scholarly journals Dental vulnerability scale in primary health care: evidence of content and structure internal validity

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Danielle da Costa da Palacio ◽  
Flavio Rebustini ◽  
Daniele Boina de Oliveira ◽  
João Peres Neto ◽  
Wander Barbieri ◽  
...  
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Oral Health ◽  
Internal Structure ◽  
Content Validity ◽  
Internal Validity ◽  
Healthcare Services ◽  
Reliability Indicators ◽  
Primary Health

Abstract Background Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no validated instrument in Brazil that is capable of measuring dental vulnerability. Hence, this psychometric study aimed at the development and evaluation of content and internal structure validity of the Dental Vulnerability Scale for Primary Health Care (PHC). Methods The items were developed based on a qualitative exploratory analysis. A total of 172 items were prepared and submitted to a panel of specialists, with content validity analyzed with the Content Validity Ratio (CVR), resulting in an the initial version of the instrument composed by 41 items. Internal structure validity was analyzed by Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and by applying 3 reliability indicators (Cronbach’s Alpha, McDonald's Omega and Greatest Lower Bound – GBL), with a sample of 1227 individuals. Results The final configuration indicated a scale of 15 items divided into 4 dimensions (overall health, oral health, infrastructure, and healthcare services) with explained variance of 72.11%. The factor loads varied from 0.37 to 0.96. The model adjustment indices were set at × 2/df(51) = 3.23, NNFI = 0.95, CFI = 0.98, GFI = 0.96, AGFI = 0.97, RMSEA = 0.04 and RMSR = 0.03. Conclusion DVS presented satisfactory evidence of validity, indicating its suitability to be used by healthcare professionals, students and managers to plan oral health actions and services at PHC.

scholarly journals Development and validation of the dental vulnerability scale in the primary health care setting

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Palacio ◽  
A C C N Mafra ◽  
D Bonfim ◽  
F Rebustini ◽  
D B de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Internal Structure ◽  
Health Professionals ◽  
Content Validity ◽  
Oral Disease ◽  
Reliability Indicators ◽  
Primary Health ◽  
Structure Evaluation

Abstract Background Offering equitable access to dental care remains a challenge and methods to risk-stratify individuals to prioritize care could help to attain that goal. The interaction of multiple risk factors associated with oral disease vulnerability can outweigh protective factors conferring resilience and resistance to individuals and their communities; however, there is no validated instrument for measuring oral disease vulnerability. Hence, the objective of this study was to develop a Dental Vulnerability Scale (EVO) for primary health care (PHC) and evaluate its content validity and internal structure. Methods This was a psychometric study conducted in São Paulo, Brazil, in 2019. During content validation, 172 items were evaluated by a panel of 40 judges with diverse background and with the application of the Content Validity Ratio (CVR), considering a critical CVR value> 0.26. During the internal structure evaluation, the EVO was applied to a sample of 1227 individuals in the PHC setting and the results were analyzed using Exploratory and Confirmatory Factor Analysis, in addition to the application of 3 reliability indicators (Cronbach's alpha, McDonald's Omega and Greatest Lower Bound). Results The CVR was 0.33 for relevance and 0.39 for clarity, resulting in 41 items. The final EVO was composed of 4 dimensions (general health, oral health, infrastructure and health services) with a total of 15 items. Factor loadings ranged from 0.37 to 0.96, with R-squared values ranging from 0.14 to 0.91. The reliability indicators values were α = 0.64, ω = 0.99 and GLB=0.82. The Goodness of fit were NNFI = 0,95, CFI = 0,98, GFI = 0,96 and AGFI = 0,97. The EVO instrument was considered valid to be used among oral health professionals in the PHC setting. Conclusions The EVO showed satisfactory psychometric properties and could be employed by health professionals and managers to plan actions and*inform* policies related to oral health. Key messages The EVO could be used to risk-stratify individuals in the PHC setting. The EVO could help to inform oral health policies.

scholarly journals Construction and Validation of a Tool for the Assessment of the Oral Health in Primary Health Care Through the Perspective of Patients

2020 ◽  
Vol 12 (4) ◽  
pp. 37
Author(s):  
Heriberto Fiuza Sanchez ◽  
Raquel Conceição Ferreira ◽  
Andrea Maria Duarte Vargas ◽  
Marcos Azeredo Furquim Werneck ◽  
Efigênia Ferreira e Ferreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Oral Health ◽  
Focus Group ◽  
Health Services ◽  
Health Unit ◽  
Primary Health ◽  
Oral Health Services

OBJECTIVE: To construct and validate a questionnaire to evaluate the quality of oral health services in primary health care, from patients. METHODS: Initially a theoretical model of evaluation of Primary Health Care was elaborated, based on the evaluation of primary care and integrality in primary care. This model served as the basis for the script of a focus group with patients, aiming to verify the attributes perceived as important for such evaluation. The focus group results substantiated the first version of the questionnaire. Content validation was performed through a committee of experts (five teachers/researchers) and face validation in two pre-tests (37 patients each pre-test). For construct validation, factor analysis was performed and reliability (Kappa coefficient) and internal consistency (Cronbach's alpha) were verified. RESULTS: Thirty questions were considered for exploratory factor analysis. The anti-image matrix of covariances showed the need to exclude fourteen questions (values <0.5). After this initial analysis, 16 questions remained in the questionnaire. The KMO test, considering the 16 questions, presented a value of 0.84. Cronbach's alpha was 0.919. The final version contains 16 questions divided into two dimensions: my health unit and the care in my health unit. CONCLUSIONS: The questionnaire allows a strategy that easily evaluates oral health services in primary care, based on the perception of patients.

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

scholarly journals Data Envelopment Analysis Applications on Primary Health Care Using Exogenous Variables and Health Outcomes

2021 ◽  
Vol 13 (3) ◽  
pp. 1337
Author(s):  
Silvia González-de-Julián ◽  
Isabel Barrachina-Martínez ◽  
David Vivas-Consuelo ◽  
Álvaro Bonet-Pla ◽  
Ruth Usó-Talamantes
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Data Envelopment Analysis ◽  
Pharmaceutical Expenditure ◽  
Healthcare Services ◽  
Data Envelopment ◽  
Exogenous Variables ◽  
Healthcare Resources ◽  
Explanatory Variables ◽  
Primary Health

A data envelopment analysis was used to evaluate the efficiency of 18 primary healthcare centres in a health district of the Valencian Community, Spain. Factor analysis was used as a first step in order to identify the most explanatory variables to be incorporated in the models. Included as variable inputs were the ratios of general practitioners, nurses, and costs; as output variables, those included were consultations, emergencies, avoidable hospitalisations, and prescription efficiency; as exogenous variables, those included were the percentage of population over 65 and a multimorbidity index. Confidence intervals were calculated using bootstrapping to correct possible biases. Efficient organisations within the set were identified, although the results depend on the models used and the introduction of exogenous variables. Pharmaceutical expenditure showed the greatest slack and room for improvement in its management. Data envelopment analysis allows an evaluation of efficiency that is focussed on achieving better results and a proper distribution and use of healthcare resources, although it needs the desired goals of the healthcare managers to be clearly identified, as the perspective of the analysis influences the results, as does including variables that measure the achievements and outcomes of the healthcare services.

scholarly journals Validation of nursing diagnosis for nursing consultation on home visit to adults

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Daniela Couto Carvalho Barra ◽  
Gabriela Beims Gapski ◽  
Fernanda Paese ◽  
Grace Teresinha Marcon Dal Sasso ◽  
Paulino Artur Ferreira de Sousa ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Content Validity ◽  
Sociodemographic Characteristics ◽  
Home Nursing ◽  
Validity Index ◽  
Content Validity Index ◽  
Primary Health ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

ABSTRACT Objectives: to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice® for home nursing consultation to adults in Primary Health Care. Methods: qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges., considering the answers “priority” or “very priority” for the list of nursing diagnoses presented. 23 expert judges participated in this survey. Results: a hundred and eleven nursing diagnoses of prepared statements lists have been grouped by human systems and sociodemographic characteristics. were grouped by human systems and sociodemographic characteristics. Eighty-three of them (74.77%) had a Content Validity Index equal or higher to 0.8; and 27 (32.5%) had an index of 1.0 (100%) among judges. Conclusions: nursing diagnosis validated can be used to assist clients in home nursing consultations in Primary Health Care.

scholarly journals Profile of Oral Health and susceptibility to Oral Candidiasis in Patients of Primary Health Care

10.3823/1751 ◽  
2015 ◽  
Author(s):  
Anne Milane Formiga Bezerra ◽  
Maria do Carmo Andrade Duarte de Farias ◽  
Rosilene Agra da Silva ◽  
Patrício Borges Maracajá ◽  
Alfredina dos Santos Araújo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Candidiasis ◽  
Primary Health

An Oral Health Promotion Module for the Primary Health Care Nursing Course in Acornhoek, South Africa

1999 ◽  
Vol 16 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Eyitope O. Ogunbodede ◽  
Michael J. Rudolph ◽  
Norma M. Tsotsi ◽  
Helen A. Lewis ◽  
Jonathan I. Iloya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Health Promotion ◽  
Primary Health ◽  
Nursing Course ◽  
Care Nursing

scholarly journals The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

2020 ◽  
Vol 17 (5) ◽  
pp. 1646
Author(s):  
Maria Aparecida Cunha ◽  
Mario Vianna Vettore ◽  
Thiago Resende dos Santos ◽  
Antônio Thomaz Matta-Machado ◽  
Simone Dutra Lucas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Human Resources ◽  
Organizational Support ◽  
Organizational Factors ◽  
Dental Students ◽  
Dental Prosthesis ◽  
Dental Prostheses ◽  
Primary Health

This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.

scholarly journals Patient safety culture from the perspective of workers and primary health care teams

2019 ◽  
Vol 53 ◽  
pp. 42 ◽  
Author(s):  
Daiane Cortêz Raimondi ◽  
Suelen Cristina Zandonadi Bernal ◽  
Laura Misue Matsuda
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Service ◽  
Safety Culture ◽  
Family Health ◽  
Patient Safety Culture ◽  
Health Care Teams ◽  
Primary Health

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

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