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In all countries of the world, there are changes that require a redesign of health care to respond more effectively to new and complex needs, such as demographic transition, epidemiological transition, technological evolution and increased expectations with respect to health and vital well-being. These and many other changes require sanitary answers, above all they ask for an organized and strong Primary Health Care.
The so-called essential attributes of Primary Health Care are the access of the individual's first contact with the health system, which is the accessibility and use of the health service as a source of care for each new problem or new episode of the same problem. Health aspects include the longitudinality, the existence of a continuous source of attention, as well as its use throughout the time. Integrality is the range of services from the biopsychosocial point of view of the health-disease process, such as promotion, prevention, cure and rehabilitation, available and appropriate to the context of Primary Health Care, including referrals. Coordination of care presupposes some form of continuity, either by the same professional or through medical histories, or both, in addition to the recognition of problems addressed in other services and the integration of that care in the whole patient care.
Three other characteristics, called derived attributes, also qualify the actions of the Primary Health Care services. Family orientation in the evaluation of individual needs must take into account the family context and its potential for care and also threat to health. Community orientation is the recognition of community health needs through epidemiological data and direct contact with the community, as well as joint planning and evaluation of services. Cultural competence is the adaptation of the provider to the special cultural characteristics of the population to facilitate the relationship and communication with it.
References
1. Gérvas J. Strong Primary Care is the one with instruments that allow to measure the quality that it offers (to improve it continuously). Rev Bras Med Fam Common. [Internet]. 2013 Nov 8 [access Dec 10, 2017]; 8 (29): 223-4. Available at: http://rbmfc.org. br / index.php / rbmfc / article / view / 834
2. Harzheim E, Oliveira MMC, Agostinho MR, Hauser L, Stein AT, Goncalves MR, et al. Validation of the instrument for the evaluation of primary health care: PCATool-Brazil adults. Rev Bras Med Fam Common. 2013; 8 (29): 274-84.
3. Starfield B. Primary care: balancing health needs, services and technology. Brasília: Unesco; 2002.
4. Novaes HMD. Evaluation of health programs, services and technologies. Rev Saúde Pública. 2000; 34 (5): 547-9.
5. Polit D, Beck C, Hungler B. Fundamentals of nursing research. 5th ed. Porto Alegre: Artmed; 2004.
6. Cochran W. Sampling Techniques. 3th Edition. New York: John Wiley & Sons; 1977.
7. Brazilian Institute of Geography and Statistics [Internet]. Rio de Janeiro. 2013 [access 10 June 2013]. Available at: http://www.ibge.gov.br/estadosat/ perfil.php? Sigla = mg
8. Ribeiro L da CC, Rocha RL, Ramos-Jorge ML. Reception of children in primary health care: a study on the posture of professionals in family health teams. Cad Saude Publica [Internet]. 2010 Dec [access 9 Dec 2017]; 26 (12): 2316-22. Available at: http: //www.scielo.br/scielo.php?script=sci_arttext&pid=S0102- 311X2010001200010 & lng = en & nrm = iso & tlng = en
9. CDA Lion, Boiler AP, Oliveira MMC de. Attributes of primary care in child health care: assessment of caregivers. Rev Bras Saúde Matern Infant. 2011 Sep; 11 (3): 323-34.
10. Elias PE, Ferreira CW, Alves MCG, Cohn A, Kishima V, Registrar Á Junior, et al. Basic Health Care: comparison between PSF and UBS by stratum of social exclusion in the city of São Paulo. Cienc Saude Colet. [Internet]. 2006 [access Dec 19, 2017]; 11 (3): 633-41. Available at: http://www.scielo.br/pdf/%0D/csc/v11n3/30979.pdf
11. Ibañez N, Rocha JSY, Castro PC de, Ribeiro MCS de A, Forster AC, Novaes MHD, et al. Evaluation of the performance of primary care in the State of São Paulo. Cienc Saude Colet. [Internet]. 2006 [access 2 Dec 2017]; 11 (3): 683-703. Available at: http: // www. scielo.br/scielo.php?script=sci_arttext&pid=S1413- 81232006000300016 & lng = en & nrm = iso & tlng = en
12. Van Stralen CJ, Belisário SA, van Stralen TB de S, Lima ÂMD de, Massote AW, Oliveira C di L. Perception of users and health professionals about basic care: comparison between units with and without family health in the Central Region -Owest of Brazil. Cad Public Health. [Internet]. 2008 [access 2 Dec 2017]; 24 (Suppl 1): 148-58. Available at: http://www.scielosp.org/pdf/csp/v24s1/ 19.pdf
13. Administrative Rule no. 2488, of October 21, 2011 (BR). It approves the National Primary Care Policy, establishing the revision of guidelines and standards for the organization of Primary Care, for the Family Health Strategy (ESF) and the Community Health Agents Program (PACS). Official Journal of the Union [Internet]. 24 Oct 2011. [Access Dec 3, 2017]. Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/ prt2488_21_10_2011.html
14. Viana LMM. Evaluation of primary health care of teresina from the perspective of users. Federal University of Piaui; 2012. p. 127.
15. Room A, Luppi CG, Simões O, Marsiglia RG. Integrality and Primary Attention to Health: evaluation from the perspective of users of health units in the city of São Paulo. Health and Soc [Internet]. 2011 Dec [aces so 9 Dec 2017]; 20 (4): 948-60. Available at: http: // www. scielo.br/scielo.php?script=sci_arttext&pid=S0104- 12902011000400012
Competing interests:
No competing interests
13 December 2017
Yoani Ojeda-Treto
Intensive Care Unit
Muñoz-Mendoza Ana M., Santos-Peña Moises A.
Gustavo Aldereguia University General Hospital
Ave 5 de Septiembre and 51-A street. Cienfuegos city. Cuba 55100
The results to achieve in Primary Health Care
In all countries of the world, there are changes that require a redesign of health care to respond more effectively to new and complex needs, such as demographic transition, epidemiological transition, technological evolution and increased expectations with respect to health and vital well-being. These and many other changes require sanitary answers, above all they ask for an organized and strong Primary Health Care.
The so-called essential attributes of Primary Health Care are the access of the individual's first contact with the health system, which is the accessibility and use of the health service as a source of care for each new problem or new episode of the same problem. Health aspects include the longitudinality, the existence of a continuous source of attention, as well as its use throughout the time. Integrality is the range of services from the biopsychosocial point of view of the health-disease process, such as promotion, prevention, cure and rehabilitation, available and appropriate to the context of Primary Health Care, including referrals. Coordination of care presupposes some form of continuity, either by the same professional or through medical histories, or both, in addition to the recognition of problems addressed in other services and the integration of that care in the whole patient care.
Three other characteristics, called derived attributes, also qualify the actions of the Primary Health Care services. Family orientation in the evaluation of individual needs must take into account the family context and its potential for care and also threat to health. Community orientation is the recognition of community health needs through epidemiological data and direct contact with the community, as well as joint planning and evaluation of services. Cultural competence is the adaptation of the provider to the special cultural characteristics of the population to facilitate the relationship and communication with it.
References
1. Gérvas J. Strong Primary Care is the one with instruments that allow to measure the quality that it offers (to improve it continuously). Rev Bras Med Fam Common. [Internet]. 2013 Nov 8 [access Dec 10, 2017]; 8 (29): 223-4. Available at: http://rbmfc.org. br / index.php / rbmfc / article / view / 834
2. Harzheim E, Oliveira MMC, Agostinho MR, Hauser L, Stein AT, Goncalves MR, et al. Validation of the instrument for the evaluation of primary health care: PCATool-Brazil adults. Rev Bras Med Fam Common. 2013; 8 (29): 274-84.
3. Starfield B. Primary care: balancing health needs, services and technology. Brasília: Unesco; 2002.
4. Novaes HMD. Evaluation of health programs, services and technologies. Rev Saúde Pública. 2000; 34 (5): 547-9.
5. Polit D, Beck C, Hungler B. Fundamentals of nursing research. 5th ed. Porto Alegre: Artmed; 2004.
6. Cochran W. Sampling Techniques. 3th Edition. New York: John Wiley & Sons; 1977.
7. Brazilian Institute of Geography and Statistics [Internet]. Rio de Janeiro. 2013 [access 10 June 2013]. Available at: http://www.ibge.gov.br/estadosat/ perfil.php? Sigla = mg
8. Ribeiro L da CC, Rocha RL, Ramos-Jorge ML. Reception of children in primary health care: a study on the posture of professionals in family health teams. Cad Saude Publica [Internet]. 2010 Dec [access 9 Dec 2017]; 26 (12): 2316-22. Available at: http: //www.scielo.br/scielo.php?script=sci_arttext&pid=S0102- 311X2010001200010 & lng = en & nrm = iso & tlng = en
9. CDA Lion, Boiler AP, Oliveira MMC de. Attributes of primary care in child health care: assessment of caregivers. Rev Bras Saúde Matern Infant. 2011 Sep; 11 (3): 323-34.
10. Elias PE, Ferreira CW, Alves MCG, Cohn A, Kishima V, Registrar Á Junior, et al. Basic Health Care: comparison between PSF and UBS by stratum of social exclusion in the city of São Paulo. Cienc Saude Colet. [Internet]. 2006 [access Dec 19, 2017]; 11 (3): 633-41. Available at: http://www.scielo.br/pdf/%0D/csc/v11n3/30979.pdf
11. Ibañez N, Rocha JSY, Castro PC de, Ribeiro MCS de A, Forster AC, Novaes MHD, et al. Evaluation of the performance of primary care in the State of São Paulo. Cienc Saude Colet. [Internet]. 2006 [access 2 Dec 2017]; 11 (3): 683-703. Available at: http: // www. scielo.br/scielo.php?script=sci_arttext&pid=S1413- 81232006000300016 & lng = en & nrm = iso & tlng = en
12. Van Stralen CJ, Belisário SA, van Stralen TB de S, Lima ÂMD de, Massote AW, Oliveira C di L. Perception of users and health professionals about basic care: comparison between units with and without family health in the Central Region -Owest of Brazil. Cad Public Health. [Internet]. 2008 [access 2 Dec 2017]; 24 (Suppl 1): 148-58. Available at: http://www.scielosp.org/pdf/csp/v24s1/ 19.pdf
13. Administrative Rule no. 2488, of October 21, 2011 (BR). It approves the National Primary Care Policy, establishing the revision of guidelines and standards for the organization of Primary Care, for the Family Health Strategy (ESF) and the Community Health Agents Program (PACS). Official Journal of the Union [Internet]. 24 Oct 2011. [Access Dec 3, 2017]. Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/ prt2488_21_10_2011.html
14. Viana LMM. Evaluation of primary health care of teresina from the perspective of users. Federal University of Piaui; 2012. p. 127.
15. Room A, Luppi CG, Simões O, Marsiglia RG. Integrality and Primary Attention to Health: evaluation from the perspective of users of health units in the city of São Paulo. Health and Soc [Internet]. 2011 Dec [aces so 9 Dec 2017]; 20 (4): 948-60. Available at: http: // www. scielo.br/scielo.php?script=sci_arttext&pid=S0104- 12902011000400012
Competing interests: No competing interests