Banca de DEFESA: SUELY DEYSNY DE MATOS CELINO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : SUELY DEYSNY DE MATOS CELINO
DATE: 28/04/2023
TIME: 14:00
LOCAL: Via Google Meet
TITLE:

EVALUATION OF PRIMARY HEALTH CARE IN THE CONTEXT OF THE COVID-19 PANDEMIC

KEY WORDS:

Primary Health Care; Health Care Evaluation Mechanisms; Pandemics; COVID-19.

PAGES: 152
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Primary Health Care (PHC) is essential in facing the COVID-19 pandemic, due to its characteristics of territorialization and bond, having as main responsibilities in this period: health surveillance in the territories; attention to suspected or confirmed users of the disease; social support to vulnerable groups and; continuity of its own actions. The general objective of the thesis was to evaluate the Primary Health Care (PHC) services during the Public Health Emergency period, due to the COVID-19 pandemic. The results are presented in three articles. The first and second contemplate the quantitative assessment of PHC, regarding its attributes, through the PCATool-Brasil instrument, from the perspective of users and professionals (doctors and nurses), respectively. The general and essential scores attributed by both users and professionals revealed services with little focus on PHC. For users, a high evaluation score was associated with low education, indicating that individuals with a lower educational level tend to be more satisfied with health services and; the highest average time of professionals in health units, an association also verified in the evaluation of professionals, which reflects the need for a bond between them and users to guarantee quality services. The attribute access to first contact had the lowest mean in both studies, which suggests that services do not meet the health needs of the population in a timely manner or comprehensively. The third article was developed through qualitative analysis, with the aim of understanding the work process of PHC teams during the pandemic and their role in coping with COVID-19. Semi-structured interviews were carried out, submitted to content analysis, and later, to the Descending Hierarchical Classification of the IRAMUTEQ software, which led to two thematic categories: Challenges in the work process of the teams and; The role of PHC in coping with the pandemic and the organization of the care network. The scarcity of personal protective equipment, with a limitation of active professionals and the lack of physical structure of the health units were aspects considered limiting in the work process, in addition to the suspension of continuous care. PHC is understood as the gateway to services and the users' main contact with the care network, although it was clearly underused in the scenario studied. It was possible to observe how much the pandemic impacted the services and these, in turn, must face new challenges: rescuing the monitoring of the chronically ill; intensify surveillance actions in the territory, through the work of community health agents; encourage vaccination of children, adults and the elderly, both for COVID-19 and for existing vaccines; and, mainly, to use strategies to improve user access.

COMMITTEE MEMBERS:
Presidente - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interna - 1879353 - FABIA BARBOSA DE ANDRADE
Externa à Instituição - ARDIGLEUSA ALVES COELHO - UEPB
Externo à Instituição - JOAO MARIO PESSOA JUNIOR - UFERSA
Externa à Instituição - LUCIANA ARAUJO DOS REIS - UESB