Índice de Desenvolvimento Humano e reestruturação da Atenção Primária à Saúde na pandemia de COVID-19

Ana Paula de Vechi Corrêa; Rodrigo das Neves Cano; Bianca Chel da Silva; Sílvia Carla da Silva André Uehara

doi:10.15253/2175-6783.20242593503

Authors

Ana Paula de Vechi Corrêa Universidade Federal de São Carlos https://orcid.org/0000-0002-9098-3594
Rodrigo das Neves Cano Universidade Federal de Sao Carlos https://orcid.org/0009-0002-5570-8279
Bianca Chel da Silva Universidade Federal de São Carlos https://orcid.org/0000-0001-9759-0884
Sílvia Carla da Silva André Uehara Universidade Federal de Sao Carlos https://orcid.org/0000-0002-0236-5025

DOI:

https://doi.org/10.15253/2175-6783.20242593503

Keywords:

COVID-19; Primary Health Care; Public Health Surveillance; Health Management; Development Indicators.

Abstract

Objective: to analyze the influence of the Human Development Index on the restructuring of primary healthcare services during the critical phase of the COVID-19 pandemic. Methods: a cross-sectional, analytical, and exploratory study was carried out with 1,474 primary care service managers from Brazilian municipalities. Data were collected using Google Forms and analyzed using prevalence ratios and a Poisson regression model with a random effect. Results: municipalities with a low development index had higher prevalence rates for adopting preventive measures, diagnosis, notification, implementation of protocols, active surveillance, and checking the availability of beds in a referral hospital. Guidance on preventive measures and active and ongoing surveillance was lower in municipalities with a medium development index than in cities with high and very high development indexes. On the other hand, active and ongoing surveillance was higher in municipalities with a high development index than in those with a very high development index. Conclusion: Poorer municipalities had greater organizational resilience to meet the high demand during the pandemic. Contributions to practice: collaborate in formulating public policies, protocols, and plans for dealing with public health emergencies, taking socio-economic indicators into account.

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