Evidence map›Paper›PMID 32555977›Full record

ArticleRevista de saude publica2020

Infrastructure and work process in primary health care: PMAQ in Ceará.

Anya Pimentel Gomes Fernandes Vieira-Meyer, Ana Patrícia Pereira Morais, José Maria Ximenes Guimarães, Isabella Lima Barbosa Campelo, Neiva Francenely Cunha Vieira, Maria de Fátima Antero Sousa Machado, Paula Sacha Frota Nogueira, Sharmênia de Araújo Soares Nuto, Roberto Wagner Júnior Freire de Freitas

Abstract read
In one paragraph

Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anya Pimentel Gomes Fernandes Vieira-MeyerFundação Oswaldo Cruz Ceará, Eusébio, CE, Brasil.ORCID http://orcid.org/0000-0003-4237-8995
Ana Patrícia Pereira MoraisCentro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0001-6188-7897
José Maria Ximenes GuimarãesCentro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0002-5682-6106
Isabella Lima Barbosa CampeloFundação Oswaldo Cruz Ceará, Eusébio, CE, Brasil.ORCID http://orcid.org/0000-0003-1552-7350
Neiva Francenely Cunha VieiraDepartamento de Enfermagem, Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0002-9622-2462
Maria de Fátima Antero Sousa MachadoFundação Oswaldo Cruz Ceará, Eusébio, CE, Brasil.ORCID http://orcid.org/0000-0002-2541-8441
Paula Sacha Frota NogueiraDepartamento de Enfermagem, Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brasil.ORCID http://orcid.org/0000-0003-4053-1722
Sharmênia de Araújo Soares NutoFundação Oswaldo Cruz Ceará, Eusébio, CE, Brasil.ORCID http://orcid.org/0000-0002-4763-6773
Roberto Wagner Júnior Freire de FreitasFundação Oswaldo Cruz Ceará, Eusébio, CE, Brasil.ORCID http://orcid.org/0000-0001-9295-1177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE To analyze the quality of the infrastructure and work process of the Family Health Strategy in the municipalities of Ceará between 2012 and 2014. METHODS Cross-sectional study, using secondary data from the external evaluation of the 1st (2012) and 2nd (2014) cycle of the National Program for Improvement of Access and Quality of Primary Care in Ceará. A total of 20 composite indicators were used to verify the quality of infrastructure and work process. RESULTS Data from 183 (99.4%) of the 184 municipalities of Ceará were collected in both cycles. A total of 1,441 teams were evaluated for the infrastructure and 800 for the work process. Among the 20 composite indicators evaluated, 18 presented an improvement, but in a non-homogeneous way, ranging between 0.0 and 413.5%. We observed that the lower the initial value of the indicator, the greater the variation in quality between 2012 and 2014. The indicators of infrastructure and work process were influenced by the regional health system and population size of the municipality, being more evident the influence on the variables of the work process. CONCLUSIONS We identified that quality improvements related to infrastructure and work process occurred in the period of implementation of the program in the state of Ceará in an equitable manner, being influenced by population size and regional health system, showing the influence of the context in the implementation of public policies of this nature.

Indexed as

Health Services AdministrationAnalysis of VarianceBrazilCitiesCross-Sectional StudiesHumansNational Health ProgramsPopulation DensityPrimary Health CareProgram EvaluationQuality ImprovementQuality of Health CareTime Factors

Identifiers

PMID32555977
PMCPMC7274211

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.