文章基本信息

标题：PCATool-ADULTO-BRASIL: uma versão reduzida
本地全文：下载
作者：Mônica Maria Celestina de Oliveira ; Erno Harzheim ; João Riboldi 等
期刊名称：Revista Brasileira de Medicina de Família e Comunidade
印刷版ISSN：1809-5909
电子版ISSN：2179-7994
出版年度：2013
卷号：8
期号：29
页码：256-263
语种：Portuguese
出版社：Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
摘要：The reorganization of the Brazilian health system brings the need for on-going evaluation of the services offered to the population. The Primary Care Assessment Tool (PCATool-Brazil) version for adult users, validated for the Brazilian context, adequately measures the presence and extent of attributes of primary health care (PHC) services. A reduced version of this instrument is required to optimize the process of implementation and use of the results in strategic actions. This article aims to present a reduced version of the PCATool-Brazil for adult users and analyze its suitability. The instrument was applied to 2404 adult residents of areas covered by primary health care (PHC) units in Porto Alegre, Rio Grande do Sul state. By the two-parameter logistic model of Item Response Theory (ML-2), 23 items that presented discrimination classified as moderate to strong, contemplating the seven attributes of PHC, were selected. As a measure of consistency, the results obtained with this version were compared with the complete version, revealing consistent PHC scores. These findings indicate that the PCATool-Brazil reduced version for adult users presents adequate validity and reliability, and it can be adopted as a rapid assessment tool to evaluate PHC in Brazilian services, permitting decision making guided by evidence in the development of actions to improve the quality of care offered to the population.
关键词：Primary Health Care;Health Services;Health Services Evaluation;Atención Primaria de Salud;Servicios de Salud;Evaluación de Servicios de Salud;Atenção Primária à Saúde;Serviços de Saúde;Avaliação de Serviços de Saúde