Análise documental dos instrumentos validados para avaliação da qualidade do serviço da atenção primária à saúde em países com sistema universal de saúde

Abstract

Primary Health Care (PHC) is the gateway to service networks with universal access. It must coordinate the public Health Care Network (HCN), with comprehensive care, making it effective in improving health. PHC must meet different social, economic, and political contexts. Consequently, evaluation studies are developed to build management and planning tools, support decision-making, and modify care models and system organization. This work aimed to identify and review evaluation instruments and the analytical categories necessary to evaluate the performance of PHC in Brazil. The literature review found twenty four instruments and analyzed eighteen instruments. A table of categories was created to process the data, according to the elements established for Brazilian standards, comparing scenarios divided into three levels: structure, process, and results. Each level was divided into four dimensions. No instrument analyzed addressed all items in the analytical categories. The AMAQ and PCET instruments addressed a greater number of analytical reference items. It was concluded that the AMAQ and PCET instruments were the most suitable for evaluating PHC in Brazil until 2024. A Conclusive Technical Report was prepared indicating the need to improve validated instruments for assessing the quality of PHC in public health systems with universal access. It was proposed that the Brazilian AMAQ instrument be reformulated as a priority to encompass the missing analytical categories. This Master's degree work results from the 'Stricto-Sensu' Postgraduate Program of the Professional Master's Degree in Family Health (PROFSAÚDE).