Capacidad de respuesta de la estrategia de salud de la familia desde la perspectiva de los usuarios durante la COVID-19

Resumen

Objective: To evaluate the responsiveness of the Family Health Strategy in the context of the COVID-19 pandemic. Methods: A cross-sectional study was conducted in the following Health Regions (HRs) of the Federal District, Brazil: Central-South, East, North, West, and Southwest. A total of 2,841 users of Primary Health Care Units completed a validated questionnaire. Results: Overall, 24.39% of participants had been diagnosed with COVID-19, while only 9.47% reported access to diagnostic testing. Access to healthcare services was rated as good across all HRs, with the highest rating observed in the East HR (82.13%; 95% CI: 77.32%–86.10%). First contact was also satisfactory, with the best evaluation in the Central-West HR: 84.13% (95% CI: 80.42%–87.24%). Infrastructure and comfort conditions were considered good across the HRs, particularly in the East HR for furniture and equipment of the Basic Health Units with 55.67% (95% CI: 49.93%–61.27%), and in the Southwest HR for waiting rooms, examination rooms, and doctor's offices with 45.52% (95% CI: 42.24%–48.84%). Treatment with respect and dignity was observed in all HRs, with the North HR standing out in respect with 95.31% (95% CI: 90.15%–97.83%) and privacy preservation with 95.01% (95% CI: 92.56%–96.68%); regarding permission to perform procedures, the Central-South HR presented 87.53% (95% CI: 84.12%–90.29%). Positive assessments were obtained for communication across the HRs, with significance in the North HR for attentive listening with 93.75% (95% CI: 88.15%–96.80%) and comprehension of information with 96.88% (95% CI: 92.24%–98.78%). The East HR had the best evaluation in freedom of decision-making: 84.19% (95% CI: 79.56%–87.93%). Conclusion: The results show structural evaluations that were more heterogeneous and lower than relational dimensions, especially due to COVID-19.