scholarly journals On the validity and reliability of the EASYCare-2010 S Standard to assess elderly people in Portuguese Primary Health Care

2019 ◽  
Vol 51 (4) ◽  
pp. 252-253
Author(s):  
Renzo Felipe Carranza Esteban ◽  
Percy G. Ruiz Mamani
2004 ◽  
Vol 10 (3) ◽  
pp. 365-371
Author(s):  
A. A. Mahfouz ◽  
A. I. Al Sharif ◽  
M. N. El Gamal ◽  
A. H. Kisha

Use of primary health care [PHC] services and satisfaction among elderly people [60 + years] in Asir was studied in 26 PHC centers. They visited PHC centers significantly less often than younger adults but they were referred significantly more often to secondary and tertiary care and for more laboratory tests. A r and om sample of 253 elderly people attending the centers was interviewed about accessibility, continuity, humaneness, informativeness and thoroughness of care. Overall, 79.0% were satisfied with the services provided. The leading 3 items of dissatisfaction were:not enough audiovisual means for health education [65.1%], long time spent in the centre [46.4%], and not enough specialty clinics [42.5%]


Author(s):  
Andreas Älgå ◽  
Thi Dang ◽  
Dell Saulnier ◽  
Gia Nguyen ◽  
Johan von Schreeb

Background: Floods affect over 85 million people every year and are one of the deadliest types of natural disasters. The health effects of floods are partly due to a loss of access to health care. This loss can be limited with proper flood preparedness. Flood preparedness is especially needed at the primary health care (PHC) level. Flood preparedness assessments can be used to identify vulnerable facilities and help target efforts. The existing research on PHC flood preparedness is limited. We aimed to assess the flood preparedness of PHC facilities in a flood-prone province in central Vietnam. Methods: Based on flood experience, the PHC facilities in the province were grouped as “severe” (n = 23) or “non-severe” (n = 129). Assessments were conducted during monsoon season at five facilities from each group, using a pre-tested, semi-structured questionnaire. Data were checked against official records when possible. Results: Nine of the ten facilities had a flood plan and four received regular flood preparedness training. Six facilities reported insufficient preparedness support. Half of the facilities had additional funding available for flood preparedness, or in case of a flood. Flood preparedness training had been received by 21/28 (75%) of the staff at the facilities with severe flood experience, versus 15/25 (52%) of the staff at the non-severe experience facilities. Conclusions: Our results suggest that the assessed PHC facilities were not sufficiently prepared for the expected floods during monsoon season. PHC flood preparedness assessments could be used to identify vulnerable facilities and populations in flood-prone areas. More research is needed to further develop and test the validity and reliability of the questionnaire.


2013 ◽  
Vol 5 (1) ◽  
pp. 70 ◽  
Author(s):  
Jenny Stewart ◽  
Kate Haswell

INTRODUCTION: The New Zealand Primary Health Care Strategy has emphasised the importance of well-coordinated service teams in managing complex chronic conditions. There is international evidence that physiotherapists can contribute effectively to the prevention and management of these conditions. However, there are few examples of physiotherapists in New Zealand (NZ) engaging in primary health care (PHC). It has been recognised that professional development is necessary to optimise physiotherapists’ participation in PHC. AIM: The aim of this study was to both design a self-check tool that physiotherapists could use as an initial step in preparing to work in PHC and to assess the content validity of the tool. METHODS: A literature review informed the development of the self-check tool. The tool was reviewed by members of the Physiotherapy New Zealand PHC working party to establish content validity. RESULTS: The tool was found to have excellent content validity with an overall score of 0.937, exceeding the acceptable index of 0.8. Item validity was excellent or acceptable for all except two items, which were subsequently modified in the final tool. DISCUSSION: This investigation provides initial support for the tool’s potential use by physiotherapists as a means of determining their readiness to work in PHC. It could have application beyond individual professional development to the wider context of team and organisational development. Additionally, with minor modifications the tool could have broader application to other professional groups. KEYWORDS: Continuing education; New Zealand; physiotherapy; primary health care; validity and reliability


2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Josefa Muriele da Silva Marinho ◽  
Karyne Beatriz Almeida de Medeiros ◽  
Romário Nóbrega Santos Fonseca ◽  
Thiego Santos de Araujo ◽  
Wanessa Cristina Tomaz dos Santos Barros ◽  
...  

ABSTRACT Objective: To identify the pattern of medication consumption among the elderly assisted in Primary Health Care. Methods: Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte. Results: The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free. Conclusion: The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.


2019 ◽  
Vol 11 (1) ◽  
pp. 173-180
Author(s):  
Giselle Fernanda Previato ◽  
Iara Sescon Nogueira ◽  
Raquel Cristina Luís Mincoff ◽  
André Estevam Jaques ◽  
Lígia Carreira ◽  
...  

Objetivo: Analisar as contribuições do grupo de convivência de idosos para o envelhecimento ativo na perspectiva de seus participantes. Metodologia: Estudo qualitativo, exploratório-descritivo, realizado com 14 idosos participantes de um grupo de convivência de uma Unidade Básica de Saúde. Os dados foram coletados por meio de entrevistas semiestruturadas, submetidas a análise de conteúdo de Bardin e analisadas à luz da Política de Envelhecimento Ativo. Resultados:  Emergiram três categorias temáticas: “Grupo de convivência como oportunidade de lazer socializante para idosos”; “Grupo de Convivência como espaço de aprendizagem para os idosos”; “A importância do Grupo de Convivência no processo de promoção da saúde e envelhecimento ativo dos idosos”. Conclusão: A percepção dos idosos frente a participação no grupo de convivência remeteu a momentos de lazer, socialização, aprendizado e melhora da saúde física e mental, contribuindo para ampliar a qualidade de vida enquanto envelhecimento ativo.


2021 ◽  
Vol 30 ◽  
Author(s):  
Deisy Vital dos Santos ◽  
Kátia Santana Freitas ◽  
Darci de Oliveira Santa Rosa ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Juliana de Oliveira Freitas Miranda

ABSTRACT Objective: to assess the dimensional validity and reliability of the Inventory of Ethical Problems in Primary Health Care adapted to the children's health context. Method: a cross-sectional study with 101 nurses from the Family Health Strategy Units in a city of the Brazilian Northeast region. Data collection was carried out between May 2016 and June 2017. Construct validity was assessed by means of exploratory factor analysis and reliability by verifying internal consistency using Cronbach's alpha coefficient. Results: the factor analysis revealed the multidimensionality of the Inventory of Ethical Problems in Primary Health Care-Children's Health. It consisted of 19 items, distributed into 4 factors: Factor 1 - Organization of the health system; Factor 2 - Professional Ethics; Factor 3 - Teamwork; and Factor 4 - Parents (or guardians) autonomy expression. Overall internal consistency by Cronbach's alpha and for the factors was moderate to satisfactory. Conclusion: factor analysis revealed that the inventory has a multidimensional structure with 4 factors. The study showed evidence of validity and reliability that recommends the application of the IPE-APS to the context of children's health.


Curationis ◽  
2007 ◽  
Vol 30 (2) ◽  
Author(s):  
M. Barker ◽  
H. Klopper

After numerous teething problems (1974-1994), the Department of Nursing Education of WITS University took responsibility for the Muldersdrift Health and Development Programme (MHDP). The nursing science students explored and implemented an empowerment approach to community participation. The students worked with MHDP health workers to improve health through community participation, in combination with primary health care (PHC) activities and the involvement of a variety of community groups. As the PHC projects evolved overtime, the need arose to evaluate the level of community participation and how much community ownership was present over decision-making and resources. This led to the question “What was the level of community participation in PHC projects of the MHDP?” Based on the question the following objectives were set, i.e. i) to evaluate the community participation in PHC initiatives; ii) to provide the project partners with motivational affirmation on the level of community participation criteria thus far achieved; iii) to indicate to participants the mechanisms that should still be implemented if they wanted to advance to higher levels of community participation; iv) to evaluate the MHDP’s implementation of a people-centred approach to community participation in PHC; and v) the evaluation of the level of community participation in PHC projects in the MHDP. An evaluative, descriptive, contextual and quantitative research design was used. Ethical standards were adhered to throughout the study. The MHDP had a study population of twentythree (N=23) PHC projects. A purposive sample of seven PHC initiatives was chosen according to specific selection criteria and evaluated according to the “Criteria to evaluate community participation in PHC projects” instrument (a quantitative tool). Structured group interviews were done with PHC projects’ executive committee members. The Joint Management Committee’s data was collected through mailed self-administered questionnaires. Validity and reliability were ensured according to strict criteria. Thereafter results were analysed and plotted on a radiating arm continuum. The following factors had component scores: organization, leadership, resources, management; needs and skills. A spider graph was produced after each factor’s continuum was connected in a spoke figuration that brought them together at the base where participation was at its most narrow. The results are presented and a graph and discussion is provided on each of the PHC projects.


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