Avaliação da Atenção Primária à Saúde no enfrentamento da COVID-19: comparação entre as regiões brasileiras

Ana Paula de Vechi Corrêa; Gustavo Diego Magno; Priscila Poli; Rodrigo das Neves Cano; Silvia Carla da Silva André Uehara

doi:10.36517/2175-6783.20252694752

Authors

Ana Paula de Vechi Corrêa Universidade Federal de São Carlos https://orcid.org/0000-0002-9098-3594
Gustavo Diego Magno Universidade Federal de São Carlos https://orcid.org/0000-0003-3656-9170
Priscila Poli Universidade Federal de São Carlos https://orcid.org/0000-0002-8090-9403
Rodrigo das Neves Cano Universidade Federal de São Carlos https://orcid.org/0009-0002-5570-8279
Silvia Carla da Silva André Uehara Universidade Federal de São Carlos https://orcid.org/0000-0002-0236-5025

DOI:

https://doi.org/10.36517/2175-6783.20252694752

Keywords:

COVID-19; Primary Health Care; Local Health Strategies; Health Inequities.

Abstract

Objective: to compare the care offered by Primary Health Care to people with suspected and/or diagnosed COVID-19 among different Brazilian regions. Methods: an analytical cross-sectional study with a convenience sample. Data were collected using a self-administered structured questionnaire made available via e-mail to managers of Primary Health Care units. A Poisson regression model with a random effect was used to estimate the prevalence ratios, comparing the variables by region. Results: 1,474 primary care service managers participated in the survey, of which 676 (45.9%) were from the Southeast region. Active and continuous surveillance of patients receiving follow-up was 36% more prevalent in the North than in the South. Immediate notification of Flu Syndrome and Severe Acute Respiratory Syndrome was 13% higher in the Southeast than in the South. Conclusion: structural and political factors reflected in the heterogeneity of the Primary Care response to the pandemic in the different states and regions of the country. Active surveillance was essential for monitoring and managing COVID-19 cases, avoiding unnecessary hospital referrals. Contributions to practice: to provide subsidies for improving public policies in Primary Care in health crisis scenarios.

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