Validation of the Primary Care Assessment Tool: PCATool-Brazil for adults
DOI:
https://doi.org/10.5712/rbmfc8(29)829Keywords:
Validation, Primary Health Care, Health Services ResearchAbstract
Objective: to translate and adapt the PCATool version for adult users to the Brazilian context and assess its validity and reliability. Methods: We conducted a cross-sectional study of 2404 adult users living in areas covered from public services Primary Care in Porto Alegre, and users of a self- management plan. We performed translation, reverse translation and adaptation of the instrument as well as its assessment in respect of content validity, factorial validity and reliability. Results: In the factor analysis were considered 12 factors that explained 50.83% of the total variation. In this way were recognized the attributes of Primary Care: access - accessibility and utilization; longitudinality; coordination - coordination of care and systems of information; comprehensiveness - services available and services provided; family orientation; and community orientation. In terms of internal consistency the values of Cronbach’s alpha ranged from 0.15 to 0.90. The stability over time was not observed for coordination of care (p<0.05), coordination information of system (p<0.05) and comprehensiveness of services provided (p<0.05). The scaling success rate was close to 100% for all attributes, except to coordination of information system. Conclusions: the results indicated that the PCATool-Brazil has adequate validity and reliability, and it can act as a national instrument for the assessment of Primary Care from the perspective of adult users.Downloads
Metrics
References
Brasil. Ministério da Saúde. Saúde, Brasil. 147. ed. Brasília: Ministério da Saúde; 2008.
Brasil. Ministério da Saúde. Atenção básica e a saúde da família: diretriz conceitual. Brasília: Ministério da Saúde; 2004.
Starfield B. Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília: Organização das Nações Unidas para a Educação, a Ciência e a Cultura; Ministério da Saúde; 2002.
Cassady C, Starfield B, Hurtado M, Berk R, Nanda J, Friedenberg L. Measuring consumer experiences with primary care. J Ambulatory Pediatric Assoc. 2000; 105: 998-1003.
Shi L, Starfield B, Xu J. Validating the Adult Primary Care Assessment Tool. J Fam Pract 2001;50: 161W-175W.
Harzheim E, Starfield B, Rajmil L, Álvarez-Dardet C, Stein A. Internal consistency and reliability of Primary Care Assessment Tool (PCATool-Brasil) for child health services. Cad Saude Pública. 2006A; 22(8): 1649-59. PMid:16832536. http://dx.doi.org/10.1590/S0102-311X2006000800013
Harzheim E, Gonçalves MR, Oliveira MMC, Trindade TG, Agostinho MR, Hauser L. Manual do instrumento de avaliação da atenção primária à saúde: primary care assessment tool PCATool – Brasil. Brasília: Ministério da Saúde, 2010. PMCid:PMC3002662.
Tsai J, Shi L, Yu WL, Hung LM, Lebrun LA. Physician specialty and the quality of medical care experiences in the context of the Taiwan national health insurance system. J Am Board Fam Med. 2010; 23(3): 402-12. PMid:20453187. http://dx.doi.org/10.3122/jabfm.2010.03.090222
Tsai J, Shi L, Yu WL, Lebrun LA. Usual source of care and the quality of medical care experiences: a cross-sectional survey of patients from a Taiwanese community. Med Care. 2010; 48(7): 628-34. PMid:20548255. http://dx.doi.org/10.1097/MLR.0b013e3181dbdf76
Wong SY, Kung K, Griffiths SM, Carthy T, Wong MC, Lo SV, Chung VC, Goggins WB, Starfield B. Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong. BMC Public Health. 2010; 10: 397. PMid:20602806 PMCid:PMC2908092. http://dx.doi.org/10.1186/1471-2458-10-397
Haggerty J, Martin CM. Evaluating Primary Health Care in Canada AND The Right Questions to Ask! The National Evaluation Strategy for Primary Health Care. Ottawa: Health Canada; 2005.
Haggerty JL, Pineault R, Beaulieu MD, Brunelle Y, Gauthier J, Goulet F, et al. Patients’ experiences of primary care in Quebec before major reforms. Can Fam Physician. 2007; 53: 1056-1057. PMCid:PMC1949223.
Pasarín MI, Berra S, Rajmil L, Solans M, Borrell C, Starfield B. An instrument to evaluate primary health care from the population perspective. Aten Primaria. 2007; 39(8): 395-401. PMid:17692225.
Schmidt MI, Duncan BB, Silva GA, Menezes AM, Monteiro CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: burden and current challenges Lancet. 2011; 377: 1949-1961. http://dx.doi.org/10.1016/S0140-6736(11)60135-9
Reichenheim ME, Souza ER, Moraes CL, Jorge MHPM, Da Silva CMFP, Minayo MCS. Violence and injuries in Brazil: the effect, progress made, and challenges ahead. Lancet. 2011; 377: 1962-1975 http://dx.doi.org/10.1016/S0140-6736(11)60053-6
Mendes EV, As redes de atenção à saúde. Brasília: Organização Pan-Americana da Saúde, 2011.
Piccini RX, Facchini LA, Tomasi E, Thumé E, Silveira DS, Siqueira FV, et al. Effectiveness of antenatal and well-baby care in primary health services from Brazilian South and Northeast regions. Rev Bras Saude Mater Infant. 2007; 7(1): 75-82. http://dx.doi.org/10.1590/S1519-38292007000100009
Facchini LA, Piccini RX, Tomasi E, Thumé E, Silveira DS, Siqueira FV, et al. Performance of the PSF in the Brazilian South and Northeast: institutional and epidemiological Assessment of Primary Health Care. Ciênc Saúde Coletiva. 2006; 11(3): 669-681. http://dx.doi.org/10.1590/S1413-81232006000300015
Starfield B, Shi L. Manual for the Primary Care Assessment Tools. Baltimore: Johns Hopkins University, 2002.
Harzheim E, Duncan B, Stein A, Cunha C, Goncalves M, Trindade T, et al. Quality and effectiveness of different approaches to primary care delivery in Brazil. BMC Health Serv Res. 2006; 5(6): 156. PMid:17147819 PMCid:PMC1790713. http://dx.doi.org/10.1186/1472-6963-6-156
Hair JF, Anderson RE, Tatham RL, Black WC. Análise Multivariada de Dados. 5. ed. Porto Alegre: Bookman, 2006.
Downloads
Published
How to Cite
Issue
Section
License
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.