PMM good practices and contributions to Primary Health Care (PHC) and Family Health Care Strategy (FHCS)
Municipal - Capital Curitiba-PR
PHC dimensions: access, integrity, longitudinality, health care coordination. Complementary dimensions: teamwork, user satisfaction.
1. An increase in coverage and improvement of the population’s access to Primary Health Care (PHC): from 37.53% (2012) to 51.16% (2014). 2. Between 2012 and 2014, an increase from 1 to 1.3 medical appointments generated by inhabitant per year in the municipality. 3. An increase in skills and quality of the medical care solutions provided. 5. Progress in the assignment of doctors closer to users and a reduction in the turnover of these Family Health Care Strategy professionals. 6. An increase in the average of hypertensive and Type II diabetic patients treated. 7. The strengthening of the horizontal relationship of PMM doctors with other FHCS members, and medical treatment closer to users.
PAHO/WHO, SHS Curitiba
“A qualitative case study. Data collection tools. Structured interviews, observation visits.”
Recommendations / Challenges:
1. A better integration between health care levels. Apparently, PMM did not have an impact in the integration between the Primary Health Care and the specialized care. 2. A scheduled health care vs demand health care? How can the emphasis in demand satisfaction be prevented from conspiring against the full implementation of the Family Health Strategy? 5. How can the assignment of doctors to less attractive locations be maintained? 4. Can it be that the training of doctors who filled those vacancies is in line with the required profile?
It shows how PMM was able to improve the health care access in the low income population of municipalities in areas where SMS could not achieve an appropriate assignment and retention of doctors. It shows how the presence of doctors in the Basic Health Units improves access and equity, the importance of the skills of doctors for Primary Health Care work because of their training and experience with family health care.