title: [Evaluation of the family focus and community orientation in the Family Health Strategy].
abstract: The Family Health Strategy should be focused on the family unit and constructed operationally within the community sphere. The research assessed the family focus and community orientation as attributes of Primary Health Care, comparing if the responses differed among users, professionals and managers. It is an evaluative study of a population-based quantitative approach conducted between January 2010 and March 2011 in São Luís in the state of Maranhão. The study involved a population of 32 managers and 80 professionals with more than six months experience in the Family Health Strategy, and 883 users were selected by means of cluster sampling. Questionnaires validated in Brazil were used based on the components of the Primary Care Assessment Tool (PCATool). The composite index of the family focus was 2.7 for users, 4.9 for professionals and 5.3 for managers. In the posttest phase, differences were detected between users and professionals, and users and managers. The composite index of community orientation was 2.9 for users, 3.9 for professionals and 4.8 for managers (p < 0.001). Managers attributed higher percentages in all indicators, followed by professionals and lastly users. Both attributes were rated as being unsatisfactory in the perception of the users.
authors.forename: Monyk Neves de
authors.initials: MN
authors.lastname: Alencar
authors.forename: Liberata Campos
authors.initials: LC
authors.lastname: Coimbra
authors.forename: Ana Patrícia Pereira
authors.initials: AP
authors.lastname: Morais
authors.forename: Antônio Augusto Moura da
authors.initials: AA
authors.lastname: Silva
authors.forename: Siane Rocha de Almeida
authors.initials: SR
authors.lastname: Pinheiro
authors.forename: Rejane Christine de Sousa
authors.initials: RC
authors.lastname: Queiroz
mesh_terms: D001938:Brazil; D003153:Community Health Services / Q000458:organization & administration*; D005192:Family Health; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires