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 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 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 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.

scholarly journals An assessment of primary care attributes from the perspective of female healthcare users

2015 ◽  
Vol 23 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Eliane de Fátima Almeida Lima ◽  
Ana Inês Sousa ◽  
Cândida Caniçali Primo ◽  
Francielie Marabotti Costa Leite ◽  
Rita de Cassia Duarte Lima ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Average Score ◽  
Sociodemographic Characteristics ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Assessment ◽  
Family Health Strategy

OBJECTIVE: this study sought to assess the quality of the Family Health Strategy (FHS) and investigated the association between primary care attributes (PCAs) and the sociodemographic characteristics of users.METHOD: a total of 215 female FHS users were interviewed for this descriptive and cross-sectional study. The Primary Care Assessment Tool (PCATool), Adult Edition was used, and the results were analyzed using Fisher's exact tests, Pearson's chi-square tests and logistic regressions.RESULTS: the lowest average score corresponded to the dimension "accessibility" (1.80), and the highest score corresponded to "access" (8.76). The results corresponding to the attributes "longitudinality", "coordination", "comprehensiveness", and "orientation" were not significant. No association was found between the participants' sociodemographic characteristics and the essential, derivative, and general attributes (p>0.05).CONCLUSION: several attributes must be improved across all the investigated services from the perspective of female FHS users.

scholarly journals Assessment of Primary Health Care Attributes in Campina Grande, Paraíba, Brazil

2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Rafaela Simão de Abrantes ◽  
Débora Lana Alves Monteiro ◽  
Aline de Paula Rêgo Graciano Luz ◽  
Ricardo Alves de Olinda ◽  
Wilton Wilney Nascimento Padilha
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment ◽  
Education Activity ◽  
First Contact

ABSTRACT Objective: to assess the presence and extent of Primary Health Care attributes in Campina Grande, Paraíba. Method: this is a cross-sectional study with 202 professionals from the Basic Health Units. The Primary Care Assessment Tool, Brazil, was used, which includes eight attributes of primary care whose scores were converted into a scale from 0 to 10, with those considered satisfactory > 6.60. Result: the general score mean was 7.6, but First contact access obtained a score of 3.7. Dental surgeons attributed the worst scores for all attributes (p <0.05). Permanent education activity was associated with a high general score (p <0.01). Conclusion: with the exception of First contact access, the other attributes are present, but initiatives by teams and managers are necessary for its expansion, with permanent education being the main strategy in this process.

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 Evaluating the performance of South African primary care: a cross-sectional descriptive survey

2019 ◽  
Vol 61 (3) ◽  
pp. 77
Author(s):  
Graham Bresick ◽  
Klaus B. Von Pressentin ◽  
Robert Mash
Keyword(s):  
South Africa ◽  
Primary Care ◽  
South African ◽  
Assessment Tool ◽  
Health Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Assessment ◽  
First Contact

Introduction: In 2018 governments reaffirmed their commitment to implementing primary health care (PHC) in the Astana Declaration. South Africa has introduced a number of health reforms to strengthen PHC and enable universal health coverage (UHC). UHC requires access to quality primary care and progress needs to be measured. This study aimed to evaluate the quality of South African primary care using the Primary Care Assessment Tool (PCAT).Methods: A descriptive cross-sectional survey used data derived from a previous analytical observational study. Data from 413 patients, 136 health workers and 55 managers were analysed from 30 community health centres across four provinces of South Africa. Scores were obtained for 10 key domains and an overall primary care score. Scores were compared in terms of respondents, provinces and monthly headcount.Results: Patients rated first contact accessibility, ongoing care and community orientation as the poorest performing elements ( 50% scoring as ‘acceptable to good’); first contact utilisation, informational coordination and family-centredness as weaker elements ( 66% scoring as ‘acceptable to good’); and comprehensiveness, coordination, cultural competency and availability of the PHC team as stronger aspects of primary care (≥ 66% or more scoring as ‘acceptable or good’). Managers and providers were generally much more positive about the performance of PHC.Conclusion: Gaps exist between PHC users’ experience of care and what PHC staff believe they provide. Priorities to strengthen South African primary care include improving access, informational and relational continuity of care, and ensuring the implementation of community-orientated primary care. The PCAT is a useful tool to measure quality of primary care and progress with UHC.

scholarly journals Primary health care attributes of family health teams with and without family physician

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A C F Martins ◽  
G A Pereira ◽  
W P P Gomes ◽  
C N Monteiro ◽  
C A S Siqueri ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Management ◽  
Assessment Tool ◽  
Family Health ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Cross Sectional ◽  
Primary Health ◽  
Care Assessment

Abstract Background The four essential attributes of primary health care (PHC): access, longitudinality, comprehensiveness and coordination, guide the professional practices of service management and also the professionals of the family health strategy teams. Family medicine residence (FMR) is the speciality that trains medical practitioners capable of acting properly in PHC. It develops a person-centred approach, oriented towards the individual, his family and community, which dialogues with the PHC precepts of comprehensive patient care from a social point of view. Thus, the objective of this study was to verify whether there are differences in the PHC attributes perceived by patients treated by teams with FMR doctors and by the others. Methods This was an observed cross-sectional study conducted during 2019, which used the Adult Primary Care Assessment Tool (PCATool) to evaluate preliminarily 28 PHC teams working at the city of São Paulo, Brazil. The teams were compared based on 337 patient answers using domains medians and Mann-Whitney tests. The study was approved by the ethics committee. Results Eight teams (28.6%) had doctors trained in FMR. The attributes of longitudinality and access were very similar between the two groups. The teams with FMR doctors showed better evaluations in the components: information systems, median 7.78, versus 6.67 (p = 0.391); services available, median 6.52, versus 6.06 (p = 0.086); and services received, median 4.85, versus 3.85 (p = 0.180) of the coordination and comprehensiveness attributes. Conclusions We didn't find statistically significant results indicating better PHC attributes of teams with FMR doctors, based on user perception. A continuous study is recommended to follow the evolution of this speciality in the PHC context. Key messages FMR is a fundamental key to PHC and must be evaluated continuously. It is necessary to strengthen their insertion in the Brazilian health system and discuss the ways to do so.

Sign in / Sign up

Export Citation Format

Share Document