title: Primary Health Care quality in Rocinha - Rio de Janeiro, Brazil, from the perspective of children caregivers and adult users.
abstract: This paper aims to evaluate the extent of PHC attributes, from the experience of users, both adults and children caregivers, comparing the area served by the health facilities of the district of Rocinha with other areas of health district 2.1 in the municipality of Rio de Janeiro. The measuring tool used to evaluate the quality of services provided was the Primary Care Assessment Tools. A cross-sectional study was conducted, with independent random samples and 802 interviewees. Results indicate a better performance for children care when compared to adult care. Attributes "access" and "comprehensiveness - available services" were the worst performers, probably due to the great external and internal migration existing within Rocinha itself. To improve these attributes, we recommend the adoption of a single list of residents by Family Health Team (ESF), with a maximum number of people, including territorial delimitation and people internal mobility. We also highlight the importance of strengthening the Family and Community Medicine Residency Program, which, since 2012, has been training specialists with the support of preceptors and enables increased portfolio of PHC services.
authors.affiliation: Departamento de Medicina de Família e Comunidade, Faculdade de Medicina, Universidade Federal do Rio de Janeiro. R. Laura Araújo 36/2º andar, Cidade Nova. 20211-170 Rio de Janeiro RJ Brasil. felipepinto.rio2016@gmail.com.
authors.forename: Luiz Felipe
authors.initials: LF
authors.lastname: Pinto
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
authors.forename: Erno
authors.initials: E
authors.lastname: Harzheim
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
authors.forename: Lisiane
authors.initials: L
authors.lastname: Hauser
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
authors.forename: Otávio Pereira
authors.initials: OP
authors.lastname: D'Avila
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
authors.forename: Marcelo Rodrigues
authors.initials: MR
authors.lastname: Gonçalves
authors.affiliation: Secretaria Municipal de Saúde do Rio de Janeiro. Rio de Janeiro RJ Brasil.
authors.forename: Paula
authors.initials: P
authors.lastname: Travassos
authors.affiliation: Secretaria Municipal de Saúde do Rio de Janeiro. Rio de Janeiro RJ Brasil.
authors.forename: Renan
authors.initials: R
authors.lastname: Pessanha
mesh_terms: D000328:Adult; D000367:Age Factors; D001938:Brazil; D017028:Caregivers / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005192:Family Health; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards*; D011787:Quality of Health Care