[Use of the family health record as a quality-of-care indicator in primary health care units].
Expansion of the Family Health Program in Brazil requires indicators to evaluate the consistency of the approach actually adopted and the program's underlying principles. Together with the family health chart, the family health history (medical genealogy) allows improved follow-up of the clientele's health and the quality of care provided. This study used the family health chart based on external evaluation (accreditation) of family health teams and managers. The results showed variation in the health charts' conformity to the accreditation standard according to the nature of the function evaluated. The study showed the importance of external evaluation to signal the level of conformity to the required standards, suggesting the need to operate with a combined indicator, including internal and external evaluation of family health data as a management instrument.
Pereira
Ana Tereza da Silva
AT
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. anatsp@gmail.com
Noronha
José
J
Cordeiro
Hésio
H
Dain
Sulamis
S
Pereira
Telma Ruth
TR
Cunha
Fátima Teresinha Scarparo
FT
Costa Junior
Heleno
H
D000068:Accreditation; D001938:Brazil; D005192:Family Health; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008499:Medical Records / Q000592:standards*; D009313:National Health Programs / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care; D014481:United States