Evaluation of health care coordination and health care networks ordination by Primary Health Care – a proposal of items for the evaluation of these attributes

• Main Author: Chueiri, Patricia Sampaio
• Publication Date: 2017
• Other Authors: Harzheim, Erno, Takeda, Silvia Maristela Pasa
• Format: Article
• Language: por
• Source: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Download full: https://www.rbmfc.org.br/rbmfc/article/view/1363
• topic: Primary Health Care. Health Services Evaluation. Health Evaluation.; Atención Primaria de Salud. Evaluación de Servicios de Salud. Evaluación en Salud.; Atenção Primária à Saúde. Avaliação de Serviços de Saúde. Avaliação em Saúde.; Atenção Primária à Saúde; Avaliação de Serviços de Saúde; Avaliação em Saúde.

Introduction: The creation of health care networks (HCN) in national health care systems has proved to be an effective form of organization of health care systems to address some of these epidemiological and structural challenges. Brazil has been moving towards the regionalization and conformation of HCN. In order to assess the development of HCNs, this research offers to define initial items that in the future will compose an evaluation tool capable of measuring two attributes of health care networks: individual care coordination and planning of HCNs by the Primary Health Care. Methods: We used the Delphi method, which involves the following steps: initial setting of items to be evaluated and composition of the experts group, conducting four rounds of Delphi and evaluation of results. Results: The final product was a list of 69 items, of these, 59 items reached stability between experts and can be divided into: a group of 44 items that achieved a high degree of consensus among the experts to include the item in the final list; a group of 12 items that reached an intermediate degree of consensus, and a group of 3 items that reached a low degree of consensus. The construction of this initial proposal of items for evaluation of HCN has the main goal of collaborating with researches related to the more systemic evaluations of health services.