Qualifying Primary Health Care: Residency in Family and Community Medicine in the Sertão Paraibano Thesis by Luana Idalino da Silva. Advisor: Lívia Keismanas de Ávila

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Introduction: Municipalities in the Sertão of Paraíba tend to face great difficulties in fixing medical professionals in the teams and ensure quality of care with longitudinal, comprehensive and equitable care. Facing this reality, it stands out as a strategy for the qualification of health care the incorporation, in primary care services, of professionals with competences to act responding to the health needs of the population, especially those trained in Family and Community Medicine. Objective: To analyze the Primary Health Care services of the Family and Community Medicine Residency Program. Method: This is an exploratory, cross-sectional, descriptive research, with quantitative approach regarding the attributes of PHC, developed in teams of the ESF with residents who form the network of PHC of municipalities in the sertão of Paraíba. The study population was composed of 99 users and 26 medical residents. Data were obtained by applying the Primary Care Assessment Tool. Descriptive statistics were used, in addition to Pearson’s correlation test to verify the relationship between variables. Results: Residents indicated that among the essential attributes that presented the highest mean, Coordination of Care – Information System stood out (M = 9.10; SD = 1.77), while the derived attribute with the highest mean was Family Orientation (M = 9.27; SD = 1.17). And only the domain First Contact Access/Accessibility (M = 4.17; SD = 1.34) showed low scores. From the users’ perspective among the essential attributes, First Contact Access – Use (M=9.03; SD = 2.29) stands out. In addition, Longitudinality (M = 6.95; SD = 1.58) and Coordination of care- Information system (M = 7.54; SD = 2.48) showed high scores, as well as Degree of Affiliation (M= 7.07; SD=2.90), the other essential and derived attributes performed with low score. Considerations: The study demonstrates the quality of services from the perspective of residents, and can be considered as potent scenarios for training, despite presenting weaknesses regarding access, which indicates the need for changes and inclusion of innovations triggered by management and put into practice in the services. Regarding the users’ view of the services, there is a need to keep improving the teams, with the strengthening of the process and structure components related to most of the essential and derived attributes. The importance of PHC services in the training of residents in Family and Community Medicine is demonstrated and it is proposed to carry out evaluative research on the impact of human resources training programs in order to monitor and propose improvements in the profile of professionals who are working in the health system.

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