[The expanded enrollment form in the Brazilian Family Health Program as a management tool for diagnosis of living and health conditions].
As a consequence of the introduction of the Family Health Program in the city of Sao Paulo, Brazil, a pilot experiment was conducted with an expanded enrollment form for gathering information on families at two school health services. The aim of the study was to analyze this enrollment form as a management tool capable of identifying differences and inequities in each area. The collected data provided the basis for generating six related indicators: time of residence in the area, family members per bedroom, per capita family income, number of children as a percentage of total family members, schooling, and health insurance coverage. A compound indicator was constructed, called the Mean Living Standard Score, in addition to another indicator -- Mean Score/ Basic Health Care Information System -- from the three indicators existing in form A of the Basic Health Care Information System. The results identified contiguous geographic areas with different living standards. The two scores showed similar discriminatory power. In conclusion, it is possible to differentiate and discriminate sub-areas, thereby highlighting the need to organize different health actions for each sub-area.
Sala
Arnaldo
A
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. arnasala@usp.br
Simões
Oziris
O
Luppi
Carla Gianna
CG
Mazziero
Miryan Cristina
MC
D001938:Brazil; D002648:Child; D005191:Family Characteristics; D005192:Family Health; D005568:Forms and Records Control; D006297:Health Services Accessibility; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D016014:Linear Models; D010865:Pilot Projects; D017061:Prepaid Health Plans; D012111:Residence Characteristics; D012924:Social Conditions; D012935:Social Justice; D012959:Socioeconomic Factors