scholarly journals Longitudinality and community orientation in the context of indigenous health

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Esron Soares Carvalho Rocha ◽  
Rizioléia Marina Pinheiro Pina ◽  
Rosana Cristina Pereira Parente ◽  
Maria Luiza Pereira Garnelo ◽  
Rúbia Aparecida Lacerda
Keyword(s):  
Health Services ◽  
Assessment Tool ◽  
Indigenous Health ◽  
Cross Sectional Study ◽  
Municipal Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Community Orientation ◽  
Rio Negro ◽  
Care Assessment

ABSTRACT Objectives: to analyze, from healthcare professionals’ perspectives, the longitudinality and community orientation in Primary Health Care, offered both in the Special Indigenous Health District and in the primary network that assists non-indigenous population in municipal health services in Upper Rio Negro region. Methods a cross-sectional study with 116 professionals, 87 (75%) of indigenous health, 29 (25%) of municipal services. Primary Care Assessment Tool, professional version, used by Upper Rio Negro for Social Sciences region. For association of variables, chi-square test and Kruskal-Wallis were used. Results longitudinality obtained an unsatisfactory score (6.4 and 6.5), as well as community orientation (6.1 and 5.6) for both services. Weaknesses refer to professional turnover, little knowledge about users’ living conditions, precarious employment relationship. In indigenous health, satisfaction was higher when compared to municipal services. Conclusions: it is necessary to improve work management in health services, seeking to guarantee the quality of performance of professionals.

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 Primary Health Care attributes in the context of indigenous health

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Esron Soares Carvalho Rocha ◽  
Noeli das Neves Toledo ◽  
Rizioléia Marina Pinheiro Pina ◽  
Márcia Cristina Rodrigues Fausto ◽  
Ana Luiza D’Viana ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Assessment Tool ◽  
Indigenous Health ◽  
Health District ◽  
Cross Sectional ◽  
Primary Health ◽  
Rio Negro ◽  
Care Assessment

ABSTRACT Objectives: to assess the attributes of Primary Health Care from the perspective of health professionals, comparing services in the Special Indigenous Health District and the Municipal Health Offices. Methods: a cross-sectional study in the Upper Rio Negro region, State of Amazonas, with 116 professionals. The data were collected through the Primary Care Assessment Tool. Scores were categorized (≥ 6.6) - strong orientation and (<6.6) - low orientation. The chi-square and maximum likelihood test for crossover analysis. The comparison between professionals the Kruskal-Wallis Test. Results: a higher overall score was observed in the Indigenous Health District (7.2). The same trend was observed individually in the essential and derived attributes. Conclusions: this work may support strategies that positively impact the management model and work processes from the perspective of strengthening the primary care offered to the population from Rio Negro.

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 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 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 Characteristics of nursing home units with high versus low levels of person-centred care in relation to leadership, staff- resident- and facility factors: findings from SWENIS, a cross-sectional study in Sweden

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annica Backman ◽  
Per-Olof Sandman ◽  
Anders Sköldunger
Keyword(s):  
Professional Development ◽  
Nursing Home ◽  
Assessment Tool ◽  
Aged Care ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Low Degree ◽  
Care Assessment ◽  
Leadership Engagement

Abstract Background The context of care consists of factors that determines the extent to which staff can offer person-centred care. However, few studies have investigated factors that can explain variation in levels of person-centred care among nursing home units. The aim of this study was to explore factors characterizing nursing home units with high and low degree of person-centred care, with focus on leadership, staff, resident and facility factors. Methods Cross-sectional data from residents, staff, and managers in 172 randomly selected nursing homes in Sweden were collected in 2014. Activities of Daily Living Index, Gottfries’ cognitive scale, Person-centred Care Assessment Tool together with demographic information and estimations of leadership engagement was used. Independent samples t-test and Chi2 test were conducted. Results Highly person-centred units were characterised by leaders engaging in staff knowledge, professional development, team support and care quality. In highly person-centred units’ staff also received supervision of a nurse to a larger extent. Highly person-centred units were also characterised as dementia specific units, units with fewer beds and with a larger proportion of enrolled nurses. No differences in degree of person-centred care were seen between public or private providers. Conclusions This study provides guidance for practitioners when designing, developing and adapting person-centred units in aged care contexts. Managers and leaders have an important role to promote the movement towards a person-centred practice of care, by supporting their staff in daily care, and engaging in staff knowledge and professional development. Targeting and adjusting environmental factors, such as provide small and dementia adapted environments to match the residents’ personal preferences and capacity are also important when striving towards person-centredness.

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.

scholarly journals Attitude towards compulsory rural health services among interns of RajaRajeswari Medical College and Hospital, Bengaluru

2019 ◽  
Vol 6 (5) ◽  
pp. 2139
Author(s):  
Ranganatha S. C. ◽  
Damayanthi M. N. ◽  
Sheetu Jailkhani
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Rural Areas ◽  
Positive Attitude ◽  
Cross Sectional Study ◽  
Rural Health Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Strongly Agree

Background: In India, majority of Doctors are working in urban than rural areas. Health situation report suggests that medical students should be provided with a rural clinical placement to make them familiar with the rural workplace. Hence the present study was conducted with the aim of assessing the attitude of the interns of RajaRajeswari Medical College and Hospital (RRMCH), Bengaluru, towards compulsory Rural Health Services.Methods: A cross sectional study was conducted at RRMCH, Bengaluru for a period of two months. All the interns willing to participate and present on the day of study were included. Consent was taken and the information was collected by using a self administered semi-structured questionnaire. The participants were asked to respond on a five point Likert scales, ranging from strongly agree to strongly disagree. The data was analyzed using SPSS version 21.0 and Pearson’s chi-square test was applied.Results: Out of 100 interns, majority (56%) was females, 85% were Hindu by religion and 68% were from urban locality. Out of 100 interns, only 14% showed positive attitude towards compulsory rural health services. The reasons for positive attitude were that it provides a good exposure of general practice and an opportunity for independent working.Conclusions: In the present study, only 14% interns showed positive attitude towards rural health services. Perceived factors such as Isolation from family and Inadequate Hospital infrastructure emerged as barrier for the interns to opt for rural services.

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