Implementation of an improvement cycle in the care of a primary health care

Rev Bras Enferm. 2021 Mar 24;74(1):e20200099. doi: 10.1590/0034-7167-2020-0099. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objectives: to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center.

Methods: quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test.

Results: after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification).

Conclusions: the improvement cycle was an effective quality management method.

MeSH terms

  • Humans
  • Primary Health Care*
  • Quality Improvement*