Avaliação da Atenção Primária à Saúde: validação de instrumento para análise de desempenho dos serviços

Abstract

This article has been originated in a research that aimed to identify and validate the relevance of the indicators present in an instrument of evaluation of Primary Health Care. Sixty experts evaluated 23 indicators of the dimensions 'user as the center of the process', 'organization of processes focused on users', 'link, competencies, skills and professional attitudes' and 'organizational ambience'. Four indicators obtained a maximum Content Validity Index (CVI): 'research with users of health services', 'expansion of the service portfolio', 'professional training, competencies and participation in professional education processes' and 'ambience and communication with the community'. The overall CVI was 0.91.

Primary Health Care Planning workshops: construction and validation of an assessment instrument

“…It is noteworthy the fact that all 26 items related to content were validated with 100% agreement in the last round (CVI 1.00), which demonstrates stability in their clarity and representativeness. In another validation study, some items also showed full consensus of relevance among the participants, with maximum CVI, making it possible to verify credibility and transparency in these items of the instrument (18) .…”

“…When assessing the degree of integration of the RAS, it also makes it possible to assess the capacity of Primary Care, aiming to subsidize new strategies regarding the structuring and organization of the system (20) . Therefore, it is considered that the assessment of health services from instruments acts to build a new perspective of care, since a valid judgment on the results of an intervention helps in the daily life of health services and management (18,23) .…”

Validation of logical models for the management of tuberculosis treatment

“…In the results found, it was found that the proposed methodology made it possible to obtain a consensus of experts to validate the suggested models. The percentage of agreement found was higher than the established minimum of 0.80, also used in the validation of an instrument for analyzing the performance of PHC services (23) and in a study carried out to validate a model of care for people with tuberculosis and their social network (24) . In the health field, several researches were conducted with the intention of performing the intervention modeling to define what should be evaluated, as the visual representation expresses the program's theory of operation to achieve the proposed objectives (8,(24)(25)(26) .…”

Atributos da Atenção Primária à Saúde e fatores associados na perspectiva de cirurgiões-dentistas

“…A prevalência do sexo feminino entre os profissionais entrevistados no presente estudo seguiu a tendência observada em outros estudos, que reflete o perfil atual da odontologia no SUS (10,25) , sendo uma variável preditiva do fortalecimento da APS. Um estudo com usuários apontou a preferência por cirurgiães-dentistas e uma associação do sexo feminino à melhoria do acesso.…”