1. Disability prevention, detection and assistance in primary health care services in the state of São Paulo, Brazil.
- Author
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Tortorelli Zarili, Thais Fernanda, Lodeiro Castanheira, Elen Rose, Olivia Nunes, Luceime, Siqueira Mendonça, Carolina, Eliane Couto, Caroline, Laurini Rossato, Sinara, and Baptistella Nemes, Maria Ines
- Subjects
PRIMARY health care ,MEDICAL care ,CARE of people with disabilities ,SERVICES for people with disabilities ,DISABILITY identification ,CAREGIVERS - Abstract
The objective of this study was to assess the performance of primary health care (PHC) services for disability prevention, detection and assistance in the state of São Paulo. The study included 2739 health services, from 514 municipalities. 128 organizational quality indicators of the QualiAB instrument referring to the evaluative dimension "Attention to disability in primary health care services". The association of health care performance score of each domain with independent variables, health assessment, and support network were tested using of multiple linear regression. The performance percentage was 61.6% for all domains, 73.6% for structure (inputs and human resources), 68.7% for qualification of prenatal care, 56.1% for qualification of child health care, 55.8% for prevention of disabilities related to chronic conditions, and 53.9% for attention to people with disabilities and caregivers. There was a significant association with variables related to the type of service and participation in service evaluations. PHC services still perform incipient actions for the prevention, surveillance and diagnosis of disabilities as well as for comprehensive care for people with disabilities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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