Impact of expanded family health and basic healthcare centers actions resolutivity of primary health care ; Impacto del núcleo ampliado de salud familiar y atención básica en la resolución de la atención primaria de salud ; IMPACTO DAS AÇÕES DO NÚCLEO AMPLIADO DE SAÚDE DA FAMÍLIA E ATENÇÃO BÁSICA NA RESOLUTIVIDADE DA ATENÇÃO PRIMÁRIA À SAÚDE

The Family Health Expanded Nucleus was created in 2008, with the objective of expanding the scope of the Family Health Teams in the health services network. The objective was to assess the impact of the actions of the Expanded Family Health Center, from its implementation until 2017. This is a documentary study of historical series, quantitative and with an analytical approach. It was held in Foz do Iguaçu-PR, on the premises of the Epidemiological Surveillance and other points of the Health Care Networks in the municipality, namely: Primary Care Directorate, Specialized Care Directorate and Basic Health Units. Health System of Foz do Iguaçu. Of the Basic Health Units analyzed, 42.56% had assistance from the Expanded Family Health Center while 57.14% did not; the average number of referrals made by units without the Extended Family Health Center during this period was 66.11%, while in units with it was 36.94%. There is a statistically considerable difference between referrals from units with and without the Expanded Family Health Center within the same health district, pointing to a positive influence of the multidisciplinary team in the resolution of Primary Care. ; El Centro Ampliado de Salud de la Familia fue creado en 2008, con el objetivo de ampliar el alcance de los Equipos de Salud de la Familia en la red de servicios de salud. El objetivo fue evaluar el impacto de las acciones del Centro Ampliado de Salud de la Familia, desde su implementación hasta 2017. Se trata de un estudio documental de series históricas, cuantitativo y con enfoque analítico. Se llevó a cabo en Foz do Iguaçu-PR, en las instalaciones de la Vigilancia Epidemiológica y otros puntos de las Redes de Atención de Salud del municipio, a saber: Dirección de Atención Primaria, Dirección de Atención Especializada y Unidades Básicas de Salud Sistema de Salud de Foz do Iguaçu. De las Unidades Básicas de Salud analizadas, el 42,56% contó con la asistencia del Centro Ampliado de Salud Familiar y el 57,14% no; el promedio de derivaciones realizadas ...