Work Process in Primary Health Care: evaluation of management

ABSTRACT This research has developed and implemented an evaluation model of the management of the work process in Primary Health Care in municipalities of Santa Catarina, using the data of the second cycle of the external evaluation of the National Program for Access and Quality Improvement in Primary Care. The rated universe corresponded to 91.9% of the municipalities of Santa Catarina that, mostly, achieved satisfactory outcomes on structural conditions for the working process. However, there are great challenges to ensure the necessary conditions for the realization of procedural aspects, in particular, on the continuity of care and on the work organization.

摘要
本研究开发并实施了圣卡塔琳娜州（Santa Catarina）市政辖区内基层医疗卫生服务（Primary Health Care）工作流程管理的评估模型，研究数据取自《国家基层医疗可及性与质量提升计划》第二周期的外部评估数据集。本次评估覆盖圣卡塔琳娜州91.9%的行政辖区，其中绝大多数辖区的工作流程结构性条件均获得了满意的评价结果。然而，在保障流程环节落地所需的必要条件方面仍存在较大挑战，尤以照护连续性与工作组织模式两大维度的问题最为突出。