Access to prenatal care: assessment of the adequacy of different indices

Detalhes bibliográficos
Autor(a) principal: Santos Neto, Edson Theodoro dos
Data de Publicação: 2013
Outros Autores: Oliveira, Adauto Emmerich, Zandonade, Eliana, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256
Resumo: This study aimed to compare the evaluation of adequate access to prenatal care according to different indices. Data to construct the indices were obtained from 1,006 patient interviews, prenatal cards, and medical charts for postpartum women who had been admitted for childbirth at maternity hospitals in Greater Metropolitan Vitória, Espírito Santo State, Brazil, from April to September 2010. The various indices for the evaluation of prenatal care were compared to the Kotelchuck index (1994) as the standard reference. Prevalence rates for adequacy were calculated, as were agreement, sensitivity, specificity, predictive values, accuracy, and likelihood ratios. The Takeda index showed the highest prevalence of adequacy (55.8%). The highest agreement was between the indices proposed by Villar et al. and Rosen et al. (adjusted kappa = 0.84). The study concludes that the Carvalho & Novaes index and the Brazilian Ministry of Health index are relevant for assessing adequate access to prenatal care.
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spelling Access to prenatal care: assessment of the adequacy of different indicesMaternal and Child HealthHealth EvaluationMaternal-Child Health ServicesHealth Services AccessibilityThis study aimed to compare the evaluation of adequate access to prenatal care according to different indices. Data to construct the indices were obtained from 1,006 patient interviews, prenatal cards, and medical charts for postpartum women who had been admitted for childbirth at maternity hospitals in Greater Metropolitan Vitória, Espírito Santo State, Brazil, from April to September 2010. The various indices for the evaluation of prenatal care were compared to the Kotelchuck index (1994) as the standard reference. Prevalence rates for adequacy were calculated, as were agreement, sensitivity, specificity, predictive values, accuracy, and likelihood ratios. The Takeda index showed the highest prevalence of adequacy (55.8%). The highest agreement was between the indices proposed by Villar et al. and Rosen et al. (adjusted kappa = 0.84). The study concludes that the Carvalho & Novaes index and the Brazilian Ministry of Health index are relevant for assessing adequate access to prenatal care.El objetivo de este estudio fue comparar la evaluación de la adecuación del acceso a la atención prenatal por diferentes índices. Información para los índices que componen fueron tomadas de 1.006 formularios de encuestas, las tarjetas y los registros médicos de mujeres embarazadas que fueron hospitalizadas durante el parto en la maternidad Gran Vitória Metropolitana, Espírito Santo, Brasil, en el período de abril a septiembre de 2010. Los índices de evaluación de la atención prenatal se compara con el índice Kotelchuck (1994), el patrón de referencia. La prevalencia de adecuación se calcularon y se analizan de acuerdo, los coeficientes de sensibilidad, especificidad, exactitud predictiva, y la probabilidad se realizaron. La mayor prevalencia de adecuación fue encontrado por Takeda índice (55,8%). El mayor acuerdo se estableció entre las tasas de Villar et al y Rosen et al (ajustado kappa = 0,84). Llegamos a la conclusión de que el índice y el índice de Carvalho y Novaes y el Ministerio de Salud de Brasil son pertinentes para evaluar la adecuación del acceso a la atención prenatal.O objetivo deste estudo foi comparar a avaliação da adequação do acesso à assistência pré-natal por diferentes índices. As informações para compor os índices foram retiradas de 1.006 formulários de pesquisa, cartões de gestantes e prontuários médicos de puérperas, que se internaram por ocasião do parto em maternidades da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil, no período de abril a setembro de 2010. Os índices de avaliação do pré-natal foram comparados ao índice de Kotelchuck (1994), o padrão de referência. Prevalências de adequação foram calculadas e análises de concordância, sensibilidade, especificidade, preditividade, acurácia e razões de verossimilhança foram realizadas. A maior prevalência de adequação foi encontrada pelo índice Takeda (55,8%). A maior concordância ocorreu entre os índices de Villar et al. e Rosen et al. (kappa ajustado = 0,84). Conclui-se que o índice de Carvalho e Novaes e o índice do Ministério da Saúde do Brasil são relevantes para avaliar a adequação do acesso à assistência pré-natal.Reports in Public HealthCadernos de Saúde Pública2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256Reports in Public Health; Vol. 29 No. 8 (2013): AugustCadernos de Saúde Pública; v. 29 n. 8 (2013): Agosto1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256/10781https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256/10782Santos Neto, Edson Theodoro dosOliveira, Adauto EmmerichZandonade, ElianaLeal, Maria do Carmoinfo:eu-repo/semantics/openAccess2024-03-06T15:28:37Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5256Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:03.390402Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Access to prenatal care: assessment of the adequacy of different indices
title Access to prenatal care: assessment of the adequacy of different indices
spellingShingle Access to prenatal care: assessment of the adequacy of different indices
Santos Neto, Edson Theodoro dos
Maternal and Child Health
Health Evaluation
Maternal-Child Health Services
Health Services Accessibility
title_short Access to prenatal care: assessment of the adequacy of different indices
title_full Access to prenatal care: assessment of the adequacy of different indices
title_fullStr Access to prenatal care: assessment of the adequacy of different indices
title_full_unstemmed Access to prenatal care: assessment of the adequacy of different indices
title_sort Access to prenatal care: assessment of the adequacy of different indices
author Santos Neto, Edson Theodoro dos
author_facet Santos Neto, Edson Theodoro dos
Oliveira, Adauto Emmerich
Zandonade, Eliana
Leal, Maria do Carmo
author_role author
author2 Oliveira, Adauto Emmerich
Zandonade, Eliana
Leal, Maria do Carmo
author2_role author
author
author
dc.contributor.author.fl_str_mv Santos Neto, Edson Theodoro dos
Oliveira, Adauto Emmerich
Zandonade, Eliana
Leal, Maria do Carmo
dc.subject.por.fl_str_mv Maternal and Child Health
Health Evaluation
Maternal-Child Health Services
Health Services Accessibility
topic Maternal and Child Health
Health Evaluation
Maternal-Child Health Services
Health Services Accessibility
description This study aimed to compare the evaluation of adequate access to prenatal care according to different indices. Data to construct the indices were obtained from 1,006 patient interviews, prenatal cards, and medical charts for postpartum women who had been admitted for childbirth at maternity hospitals in Greater Metropolitan Vitória, Espírito Santo State, Brazil, from April to September 2010. The various indices for the evaluation of prenatal care were compared to the Kotelchuck index (1994) as the standard reference. Prevalence rates for adequacy were calculated, as were agreement, sensitivity, specificity, predictive values, accuracy, and likelihood ratios. The Takeda index showed the highest prevalence of adequacy (55.8%). The highest agreement was between the indices proposed by Villar et al. and Rosen et al. (adjusted kappa = 0.84). The study concludes that the Carvalho & Novaes index and the Brazilian Ministry of Health index are relevant for assessing adequate access to prenatal care.
publishDate 2013
dc.date.none.fl_str_mv 2013-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256/10781
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5256/10782
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 29 No. 8 (2013): August
Cadernos de Saúde Pública; v. 29 n. 8 (2013): Agosto
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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