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The family health system: analysis of a health survey in São Paulo, Brazil.
- Source :
- Journal of Epidemiology & Community Health; Jun2011, Vol. 65 Issue 6, p483-490, 8p, 5 Charts, 3 Graphs
- Publication Year :
- 2011
-
Abstract
- Background The Family Health Strategy (FHS) has been implemented as a strategy for primary care improvement in Brazil. Working with teams that include one doctor, one nurse, auxiliary nurses and community health workers in predefined areas, the FHS began in 1994 (known then as the Family Health Program) and has since grown considerably. The programme has only recently undergone assessment of outcomes, in contrast to more routine evaluations of infrastructure and process. Methods In 2001, a health survey was carried out in two administrative districts (with 190 000 inhabitants) on the outskirts of the city of São Paulo, both partially served by the FHS. Chronic morbidity (hypertension, diabetes and ischaemic heart disease) of individuals aged 15 or older was studied in areas covered and not covered by the programme. Stratified univariate analysis was applied for sex, age, education, income, working status and social insurance of these populations. Multivariate analysis was applied where applicable. Results There was a distinct pattern in the morbidity profile of these populations, suggesting differentiated self-knowledge on chronic disease status in the areas served by the FHS. Conclusion The FHS can increase population awareness of chronic diseases, possibly through increasing access to primary care. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
CHI-squared test
CLUSTER analysis (Statistics)
COMMUNITY health workers
COMPARATIVE studies
CONFIDENCE intervals
CORONARY disease
DIABETES
HEALTH care teams
HEALTH services accessibility
HYPERTENSION
INTERVIEWING
RESEARCH methodology
EVALUATION of medical care
MULTIVARIATE analysis
PRIMARY health care
QUALITY assurance
RESEARCH funding
STATISTICAL sampling
STATISTICS
SURVEYS
CONTROL groups
HEALTH literacy
Subjects
Details
- Language :
- English
- ISSN :
- 0143005X
- Volume :
- 65
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Epidemiology & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 61784536
- Full Text :
- https://doi.org/10.1136/jech.2008.077172