Evaluation of the Responsiveness Index of the Family Health Strategy in rural areas

Shimizu, Helena Eri; Trindade, Josélia de Souza; Mesquita, Monique Santos de; Ramos, Maíra Catharina

doi:10.1590/S1980-220X2017020203316

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Original Article • Rev. esc. enferm. USP 52 • 2018 • https://doi.org/10.1590/S1980-220X2017020203316 linkcopy

Evaluation of the Responsiveness Index of the Family Health Strategy in rural areas

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective To evaluate the responsiveness of Family Health Strategy units in the rural area of the Federal District registered in the National Program for Improvement of Access and Quality of Basic Care.

Method Descriptive study, which used a questionnaire to evaluate the following dimensions: a) respect for people: dignity, confidentiality of information, autonomy, communication; b) customer orientation: facilities, choice of the professional, agile service and social support.

Results The users’ assessment of responsiveness was 0.755. The dimensions related to respect for people received an index of 0.814 and customer orientation was 0.599.

Conclusion Care is given that shows respect for human dignity, but progress needs to be made in building confidentiality and the autonomy of users. Infrastructure is poor and care is not agile, highlighting the need for greater investments in rural areas.

DESCRIPTORS
Family Health Strategy; Rural Population; Health Evaluation; Primary Health Care; Primary Care Nursing; Quality of Health Care

		Sobradinho	Gama	Itapoã	Brazlândia	São Sebastião
Sex
	Male	25.00	23.33	20.00	16.67	15.38
	Female	75.00	76.67	80.00	83.33	84.62
	Total	100	100	100	100	100
Age
	18 to 29 years	28.13	26.67	60.00	25.00	7.69
	30 to 49 years	59.38	60.00	20.00	41.67	61.54
	50 to 69 years	6.25	13.33	20.00	33.33	23.08
	Over 70 years	6.25	-	-	-	7.69
	Total	100	100	100	100	100
Education
	Incomplete Elementary	18.75	26.67	20.00	25.00	7.69
	Complete Elementary	12.50	16.67	-	8.33	7.69
	Incomplete Secondary	25.00	20.00	20.00	25.00	46.15
	Complete Secondary	34.38	30.00	60.00	33.33	38.46
	Incomplete Higher	-	3.33	-	8.33	-
	Complete Higher	3.13	-	-	-	-
	No education	6.25	3.33	-	-	-
	Total	100	100	100	100	100
Income
	Up to 1 minimum wage	28.13	43.33	20.00	50.00	38.46
	2 to 4 minimum wages	68.75	40.00	80.00	41.67	53.85
	Over 5 minimum wages	3.13	16.67	-	8.33	7.69
	Total	100	100	100	100	100
Length of time visiting the unit
	1 to 3 months	-	3.33	-	-	-
	3 to 11 months	37.50	30.00	20.00	41.67	30.77
	1 to 4 years	50.00	43.33	20.00	41.67	-
	5 to 10 years	9.38	16.67	40.00	-	53.85
	Over 10 years	3.13	6.67	20.00	16.67	15.38
	Total	100	100	100	100	100

Dimensions		Responsiveness Index (CI 95%)
Respect for people		0.814 (0.801-0.827)
	Dignity	0.897 (0.882-0.912)
	Confidentiality	0.695 (0.599-0.791)
	Autonomy	0.664 (0.629-0.698)
	Communication	0.790 (0.767-0.813)
User orientation		0.599 (0.577-0.621)
	Agility	0.609 (0.563-0.654)
	Social support	0.805 (0.731-0.879)
	Facilities	0.653 (0.633-0.674)
	Choice of the professional	0.051 (0.008-0.093)
Responsiveness Index		0.755 (0.743-0.767)

Dimensions	Sobradinho	Gama	Itapoã	Brazlândia	São Sebastião
Dignity	0.887 (0.860-0.914)	0.901 (0.875-0.928)	0.925 (0.864-0.986)	0.892 (0.849-0.936)	0.906 (0.869-0.943)
Confidentiality	0.562 (0.380-0.744)	0.700 (0.525-0.874)	1	0.833 (0.586-1)	0.769 (0.504-1)
Autonomy	0.619 (0.558-0.680)	0.668 (0.609-0.728)	0.860 (0.753-0.966)	0.727 (0.643-0.812)	0.630 (0.525-0.736)
Communication	0.697 (0.653-0.740)	0.795 (0.753-0.838)	0.975 (0.936-1)	0.885 (0.840-0.930)	0.849 (0.793-0.904)
Agility	0.482 (0.399-0.566)	0.655 (0.577-0.732)	0.478 (0.273-0.684)	0.661 (0.642-0.781)	0.804 (0.707-0.901)
Social support	0.815 (0.683-0.948)	0.783 (0.643-0.922)	0.800 (0.244-1)	0.675 (0.403-0.946)	0.953 (0.885-1)
Choice of the professional	0	0.010 (-0.010-0.030)	0.244 (-0.280-1)	0.058 (-0.070-0.186)	0.130 (-0.065-0.327)
Facilities	0.655 (0.631-0.678)	0.652 (0.608-0.697)	0.651 (0.556-0.747)	0.490 (0.420-0.559)	0.770 (0.731-0.808)
Total	0.712 (0.691-0.732)	0.761 (0.741-0.782)	0.832 (0.788-0.876)	0.768 (0.737-0.799)	0.805 (0.77-0.833)

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