	14 (3.9)
Municipalities group in which FHS covering remained stable	15 (5.5)	229 (84.8)	9 (3.3)	17 (6.2)
Municipalities group in which FHS covering decreased	2 (2.2)	83 (92.2)	3 (3.3)	2 (2.2)
Total	57 (7.9)	580 (80.5)	50 (6.9)	33 (4.5)

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[1] Corresponding author: Paola Zucchi. Rua Botucatu, 740, 3^rd floor – Vila Clementino Zip code: 04023-062 – São Paulo, SP, Brazil. Phone: (55 11) 5576-4848. E-mail: pzucchi@unifesp.br