scholarly journals The PUFFinCA scale: development of an instrument for evaluating the primary care functions of family physicians in childhood asthma

2018 ◽  
Vol 20 ◽  
Author(s):  
Ayşe Nur Usturali Mut ◽  
Zeliha Aslı Öcek ◽  
Meltem Çiçeklioğlu ◽  
Şafak Taner ◽  
Esen Demir
Keyword(s):  
Primary Care ◽  
Childhood Asthma ◽  
Assessment Tool ◽  
Asthma Management ◽  
Correlation Coefficients ◽  
Family Physicians ◽  
Principal Component ◽  
Care Assessment ◽  
Provision Of Services ◽  
Children With Asthma

AbstractAimTo develop the Primary care fUnctions oF Family physicians in Childhood Asthma (PUFFinCA) scale for evaluating the cardinal process functions of primary care services (accessibility, comprehensiveness, continuity and coordination) provided by family physicians (FPs) in the management of childhood asthma.BackgroundIn the literature on the functions of primary care, there is no assessment tool focusing on children with asthma. Primary care assessment scales adapted to various languages are not suitable to adequately address the needs of special patient groups, such as children with asthma.MethodsIn this methodological study, the instrument development process was completed in four stages: establishing the pool of items, evaluating the content validity, applying the scale and statistical analysis. The scale was applied to 320 children who had asthma and received care in the clinic of the Department of Pediatrics, Division of Allergy and Pulmonology at Ege University School of Medicine, Turkey. The Cronbach’s α and Spearman–Brown coefficient were calculated to determine the reliability of the scale. Principal component analysis was used to determine the construct validity of the scale.FindingsThe PUFFinCA scale was found to have four-factor structure and 25 items. Cronbach’s α coefficient was 0.93. It has been determined that the reliability was excellent and the item-total correlation coefficients were >0.30 each. The factors were titled FP’s ‘functions of accessibility, first contact and continuity’, ‘functions of coordination and comprehensiveness of health services related to asthma management’, ‘provision of preventive care related to asthma’ and ‘provision of services for paid vaccinations’.

scholarly journals The Development and Validation of a Rapid Assessment Tool of Primary Care in China

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Jie Mei ◽  
Yuan Liang ◽  
LeiYu Shi ◽  
JingGe Zhao ◽  
YuTan Wang ◽  
...  
Keyword(s):  
Primary Care ◽  
Principal Component Analysis ◽  
Service Delivery ◽  
Assessment Tool ◽  
Rapid Assessment ◽  
Principal Component ◽  
Component Analysis ◽  
Care Assessment ◽  
First Contact ◽  
Primary Care Assessment Tool

Introduction. With Chinese health care reform increasingly emphasizing the importance of primary care, the need for a tool to evaluate primary care performance and service delivery is clear. This study presents a methodology for a rapid assessment of primary care organizations and service delivery in China.Methods. The study translated and adapted the Primary Care Assessment Tool-Adult Edition (PCAT-AE) into a Chinese version to measure core dimensions of primary care, namely, first contact, continuity, comprehensiveness, and coordination. A cross-sectional survey was conducted to assess the validity and reliability of the Chinese Rapid Primary Care Assessment Tool (CR-PCAT). Eight community health centers in Guangdong province have been selected to participate in the survey.Results. A total of 1465 effective samples were included for data analysis. Eight items were eliminated following principal component analysis and reliability testing. The principal component analysis extracted five multiple-item scales (first contact utilization, first contact accessibility, ongoing care, comprehensiveness, and coordination). The tests of scaling assumptions were basically met.Conclusion. The standard psychometric evaluation indicates that the scales have achieved relatively good reliability and validity. The CR-PCAT provides a rapid and reliable measure of four core dimensions of primary care, which could be applied in various scenarios.

Measuring Consumer Experiences With Primary Care

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_3) ◽  
pp. 998-1003 ◽  
Author(s):  
Charlyn E. Cassady ◽  
Barbara Starfield ◽  
Margarita P. Hurtado ◽  
Ronald A. Berk ◽  
Joy P. Nanda ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Principal Component ◽  
Children And Youth ◽  
Care Services ◽  
Primary Care Services ◽  
Patterns Of Use ◽  
Care Assessment ◽  
Key Aspects ◽  
First Contact

Objective. To assess the adequacy of the Primary Care Assessment Tool-Child Edition (PCAT-CE) for evaluating the attainment of the key characteristics of primary care services for children and youth. Design. Community-based telephone survey. Setting. Specific political subdivision in Washington, DC. Participants. Four hundred fifty parents/guardians of offspring 18 years of age or less. Measures. Reliability, validity and principal component analysis of 5 scales representing key aspects of the 4 cardinal domains of primary care included in the PCAT-CE. In addition, 2 subdomains (first contact use and extent of affiliation with a primary care source) were included as indices to describe overall patterns of use and affiliation with the particular source of care. Results. Most scales had adequate internal consistency, test-retest reliability, and construct validity. The principal components factor analysis yielded 5 separate factors. These corresponded to the subdomains of first contact accessibility; coordination of care; characteristics of the professional-patient relationship over-time; and comprehensiveness (both services available and indicated services received). Conclusions. Psychometric assessment supported the integrity and general adequacy of the PCAT-CE for assessing the characteristics and quality of primary care for children and youth. Testing of revised versions in a variety of different settings is underway. A major component of this testing is to explore the possibility of reducing the number of items while retaining sufficient detail about each component of primary care to make judgements about people's experiences with that care.

Primary Care Assessment Tool--Adult Edition

2001 ◽  
Author(s):  
Leiyu Shi ◽  
Barbara Starfield ◽  
Jiahong Xu
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
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 El abordaje de la Atención Primaria de Salud, modelos organizativos y prácticas: caso de un Centro de Salud público urbano de Montevideo, Uruguay 2011

2012 ◽  
Vol 36 (94) ◽  
pp. 461-472 ◽  
Author(s):  
Rosario Berterretche ◽  
Ana Sollazzo
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
Primary Care Assessment Tool ◽  
Estudio De Caso

El estudio de caso tuvo lugar en un Centro de Salud público de Montevideo, con el objetivo de comprender cómo los modelos organizativos de oferta y gestión de la APS son traducidos en servicios, prácticas y procesos asistenciales. El Instrumento de investigación utilizado se contextualizó en la herramienta creada por la Profª. B. Starfield, el Primary Care Assessment Tool, adaptada y validada por Almeida y Macinko en Brasilia en 2006. Se aplicaron los cuestionarios a un grupo de usuarios, profesionales y gestores seleccionados a través de un muestreo no probabilístico por criterios. Desde un punto de vista general, se observa una buena calificación de desempeño a nivel global en los atributos: puerta de entrada, cartera de servicios y formación profesional. Los atributos de nivel intermedio de desempeño corresponden a vínculo y coordinación. En el otro extremo, los atributos con menor nivel de desempeño fueron el enfoque familiar y comunitario y el acceso. Si bien la estrategia de APS está consagrada a un nivel macro social a través de un marco normativo sólido, su implementación a nivel operativo implica importantes desafíos para el logro de una adecuada integración y coordinación de los cuidados.

scholarly journals Integralidade e Atenção Primária à Saúde: avaliação sob a ótica dos usuários

2014 ◽  
Vol 19 (11) ◽  
pp. 4407-4415 ◽  
Author(s):  
Carla Silvana de Oliveira e Silva ◽  
Adélia Dayane Guimarães Fonseca ◽  
Luís Paulo Souza e Souza ◽  
Leila das Graças Siqueira ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Minas Gerais ◽  
Care Assessment ◽  
Primary Care Assessment Tool

Este estudo objetivou avaliar o processo de integralidade da Atenção Primária à Saúde (APS), sob o ponto de vista dos usuários da Estratégia Saúde da Família (ESF) e dos demais serviços da APS. Estudo transversal, analítico e quantitativo, realizado em Montes Claros, Minas Gerais, Brasil, que utilizou questionário validado Primary Care Assessment Tool, versão adulto, aplicado a 373 usuários adultos, sendo que 124 (33,6%) referiram atendimento pela ESF e 249 (66,4%) referiram atendimento por outros serviços. Atribuíram-se escores para as oito dimensões do instrumento, entretanto, o presente estudo trabalhou com apenas três: primeiro contato; acessibilidade; e, longitudinalidade. Em relação à integralidade da APS, houve melhor avaliação pela população que utiliza a ESF, comparando com a de quem utiliza outros serviços. Os atributos primeiro contato, acessibilidade e longitudinalidade obtiveram escores mais elevados na modalidade de ESF em comparação com outros serviços, com significância estatística para todos os domínios. Conclui-se que é de fundamental importância avaliar os atributos da APS, com vistas à melhoria da qualidade dos serviços prestados.

scholarly journals A qualidade de serviços de atenção primária, a formação profissional e o Programa Mais Médicos em uma região de saúde do sudoeste goiano

2020 ◽  
Vol 23 ◽  
Author(s):  
Ludmila Grego Maia ◽  
Luiz Almeida da Silva ◽  
Rafael Alves Guimarães ◽  
Bruno Bordin Pelazza ◽  
Giulena Rosa Leite ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
Primary Care Assessment Tool

RESUMO: Introdução: A atenção primária à saúde (APS) deve assumir a centralidade do cuidado para que os sistemas de saúde atendam às necessidades de saúde da população e as resolvam. Objetivo: Avaliar a APS com base em seus atributos, sob a perspectiva dos profissionais, por meio do instrumento de avaliação da atenção primária à saúde (primary care assessment tool - PCATool), verificando fatores que se associam à melhor atenção. Metodologia: Estudo transversal realizado com 41 enfermeiros e 31 médicos na região sudoeste II do estado de Goiás mediante entrevistas com o instrumento PCATool. Análise bivariada e múltipla por meio da regressão linear foi utilizada para verificar os fatores associados aos atributos da APS. Resultados: O menor escore geral de APS foi para o atributo acesso de primeiro contato (3,71). A análise bivariada e múltipla mostrou diferença estatística entre as variáveis profissão e os escores essencial, derivado e geral. Médicos do Programa Mais Médicos apresentaram maiores pontuações médias (7,68 essencial; 9,11 derivado; 8,04 geral) quando comparados aos outros profissionais médicos e enfermeiros. Conclusões: Evidenciou-se alto escore geral para os atributos, exceto para o acesso de primeiro contato. O tempo de formação acadêmica e de trabalho mostrou-se satisfatório. Consideram-se fatores associados entre formação, qualificação profissional e os atributos da APS o fato de pertencer ao Programa Mais Médicos e o nível da formação acadêmica, pontos que estiveram relacionados à obtenção de melhores escores.

scholarly journals ANÁLISE DE DESEMPENHO DOS TÉCNICOS E AUXILIARES DE ENFERMAGEM DA ATENÇÃO PRIMÁRIA À SAÚDE

2018 ◽  
Vol 20 (3) ◽  
Author(s):  
Rayane Liziero da Costa ◽  
Sarah Lamas Vidal ◽  
Kelli Borges Santos ◽  
Elisa de Oliveira Marsicano ◽  
Angélica da Conceição Oliveira Coelho
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
Primary Care Assessment Tool

A avaliação de serviço e desempenho é uma estratégia essencial em todo o sistema de saúde, uma vez que, permite identificar fragilidades e pontos positivos da assistência. Além disso, é necessária para o planejamento das ações e estratégias de intervenções. O presente estudo teve como objetivo avaliar se os técnicos e auxiliares de enfermagem desempenham suas atribuições de acordo com o que é estabelecido pela Atenção Primária à Saúde. Trata-se de uma pesquisa quantitativa de caráter avaliativo. Os dados foram coletados por meio da aplicação do instrumento de avaliação da atenção primária Primary Care Assessment Tool – Brasil, versão profissionais. Participaram do estudo 87 técnicos e 3 auxiliares de enfermagem que atuam na Atenção Primária à Saúde (APS) do município de Juiz de Fora.  Foram atribuídos escores geral, essencial e derivado, para cada atributo da APS (acessibilidade, longitudinalidade, coordenação, integralidade, orientação familiar e orientação comunitária). Os escores médios iguais ou maiores que 6,6 correspondem à alta orientação dos Técnicos e Auxiliares de enfermagem para a APS. Em relação aos escores geral e essencial, os resultados indicaram baixa orientação no desempenho dos técnicos e auxiliares de enfermagem para a APS. Diferente do escore derivado que obteve um resultado altamente orientado do serviço para a APS. O estudo mostrou que as fragilidades estão relacionadas, principalmente, aos aspectos estruturais e processuais dos serviços. Conclui-se que os técnicos e auxiliares de enfermagem desenvolvem suas atividades de acordo com os atributos derivados da APS, mas não com os considerados essenciais. 

Primary Care Assessment Tool

2015 ◽  
Author(s):  
Simone Albino da Silva ◽  
Tamara Cristina Baitelo ◽  
Lislaine Aparecida Fracolli
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Care Assessment ◽  
Primary Care Assessment Tool
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