Influence of the structure component on the quality of Primary Health Care in the Federal District

Abstract

The aim of this descriptive qualitative study was to analyze the influence of the structure component of health services on the quality of Primary Health Care (PHC) in the Federal District in the perception of local managers, within the scope of the Primary Care Qualification Program. The data was produced in Focus Groups with 77 managers of Basic Health Units (UBS) in 2020. The content was analyzed using the Idea Association Map and coded in the ATLAS.ti® software in the light of the Thematic Content Analysis. The inadequate number of professionals in the teams, especially community health agents, the nonstandardization of work processes, the non-definition of coverage areas, the lack of equipment maintenance, information systems that do not communicate, the absence of vehicles and the precarious structure of some UBS were the main findings that represent structural requirements that influence the quality of PHC. The contribution of this study to guide strategies for improve the structure of services is highlighted, an essential step for the provision of safer and quality care in PHC in the Federal District.