Evaluation of the effectiveness of Primary Health Care in South and Northeast Brazil: methodological contributions
Evaluation of the effectiveness of Primary Health Care in South and Northeast Brazil: methodological contributions
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DOI：
10.1590/s0102-311x2008001300020
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发表时间：
2008-01-01
期刊：
影响因子：
--
通讯作者：
Osório, Alessander
中科院分区：
文献类型：
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作者：
Facchini, Luiz Augusto;Piccini, Roberto Xavier;Osório, Alessander
本文介绍了基线研究中使用的方法，该研究评估了家庭健康战略与传统初级卫生保健单位相比的有效性。这项研究包括41个居民超过10万的城市，其中21个来自巴西南部，20个来自巴西东北部。作为基线研究中抽样的主要因变量和基本前提，使用流行病学调查，在各自覆盖地区的人群中分析了初级保健单位方案活动的有效性。初级保健单位的卫生保健模式是主要的自变量。其对方案活动的影响根据各城市的地缘政治区域、大都市区和人口规模加以控制。这些活动的覆盖面是根据社会经济、人口和健康相关因素确定的。使用比较组，多阶段的样本，标准化的措施，调整的地理和社会人口特征，以及明确界定的标准来判断结果的贡献，在这里设计未来的研究，以评估初级卫生保健的方法。
The article presents the methodology used in the Baseline Study that evaluated the effectiveness of the Family Health Strategy as compared to traditional primary health care units. The study included 41 municipalities with more than 100 thousand inhabitants each, 21 from the South and 20 from the Northeast of Brazil. As the principal dependent variable and underlying premise for sampling in the Baseline Study, the effectiveness of program activities in the primary care units was analyzed in the population within the respective coverage areas, using an epidemiological survey. The health care model in the primary care units was the principal independent variable. Its effect on program activities was controlled according to geopolitical region, metropolitan area, and population size in the municipalities. Coverage of the activities was characterized according to socioeconomic, demographic, and health-related factors. The use of comparison groups, multiple-stage samples, standardized measures, adjustment for geographic and socio-demographic characteristics, and well-defined criteria for judging the findings are contributions by the methodology employed here for designing future studies to evaluate primary health care.