A QUALIDADE DA ATENÇÃO PRIMÁRIA À SAÚDE EM RIO BRILHANTE SOB A PERSPECTIVA DA PESSOA IDOSA

Abstract

Primary Health Care (APS) is preferably the user's first contact with the Unified Health System (SUS). In Brazil, health care for the elderly is part of the APS attributions and establishes the objective of any and all health actions to promote healthy and active aging in this population, which has been increasing every year in our country. The Family Health Strategy (ESF) is the main model in the reorganization of APS, it is necessary to have the presence of the four essential attributes and the extension of the three derived attributes, which guide, characterize and measure the quality of APS. Therefore, the present research aimed to evaluate the quality of APS from the perspective of elderly users of APS services in Rio Brilhante-MS. For this, interviews were conducted with a sample of the population of 345 elderly people, who use the services among the eight units located in the urban region of the municipality, using the PCATool-Brasil questionnaire (Primary Care Assesment Tool), an evaluation instrument, validated nationally by the Ministry of Health, for adult patients in the reduced version consisting of 26 items distributed in 10 components related to the theme. For the sociodemographic characterization of the participants, a data collection instrument was used, composed of structured questions, such as age, sex, education, profession and with whom they share the residence. Participants were selected using a simple random sampling technique, based on the registration of elderly users at the unit, and the interviews were carried out by the researcher at the participants's homes who accepted and signed the Informed Consent Form (ICF). Descriptive analysis was performed with presentation of results through absolute and relative frequencies for categorical variables, and through measures of center and variability for continuous variables. The inferential analysis was performed using the logistic regression test with the presentation of the Odds Ratio and the respective 95% confidence interval, considering a statistical significance of 5%. The results show that the average age of the participants is 69.6 years, and those who work outside the home are more likely to assign a low score in the evaluation of primary health care. There was a greater use of services offered by female users of 69.7%. As for the evaluation of the assistance offered at the primary level, the APS essential score in the municipality, with an average of 6.94, was above the cut-off score of 6.6, classified as high quality. The essential attribute First Contact Access – Use was the best evaluated with a score of 9.19. The overall score was evaluated at 6.27, close to the cutoff score, but considered low by the instrument. It is concluded that the quality of APS according to the general score is low, being close to the cut-off point. The essential score is high, indicating that the APS health services in the municipality are guided by their attributes, promoting greater user satisfaction and having a positive impact on the population's health status. Users know the referral services in their neighborhood and these are the first to be sought by patients. Improvement actions can be taken in order to inform patients about the access they have to consult their medical records and inform / make available to the population the list of services and guidelines that are available if they may need it at any time, such as: mental health, smoking and counseling about the changes that come with aging. Reorganizing existing health actions and implementing new care flows that enable quality care becomes necessary and timely.