Costa, Iris do Céu ClaraFerreira, Juliana Mota2017-12-132017-12-132017-09-15FERREIRA, Juliana Mota. Avaliação da atenção primária à saúde: identificação dos atributos, indicadores de qualidade e estratégias de melhoria dos serviços. 2017. 100f. Tese (Doutorado em Ciências da Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2017.https://repositorio.ufrn.br/jspui/handle/123456789/24494Primary Health Care (PHC) has four essential attributes: first contact access, ongoing care, comprehensiveness and coordination of care, and three derivative attributes: family centeredness, community orientation, and cultural competence. The identification of the presence and extension of these attributes is important in defining a service as oriented to PHC, and allows for the verification of the association between these and the results of the delivered care on the targeted population’s health. However, to evaluate the health service consists of the initial phase of the qualification process, and must be followed by the development of strategies aimed at improving PHC quality. Within this context, the present study aims to evaluate the attributes of APS in a municipality in the Northeast of Brazil, and to describe strategies used at the national and international level to improve services. A cross-sectional and descriptive study was carried out to evaluate the presence and extent of attributes of APS, through the PCATool-Brazil instrument, being classified as high score the attributes that obtained values equal or greater than 6.6. The final analysis showed the total average score of 6.88±0.91. The average score for essential attribute was 6.61±0.91, and for the derived attribute was 7.80 ± 1.30. The first contact-access component showed low average (3.76 ± 1.11), while the coordination-information system showed the highest average score (8.06 ± 1.60). Second, two reviews of the literature were carried out, that sought to describe international experiences related to improvements in PHC, and strategies used in Brazil to increase the quality of outcomes. The majority of the international studies were related to the coordination of care, programs or models to manage the practices, and technological tools. The strategies described in Brazil were mostly directed at health promotion and disease prevention, using health education, pharmaceutical and nutritional guidance, and technological resources. It was concluded that the evaluation showed strong orientation to primary health care, considering accessibility as a great challenge in Brazil. The review of experiences to improve PHC has proven to be a relevant mechanism to identify possible solutions to overcome obstacles and achieve better health outcomes.Acesso AbertoAtenção primária à saúdeSaúde da famíliaAvaliação de serviços de saúdeQualidade da assistência à saúdeIndicadores de qualidadedoctoralThesisCNPQ::CIENCIAS DA SAUDE