Health management strategies to improve access and quality of services in primary care

• Grant number: 19/03957-0
• Support Opportunities: Research Grants - Research in Public Policies
• Start date: September 01, 2019
• End date: April 30, 2022
• Field of knowledge: Health Sciences - Collective Health - Public Health
• Agreement: CNPq - PPSUS
• Principal Investigator: Vivian Aline Mininel
• Grantee: Vivian Aline Mininel
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
• Associated researchers: Andreas Xyrichis ; Cristiane Shinohara Moriguchi de Castro ; Denise Aparecida Braga ; Everson Cristiano de Abreu Meireles ; Jaqueline Alcântara Marcelino da Silva ; João Alberto Camarotto ; Lucieli Dias Pedreschi Chaves ; Márcia Niituma Ogata ; Maria Ferreira da Silva ; Marina Peduzzi ; Paola Lefcadito Alvares ; Siliani Aparecida Martinelli Brunozi ; Sueli Fatima Sampaio ; Valéria Marli Leonello
• Associated scholarship(s): 20/12539-5 - Workflow and access design in primary care services, BP.TT; 20/02552-4 - Workflow and access design in primary care services, BP.TT; 19/24868-6 - Measuring attributes of primary care from users and healthcare professionals' perspectives, BP.TT

Abstract

Background: Access and use of services are sources of care in each time a health problem appears, which depends on availability, health services and efficaciousness to address needs and experiences of users. Assuming that management models rules services organization and influences users' access, it is important to understand management strategies, work processes and the main aspects that impact on services quality and access. Main goal: build management strategies do improves access and quality of services at Primary Care. Specific goals: (i) Evaluate data from Nacional Program of Improvement of Access and Quality in Primary Care; (ii) Evaluate Primary Care attributes through users and health professionals perspective; (iii) Design activities flows and access of services at Primary Care; (iv) Build strategies with users, health professionals and managers to improve access and quality of services at Primary Care. Method: mix methods study, with qualitative and quantitative approaches, carried out four sequential steps: (1) Documental analysis to evaluate results of Nacional Program of Improvement of Access and Quality in Primary Care. (2) Quantitative approach to evaluate Primary Care attributes, through Primary Care Assessment Tool (PCATool), from users (adult and child) and healthcare professionals. (3) Qualitative approach to design activities flows and access in Primary Care local services. (4) Qualitative approach to build management strategies do improve access and quality of services. Data will be analyzed through different techniques, based on Primary Care's theoretical framework. Expected results should show the current profile of Primary Care in Sao Carlos -SP, as to provide management strategies to improve access and quality of services, which could be used for local managers to make chances e straightness Brazilian Public Health System at local level. (AU)