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Primary Health Care: a comparison of PSF and UBS units per stratum of socially excluded users in the city of São Paulo

Paulo Eduardo Elias 1,2
Clara Whitaker Ferreira 1
Maria Cecília Góis Alves 3
Amélia Cohn 1,2
Vanessa Kishima 4
Álvaro Escrivão Junior 1,4
Adriana Gomes 1,5
Aylene Bousquat 1,5

1 Centro de Estudos de
Cultura Contemporânea.
Rua Airosa Galvão 64,
Água Branca, 05002-070
São Paulo SP. [e-mail] 2 Departamento de
Medicina Preventiva,
FMUSP.
3 Instituto de Saúde,
Secretaria de Estado da Saúde de São Paulo.
4 Fundação Getúlio
Vargas de São Paulo.
5 Programa de Mestrado em Saúde Coletiva,
Universidade Católica de Santos.

Abstract Within the baseline studies of the
PROESF, this article aims to compare the assistance modalities PSF and the traditional UBS per stratum of socially excluded users in São Paulo.
The study is considering the opinions of users, health professionals and managers. The tool used for this comparison was the Primary Care Assessment Tool (PCAT), which contemplates eight dimensions of primary care. The questionnaire was answered by several professionals of the 384 primary care units. The best evaluated PSF and UBS units (Basic Care Index – BCI) were selected from each of the three groups and socially excluded stratums. An opinion survey was carried out in each one of these units. The study resulted in scores of perception of users, managers and health professionals in each modality, focusing the eight dimensions of primary care. With exception to one stratum, the opinions of managers and health professionals were found very similar with regard to all studied dimensions and, compared with the opinion of users, they were always better, especially as refers to orientation towards the family and the community. The comparison of PSF and UBS with regard to the different socially excluded stratums shows no differences between the opinions of managers and professionals. The BCI found based on the opinion of users however was