[Evaluation of coverage by family health teams for fatal stroke victims in Maringá, Paraná State, Brazil].
The work process in the Brazilian Family Health Program (FHP) allows teams to establish bonds, accept families, and take responsibility for the registered population and identify groups at risk. Monitoring allows problem surveying and evaluation of specific measures. Considering that a key objective of controlling arterial hypertension is to reduce stroke mortality, this study aimed to identify the coverage, follow-up, and quality of care for individuals in areas with the FHP who died of stroke, based on data from the family registries (Form A), follow-up (Form B), and patient records in primary health care units. The results showed low coverage, with 33.3% of registration on Form A, follow-up of 4.9% of deaths, and absence of any annotation on the care provided in most patient records (52.4%). Analysis of care in the group confirmed the fragmentation and disconnection between the different information systems. It is essential to encourage the use of available data and improve their recording in order to institutionalize evaluation practice and work organization from a health surveillance perspective.
Baptista
Eliane Katsume Kikumoto
EK
Secretaria Municipal da Saúde, Maringá, Brasil. ebaptista@maringa.pr.gov.br
Marcon
Sonia Silva
SS
Souza
Regina Kazue Tanno de
RK
D000554:Ambulatory Care Facilities; D001795:Blood Pressure Determination; D001938:Brazil / Q000453:epidemiology; D003695:Delivery of Health Care; D005192:Family Health; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000517:prevention & control; D007256:Information Systems; D009313:National Health Programs / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation; D012307:Risk Factors; D020521:Stroke / Q000401:mortality*