Evaluation of health promotion practices: a look from the participating teams of the National Program for Access and Quality Improvement in Primary Care

The Health Promotion practices of the basic attention teams in Brazil and macro-regions were analyzed from the PMAQ-AB (2012). The variable frequency axes were studied: Services Reorientation; Community Actions; Healthy Environments; Personal Skills (n = 17,202 teams). The territorial approach is restricted to geographic aspects; the vulnerability of the "Bolsa Familia Program" beneficiaries; there is a predominance of clinical actions at school (buccal health); sexuality/reproduction education; environmental information were restricted. It is concluded that the practices are still fragmented and focused; an even integration of clinical care, prevention and health promotion shall be urged.

本研究依托巴西基本医疗评估计划（PMAQ-AB，2012）的数据集，对巴西全国及各宏观区域的基层基本医疗团队的健康促进实践展开分析。本次研究考察了四大变量维度：服务重构、社区行动、健康环境建设与个人技能培育，共纳入17202支团队。本研究的地域分析视角限定于地理特征以及“家庭补助金计划（Bolsa Familia Program）”受益群体的脆弱性特征；同时，学校领域的临床服务以口腔健康为主，性与生殖健康教育及环境信息传播相关实践仍存在明显局限。研究结果表明，当前健康促进实践仍呈现碎片化且单一聚焦的特征，亟需推动临床诊疗、预防保健与健康促进的协同整合。