Patients' experiences in community health centres under the health-care reform: research findings from a cross-sectional study using the Primary Care Assessment Tool in China

The Lancet ◽  
2015 ◽  
Vol 386 ◽  
pp. S69
Author(s):  
Harry H X Wang ◽  
Jia Ji Wang ◽  
Samuel Y S Wong ◽  
Martin C S Wong ◽  
Xiao Lin Wei ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Care Assessment ◽  
Health Centres ◽  
Research Findings ◽  
Primary Care Assessment Tool

scholarly journals Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Practice ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

scholarly journals Acesso às unidades de saúde da família na perspectiva de hipertensos [Access to family health unit from the hypertensive’s perspective] [Acceso a las unidades de salud de la familia desde la perspectiva de hipertensos]

2017 ◽  
Vol 25 ◽  
pp. e14442
Author(s):  
Inês Leoneza ◽  
Elisabete Pimenta Araújo Paz ◽  
Raphael Mendonça Guimarães ◽  
Adelson Antonio Castro
Keyword(s):  
Primary Care ◽  
Elementary Education ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Cross Sectional ◽  
Care Assessment ◽  
First Contact ◽  
Primary Care Assessment Tool

Objetivo: analisar o grau de orientação oferecida por unidades primárias em relação ao atributo acesso de primeiro contato na perspectiva de usuários hipertensos. Método: estudo transversal de avaliação com uso do Primary Care Assessment Tool-Brasil. Os dados foram coletados com 373 hipertensos maiores de 20 anos, no município de Macaé, Brasil. Resultados: verificou-se a predominância das seguintes características individuais: 49% tinham entre 40 a 59 anos; 74% pertenciam ao gênero feminino; 38,1% apresentaram ensino fundamental incompleto; 59,5% tinham renda de até 2 salários mínimos. Obteve-se escore de 7,65 para acesso de primeiro contato, superior à média de 6,6 do escore padrão, e um escore de 2,40 para acessibilidade. Conclusão: os resultados apontam utilização satisfatória das unidades no que refere ao acesso de primeiro contato e insatisfatória quanto à acessibilidade aos serviços, o que mostra necessidade de investimentos na reorganização do processo de atendimento às demandas e prioridades dos usuários.ABSTRACTObjective: to analyze the degree of orientation offered by primary units in relation to the attribute first contact access from the perspective of hypertensive users. Methods: cross-sectional study using Primary Care Assessment Tool-Brazil. Data were collected with 373 hypertensive patients over 20 years of age, in the city of Macaé, Brazil. Results: the predominance of the following individual characteristics was verified: 49% were between 40 and 59 years old; 74% were female; 38.1% had incomplete elementary education; 59.5% had income of up to 2 minimum wages (about US$548.00). A score of 7.65 was obtained for first contact access, superior to the mean of 6.6 of the standard score, and a score of 2.40 for accessibility. Conclusion: the results indicate a satisfactory use of the units in relation to first contact access and unsatisfactory related to accessibility to services, which shows the need for investments in the reorganization of the process of meeting the demands and priorities of users.RESUMENObjetivo: analizar el grado de orientación ofrecida por unidades primarias en relación al atributo acceso de primer contacto en la perspectiva de usuarios hipertensos. Método: estudio transversal de evaluación con uso de Primary Care Assessment Tool-Brasil. Los datos fueron recolectados con 373 hipertensos mayores de 20 años, en el municipio de Macaé, Brasil. Resultados: se verificó la predominancia de las siguientes características individuales: el 49% tenía entre 40 a 59 años; el 74% pertenecía al género femenino; 38,1% presentaron enseñanza fundamental incompleta; el 59,5% tenía ingresos de hasta 2 salarios mínimos (alrededor de US$ 548.00). Se obtuvo una puntuación de 7,65 para acceso de primer contacto, superior a la media de 6,6 de la puntuación estándar, y una puntuación de 2,40 para accesibilidad. Conclusión: los resultados apuntan utilización satisfactoria de las unidades en lo que se refiere al acceso de primer contacto e insatisfactorio en cuanto a la accesibilidad a los servicios, lo que muestra necesidad de inversiones en la reorganización del proceso de atención a las demandas y prioridades de los usuarios. DOI: http://dx.doi.org/10.12957/reuerj.2017.14442

scholarly journals AVALIAÇÃO DA COORDENAÇÃO DA ATENÇÃO NA PERSPECTIVA DOS PROFISSIONAIS DE SAÚDE

2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Suderlan Sabino Leandro ◽  
Pedro Sadi Monteiro
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Care Coordination ◽  
Assessment Tool ◽  
Family Health ◽  
Continuity Of Patient Care ◽  
Cross Sectional ◽  
Care Assessment ◽  
Distrito Federal ◽  
Primary Care Assessment Tool

Objetivo: avaliar o atributo da “Coordenação da Atenção” sob a perspectiva dos profissionais de saúde. Metodologia: estudo descritivo transversal realizado com 82 profissionais da “Estratégia Saúde da Família” de uma Região Administrativa do Distrito Federal e foi utilizado como instrumento o Primary Care Assessment Tool . Resultados: os profissionais avaliam a coordenação da atenção positivamente, porém, apontam fragilidades em relação aos serviços de referência que não disponibilizam informações úteis sobre o paciente encaminhado. Conclusão: esta pesquisa sugere que a continuidade da assistência ao paciente torna-se comprometida em decorrência da quebra na integração dos serviços, sendo necessário buscar formas de melhorar a comunicação entre os diversos níveis de atenção.Descritores: Avaliação em Saúde, Continuidade da Assistência ao Paciente, Estratégia Saúde da Família.ASSESSMENT OF THE CARE COORDINATION FROM THE PERSPECTIVE OF HEALTH PROFESSIONALSObjective: To assess the features of care coordination from the perspective of health professionals. Methodology: A cross-sectional descriptive study carried out with 82 professionals of the Family Health Strategy of an administrative region of the Federal District, and the Primary Care Assessment Tool was used as the instrument. Results: Professionals evaluate the coordination of care positively but point out weaknesses in relation to referral services that do not provide useful information about the referred patient. Conclusion: This research suggests that the continuity of patient care is compromised due to the breakdown in the integration of services and it is necessary to seek ways to improve communication between the different levels of care.Descriptors: Health Assessment, Continuity of Patient Care, Family Health Strategy.EVALUACIÓN DE LA COORDINACIÓN DE LA ATENCIÓN EN LA PERSPECTIVA DE LOS PROFESIONALES DE SALUDObjetivo: Evaluar el atributo de la “Coordinación de la Atención” bajo la perspectiva de los profesionales de la salud. Metodología: Estudio descriptivo transversal realizado con 82 profesionales de la “Estrategia Salud de la Familia” de una región administrativa del Distrito Federal y fue utilizado como un instrumento de la Herramienta de Evaluación de la Atención Primaria. Resultados: Los profesionales evaluaran la coordinación de la atención positivamente, pero apuntan fragilidades en relación a los servicios de referencia que no ofrecen informaciones útiles sobre el paciente remitido. Conclusión: esta investigación sugiere que la continuidad de la asistencia al paciente se ve comprometida debido a la ruptura en la integración de los servicios, siendo necesario buscar formas de mejorar la comunicación entre los diversos niveles de la atención primaria.Descriptores: Evaluación en Salud, Continuidad de la Asistencia al Paciente, Estrategia Salud de la Familia.

scholarly journals Assessment of access to first contact in the perspective of professionals

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Glaucia Margarida Bezerra Bispo ◽  
Eduarda Maria Duarte Rodrigues ◽  
Amanda Cordeiro de Oliveira Carvalho ◽  
Kenya Waleria de Siqueira Coêlho Lisboa ◽  
Roberto Wagner Júnior Freire Freitas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unified Health System ◽  
Basic Care ◽  
Care Assessment ◽  
First Contact

ABSTRACT Objectives: to evaluate the “access to first contact” attribute, from the perspective of Primary Care Health professionals. Methods: an evaluative and cross-sectional study, carried out from February to March 2017. The sample consisted of 163 health professionals, of both genders, who worked in the basic care of the Municipality of Juazeiro do Norte, Ceará. Access to first contact was evaluated by the Primary Care Assessment Tool (PCATool). The 6.60 mark was used as the cut-off point for the evaluated attribute. Results: access to first contact reached a score of 3.3, denoting a low degree of orientation for Primary Health Care. Nurses were the ones who evaluated the attribute more negatively (p=3.2). Conclusions: access to first contact obtained a low score, pointing to the fragility of the Family Health Strategy as a gateway to the Brazilian Unified Health System (Sistema Único de Saúde).

scholarly journals Facility infrastructure of primary health services regarding tuberculosis control: a countrywide cross-sectional study

2018 ◽  
Vol 20 ◽  
Author(s):  
Alexandre Baumgarten ◽  
Juliana B. Hilgert ◽  
Ione C. Pinto ◽  
Fabiana C. M. Zacharias ◽  
Alexandre F. Bulgarelli
Keyword(s):  
Primary Care ◽  
Public Health Problem ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tb Control ◽  
Primary Health ◽  
Health Centres

Abstract Background Tuberculosis (TB) is still a major public health problem in many countries, including Brazil. Primary health care (PHC) services are a set of important services with infrastructure and resources to diagnose, treat, and cure several diseases, including the TB. Aim The aim of this study is to analyse aspects of the facility infrastructure of Brazilian PHC, regarding the control and treatment of TB from a countrywide perspective. Methods This is a cross-sectional study based on PHC services. Data were collected from 38,812 health centres and were assessed by means of the National Program for Improving Access and Quality Primary Care. The outcome was obtained by the presence and availability of the following infrastructure items: air circulation in the consultation room, refrigerator, individual protective equipment, plastic jar for sputum examination, and TB notification form of the primary care information system. Poisson regression was used to calculate the prevalence ratio. Findings Of the 38,812 evaluated centres, only 1628 (4.2%) presented a positive result regarding the outcome. Primary health centres, among all types of centres, presented the highest quality of facility infrastructure for TB control. Centres with large workloads, as well as those that presented a list of offered services and a welcoming consulting room, also presented the highest quality infrastructure. The present study shows that major improvements should be made to the infrastructure to reach a satisfactory TB control in Brazil.

scholarly journals Assessment of the attribute “Community Orientation” from the perspective of primary care adult users

2019 ◽  
Vol 72 (3) ◽  
pp. 632-639 ◽  
Author(s):  
Eduarda Maria Duarte Rodrigues ◽  
Glaucia Margarida Bezerra Bispo ◽  
Milena Silva Costa ◽  
Camila Almeida Neves de Oliveira ◽  
Roberto Wagner Jr Freire de Freitas ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Cross Sectional ◽  
Community Orientation ◽  
Evaluative Study ◽  
Primary Health ◽  
Care Assessment ◽  
Integration Of Services ◽  
Basic Health Units ◽  
Primary Care Assessment Tool

ABSTRACT Objective: To assess the presence and extension of the attribute “Community Orientation” of Primary Health Care from the perspective of health services adult users from the Municipality of Juazeiro do Norte-CE. Methods: Quantitative, cross-sectional and evaluative study, carried out in 14 Basic Health Units, from October 2016 to June 2017, using the Primary Care Assessment Tool. Results: The attribute assessment was negative, reaching expressive negative responses in the seven districts, with a mean score of 3.8 (±3.8). The Raw Score (RS) reached a mean of 6.6 and the Derived Score (DS) was assigned a score of 6.4, below the cut-off point ≥ 6.60. Conclusion: The low value of the DS represents that units are not providers of PHC, suggesting fragility in the integration of services with the community and the need to promote greater discussion among agents, when designing measures of intervention and improvement of scores.

scholarly journals Assessment of public oral healthcare services in Curitiba, Brazil: a cross-sectional study using the Primary Care Assessment Tool (PCATool)

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023283 ◽  
Author(s):  
Antonio Carlos Nascimento ◽  
Simone Tetü Moysés ◽  
Renata Iani Werneck ◽  
Marilisa Carneiro Leão Gabardo ◽  
Samuel Jorge Moysés
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Assessment Tool ◽  
Healthcare Services ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services ◽  
Care Assessment ◽  
Primary Care Assessment Tool

ObjectivesTo compare two different models of public oral health in primary care services, a so-called family health strategy (FHS), as opposed to non-FHS services designated as ‘conventional’ healthcare (CHC), regarding the presence and extent of the attributes of ‘good’ primary healthcare (PHC). The null hypothesis of this study is that the attributes do not differ between the FHS and CHC.DesignCross-sectional.SettingPublic PHC services in Curitiba, the state capital of Paraná.ParticipantsPHC users of the public oral health network (n=900) and dentists active in this municipal network (n=203).Primary and secondary outcome measuresThe Primary Care Assessment Tool (PCATool)-Dentists and PCATool-Users were used to analyse the primary outcomes (‘essential’ attributes) and secondary outcomes (‘derived’ attributes) in the PHC.ResultsOverall, the primary care services in oral health were well evaluated, both by users and by dentists, with mean scores ascribed to PHC attributes mostly above the cut-off point (6.6). The exception for users were affiliation (6.36; 95% CI 6.11 to 6.60) and accessibility (5.83; 95% CI 5.78 to 5.89); and for dentists the accessibility (5.80; 95% CI 5.63 to 5.96). When comparing FHS and CHC, there was a superiority of the FHS model, which reached a general mean score of 7.53 (95% CI 7.48 to 7.58) among users and 7.56 (95% CI 7.45 to 7.67) among dentists; on the other hand, the CHC general mean score was of 6.61 (95% CI 6.49 to 6.73) and 6.68 (95% CI 6.56 to 6.80) respectively for users and dentists.ConclusionsThe results reveal a reasonable level of attainment of PHC attributes in the services investigated. Nevertheless, public health managers should make efforts to reduce the difficulties faced by users in accessing dental care. The more positive results achieved by FHS services indicate that the provision of oral healthcare under this strategy should be expanded.

scholarly journals Children's health care assistance according to their families: a comparison between models of Primary Care

2015 ◽  
Vol 49 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Vanessa Bertoglio Comassetto Antunes de Oliveira ◽  
Maria de La Ó Ramallo Veríssimo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Integration Of Care ◽  
Primary Health ◽  
Care Assessment

OBJECTIVE To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. METHOD A cross-sectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. RESULTS ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. CONCLUSION The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil.

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