Abstract

VEGA ROMERO, Román; MARTINEZ COLLANTES, Jorge  and  ACOSTA RAMIREZ, Naydú. Quick assessment on the performance of the public network of health services in Suba, within the achievements of the Primary Health Services - APS. Rev. Gerenc. Polit. Salud [online]. 2009, vol.8, n.16, pp.165-190. ISSN 1657-7027.

This study evaluated the performance of a primary health care (PHC) strategy implemented by a public health care network lead by Suba Hospital. The study was based on a rapid assessment approach that adapted Starfield's methodology and was validated by Macinko in Brazil. It included surveys for patients, professionals, coordinators and decision-makers. Their perceptions are compared with those of actors in private outpatient settings. This study demonstrated significant perceived gains in comprehensiveness in the public sector, and also found that users' perceptions of health are significantly associated with the positive assessment of the institution providing primary health care services and with the public nature of the institution. However, findings also indicated poor performance with regards to family and community orientation and particular elements of other important attributes of CPHC. Strategies must be oriented to address these problems in order to allow Suba Hospital to improve its contribution to population health and equity in health.

Keywords : Comprehensive Primary Health Care; rapid assessment methodology; health service evaluation; PHC attributes; Colombia; Primary health care; health services evaluation; health policy.

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