Performance of family health teams for tackling chronic diseases in a state of the Amazon
The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical prin...
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description | The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams' work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages |
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A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams' work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages <50%. Health teams perform surveillance actions, health promotion, and comprehensive care for NCDs in accordance with the guidelines of the Strategic Action Plan to Tackle NCDs. The challenge of NCDs in primary care requires a care model that is tailored to users' needs and has the power to reduce premature mortality and its determinants.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0241765</identifier><identifier>PMID: 33156831</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adequacy ; Brazil - epidemiology ; Care and treatment ; Chronic Disease ; Chronic diseases ; Chronic illnesses ; Computer and Information Sciences ; Cross-Sectional Studies ; Diabetes ; Disease ; Exercise ; Family Health ; GDP ; Gross Domestic Product ; Health care ; Health care teams ; Health promotion ; Health Promotion - methods ; Health services ; Health Services - standards ; Humans ; Intervention ; Medicine and Health Sciences ; Mortality ; Noncommunicable Diseases - mortality ; Pathology ; People and places ; Practice ; Primary care ; Principal Component Analysis ; Principal components analysis ; Public health ; Teams</subject><ispartof>PloS one, 2020-11, Vol.15 (11), p.e0241765-e0241765</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Alves et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams' work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages <50%. Health teams perform surveillance actions, health promotion, and comprehensive care for NCDs in accordance with the guidelines of the Strategic Action Plan to Tackle NCDs. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alves, Kelly Cristina Gomes</au><au>Guimarães, Rafael Alves</au><au>de Souza, Marta Rovery</au><au>de Morais Neto, Otaliba Libânio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of family health teams for tackling chronic diseases in a state of the Amazon</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-11-06</date><risdate>2020</risdate><volume>15</volume><issue>11</issue><spage>e0241765</spage><epage>e0241765</epage><pages>e0241765-e0241765</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The most common cause of death worldwide is noncommunicable diseases. A cross-sectional study was conducted to evaluate the adequacy of the work process among family health teams and compare differences in regional adequacy in the state of Tocantins, in the Amazonian Region, Brazil. Categorical principal components analysis was used, and scores of each principal component extracted in the analysis were compared among health regions in Tocantins. A post hoc analysis was performed to compare the heath region pairs. The adequacy of family health teams' work process was evaluated with respect to the Strategic Action Plan to Tackle NCDs. The results showed that the family health teams performed actions according to the Strategic Action Plan to Tackle NCDs. However, overall, the adequacy percentages of these actions according to the axes of the Plan are very uneven in Tocantins, with large variations among health regions. The family health teams in the Bico do Papagaio (Region 1), Médio Norte Araguaia (Region 2), Cantão (Region 4) and Capim Dourado (Region 5) regions have adequacy percentages ≥ 50% with the Strategic Action Plan to Tackle NCDs, whereas all other regions have percentages <50%. Health teams perform surveillance actions, health promotion, and comprehensive care for NCDs in accordance with the guidelines of the Strategic Action Plan to Tackle NCDs. The challenge of NCDs in primary care requires a care model that is tailored to users' needs and has the power to reduce premature mortality and its determinants.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33156831</pmid><doi>10.1371/journal.pone.0241765</doi><tpages>e0241765</tpages><orcidid>https://orcid.org/0000-0002-6613-8147</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adequacy Brazil - epidemiology Care and treatment Chronic Disease Chronic diseases Chronic illnesses Computer and Information Sciences Cross-Sectional Studies Diabetes Disease Exercise Family Health GDP Gross Domestic Product Health care Health care teams Health promotion Health Promotion - methods Health services Health Services - standards Humans Intervention Medicine and Health Sciences Mortality Noncommunicable Diseases - mortality Pathology People and places Practice Primary care Principal Component Analysis Principal components analysis Public health Teams |
title | Performance of family health teams for tackling chronic diseases in a state of the Amazon |
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