La influencia de factores de desempeño estructural y organizacional en la evaluación de gestores y enfermeras en el ámbito de la atención primaria a la salud en Belo Horizonte, Minas Gerais, Brasil

Translated title of the contribution: The influence of structural and organizational factors on the performance of primary health care in Belo Horizonte, Minas Gerais state, Brazil, according to nurses and managers

Maria Aparecida Turci, Maria Fernanda Lima-Costa, James Macinko

Research output: Contribution to journalArticle


The aim of this study was to evaluate the performance of primary health care (PHC) in Belo Horizonte, Minas Gerais State, Brazil, using the Portuguese-language version of the Primary Health Care Assessment Tool among nurses and managers of family health teams. Total PHC score was 0.75 (good). The dimensions first contact (0.95), longitudinality (0.83), comprehensiveness (0.83), and coordination (0.78) performed the best. Family approach, community orientation, and access received the lowest scores (0.68, 0.56, and 0.45, respectively). Better PHC performance was associated with the following factors (p < 0.05): availability of health care equipment and other inputs (adjusted PR = 1.57), education and training for family health teams (PR = 1.44), a physician on duty for more than 30 hours per week (PR = 1.42), and presence of four or more teams per primary care unit (PR = 1.09). The results show the importance of structural and organizational factors for PHC performance and suggest that permanent evaluation can identify aspects that require quality improvement.

Original languageSpanish
Pages (from-to)1941-1952
Number of pages12
JournalCadernos de saude publica
Issue number9
StatePublished - Jan 2015



  • Family health
  • Health services evaluation
  • Primary health care
  • Quality of health care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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