Evaluación de la atención primaria, versión modificada del instrumento PCAT-A10

Rocha, Kátia Bones; Rodríguez-Sanz, Maica; Berra, Silvina; Borrell, Carme; Pasarín, M. Isabel

doi:10.1016/j.aprim.2019.10.004

Cited by 6 publications

(3 citation statements)

References 13 publications

(12 reference statements)

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“…Não existem estudos com tamanha abrangência publicados na literatura científica consultada pelos autores até o momento, que possam subsidiar comparações ou análises temporais. Na região da Catalunha na Espanha foi proposto um estudo de base populacional com metodologia estatística semelhante em uma versão chamada de "supercurta" do instrumento, intitulada "PCAT-A10" 24 para pessoas maiores de 14 anos.…”

Section: Discussionunclassified

Primary Care Asssement Tool: diferenças regionais a partir da Pesquisa Nacional de Saúde do Instituto Brasileiro de Geografia e Estatística

Pinto

Quesada

D’Ávila

et al. 2021

Ciênc. saúde coletiva

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Resumo Em 2019, o Instituto Brasileiro de Geografia e Estatística (IBGE) de forma inédita entre os institutos oficiais de estatística em todo o mundo, incluiu um módulo especial sobre avaliação da atenção primária à saúde em seu principal inquérito populacional de base domiciliar, a Pesquisa Nacional de Saúde (PNS). O inquérito considerou a versão reduzida do instrumento Primary Care Assessment Tool (PCAT), desenvolvida e disseminada por Starfield e Shi para avaliar a existência e extensão das características de estrutura e processos dos serviços de atenção primária em saúde. Trata-se da maior amostra probabilística com o uso desse instrumento já realizada em um único país do mundo que entrevistou usuários com 18 anos ou mais (n = 9.677). Os resultados dos escores gerais do PCAT do Brasil (5,9 [5,8; 5,9]) apontam grandes contrastes regionais e intraregionais, com a região Sul do país destacando-se com as melhores avaliações dos serviços de atenção primária (escore geral = 6,3 [6,2; 6,5]) e a região norte, por outro lado, com as menores (escore geral = 5,5 [5,3; 5,7]). Foram também observadas diferenças estatisticamente significantes e mais favoráveis entre os moradores de domicílios cadastrados pelas equipes de saúde da família, entre os mais idosos e entre que mais utilizam os serviços de saúde (adultos com morbidades referidas).

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Section: Discussionunclassified

Primary Care Asssement Tool: diferenças regionais a partir da Pesquisa Nacional de Saúde do Instituto Brasileiro de Geografia e Estatística

Pinto

Quesada

D’Ávila

et al. 2021

Ciênc. saúde coletiva

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“…La variable, cumplimiento de los atributos de la Atención Primaria (CAAP), definida operacionalmente como "el grado de implementación de los atributos de la AP, (accesibilidad, coordinación, continuidad, globalidad y competencia cultural), según percepción de los usuarios externos en los servicios de salud", fue valorada con la versión modificada del instrumento PCAT-A10 (13) . La escala tipo Likert consta de 10 preguntas de opción de respuesta múltiple: No lo sabe (0), No en absoluto (1), Es probable que no (2), Es probable que sí (3), Sí, sin duda (4).…”

Section: Variables Instrumento Y Procedimientosunclassified

Evaluación de la atención primaria durante la pandemia por COVID-19, en una región del Perú

Becerra-Canales¹

2023

Enf Global

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Introduction: Primary care attention is the fundamental pillar of an effective health system; a failure to comply with its essential attributes could contribute to the collapse of the health systems in the event of pandemics.Objective: To evaluate the compliance of the primary attention’s attributes and its associated factors, according to the external user’s perspective in the context of the COVID-19 pandemic in a Peruvian region.Method: Cross-sectional study, which included 1064 randomly selected external users. Also, the sociodemographic and health characteristics were collected using the survey. And the compliance of the primary care attributes was valued using the modified version of the PCAT-A10 instrument. Finally, a descriptive and multivariate analysis was performed using generalized linear models of the Poisson family to evaluate certain factors associated with noncompliance with the attributes of primary care. Results: 76.6% of the participants perceive that the essential basic attributes are not met; likewise, in the first contact (74.7%), continuity (87.7%), coordination (95.7%), globality (88.3%) and cultural competence (75.9%). The student condition (p<0,001), self-perception of regular health (p=0.010), adult from 30 to 59 years old (p<0.001), and the condition of users of Subtanjalla (p=0.001), Parcona (p<0.001) and Guadalupe (p<0.001) health centers were associated with a greater perception of non-compliance with the attributes of primary health care.Conclusions: From the external user’s perspective the essential attributes are met in primary care centers; there are factors associated with a greater probability of perceiving that these attributes are not met. Introducción: La atención primaria es el pilar fundamental de un sistema de salud efectivo; el incumplimiento de los atributos esenciales podría contribuir al colapso de los sistemas de salud en eventuales pandemias. Objetivo: Evaluar el cumplimiento de los atributos de la atención primaria y sus factores asociados, según perspectiva del usuario externo en el contexto de la pandemia por COVID-19, en una región del Perú. Método: Estudio transversal, que incluyó 1064 usuarios externos, seleccionados aleatoriamente. Utilizando la Encuesta se recogieron características sociodemográficas y de salud. El cumplimiento de los atributos de la atención primaria fue valorado con la versión modificada del instrumento PCAT-A10. Se realizó un análisis descriptivo y multivariado mediante modelos lineales generalizados de la familia Poisson para evaluar ciertos factores asociados al incumplimiento de los atributos de la atención primaria. Resultados: De los participantes, el 76,6% perciben que los atributos básicos esenciales se incumplen; asimismo, en el primer contacto (74,7%), continuidad (87,8%), coordinación (95,7%), globalidad (88,3%) y competencia cultural (75,9%). La condición de estudiante (p<0,001), autopercepción de salud regular (p=0,010), adulto de 30 a 59 años (p<0,001) y la condición de usuarios del centro de salud Subtanjalla (p=0,001), Parcona (p<0,001) y Guadalupe (p<0,001), se encuentran asociados a mayor percepción de incumplimiento de los atributos de la atención primaria. Conclusiones: Desde la perspectiva de los usuarios externos los atributos esenciales son incumplidos en los centros de atención primaria; existen factores asociados a mayor probabilidad de percibir que estos atribuidos son incumplidos.

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“…It has been adapted for use in multiple countries, translated into various languages, and localized to align with different cultural and health system contexts. The reliability and validity of the questionnaire have been substantiated across diverse research and application settings ( 23–26 ). Utilizing the PCAT for this survey not only aims to address the deficiency in research on the coordination of health care services in China but also holds significant practical value.…”

Section: Introductionmentioning

confidence: 99%

Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions

Xu,

Jiang

et al. 2024

Front. Public Health

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BackgroundThe implementation of family doctor contract service is a pivotal measure to enhance primary medical services and execute the hierarchical diagnosis and treatment system. Achieving service coordination among various institutions is both a fundamental objective and a central element of contract services.ObjectiveThe study aims to assess residents’ evaluations and determining factors related to the coordination of health services within primary medical institutions across different regions of Shandong Province. The findings intend to serve as a reference for enhancing the coordination services offered by these institutions.MethodsThe study employed a multi-stage stratified random sampling method to select three prefecture-level cities in Shandong Province with different economic levels. Within each city, three counties (districts) were randomly sampled using the same method. Within each county (district), three community health service centers and township health centers implementing family doctor contract services were selected randomly. Face-to-face questionnaire surveys were conducted with contracted residents using the coordination dimension of the revised Primary Care Assessment Tools Scale (PCAT) developed by the research team. Data analysis was conducted using such methods as one-way analysis of variance and multiple linear regression.ResultsThe sample included 3,859 contracted residents. The coordination dimension score of primary medical institutions averaged 3.41 ± 0.18, with the referral service sub-dimension scoring 3.60 ± 0.58 and the information system sub-dimension scoring 3.34 ± 0.65. The overall score of the referral service sub-dimension surpassed that of the information system sub-dimension. Regression results indicated that the city’s economic status, the type of contracted institutions, gender, education, marital status, income, occupation, health status, and endowment insurance payment status significantly influenced the coordinated service score of primary medical institutions (p < 0.05).ConclusionThe coordination of primary medical institutions in Shandong Province warrants further optimization. Continued efforts should focus on refining the referral system, expediting information infrastructure development, enhancing the service standards of primary medical institutions, and fostering resident trust. These measures aim to advance the implementation of the hierarchical diagnosis and treatment and two-way referral system.

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Evaluación de la atención primaria, versión modificada del instrumento PCAT-A10

Cited by 6 publications

References 13 publications

Primary Care Asssement Tool: diferenças regionais a partir da Pesquisa Nacional de Saúde do Instituto Brasileiro de Geografia e Estatística

Primary Care Asssement Tool: diferenças regionais a partir da Pesquisa Nacional de Saúde do Instituto Brasileiro de Geografia e Estatística

Evaluación de la atención primaria durante la pandemia por COVID-19, en una región del Perú

Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions

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