Performance indicators of Primary Care of the Previne Brasil Program.
Tatiele Estefâni Schönholzer, Fabiana Costa Machado Zacharias, Gabriela Gonçalves Amaral and 3 others
PMID 37937593WHAT IT FOUND
No state reached Brazil's chronic disease primary care goal, although 2021 coverage increased and blood pressure checks were lowest at 6.5%.
Key findings
01The proportion of pregnant women with at least six prenatal consultations showed a reported relative increase of 66.5% in 2021 compared with 2020.
02The lowest reported coverage was 6.5% for blood pressure measurement in hypertensive people, with a maximum of 20%.
03No state reached the 50% target for chronic disease indicators, meaning blood pressure checks for hypertensive people and glycated hemoglobin requests for diabetics.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used administrative records, so low indicator values may reflect missing or incorrect registration rather than patients not receiving care. The vaccination coverage indicator was not analysed, so the full set of Previne Brasil indicators was not assessed. The 2020 to 2021 comparison overlapped with the COVID-19 pandemic, when user contact with services and health centre protocols changed. The analysis was at state and region level, not individual patient or team level, so it cannot identify why performance varied. Relative increases did not mean targets were reached; many states remained below Ministry of Health goals.
The easy way to misread this
Do not read the 161.3% increase in blood pressure checks as proof that the chronic disease goal was met. The study reports recorded indicator coverage, and no state reached the 50% chronic disease target.