Care coordination in pmaq-ab: an item response theory-based analysis

• Autor(a) principal: Miriam Francisco de Souza
• Data de Publicação: 2017
• Outros Autores: Alaneir de Fatima Dos Santos, Ilka Afonso Reis, Marcos Antonio da Cunha Santos, Alzira Oliveira Jorge, Anthonio Thomaz Gonzaga da Mata Machado, Mariangela Leal Cherchiglia
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/62277
• topic: Primary Health Care; Health Services Accessibility; Health Services Evaluation; Efficiency; Quality Assurance; Health Care; Primary Health Care; Health Services Accessibility; Health Services Research; Efficiency; Quality Assurance, Health Care; Health Care

OBJECTIVE: Analyze the quality of the National Program for Primary Care Access and Quality Improvement variables to evaluate the coordination of primary care. METHODS: A cross-sectional study based on data from 17,202 primary care teams that participated in the National Program for Primary Care Access and Quality Improvement in 2012. Based on the Item Response Theory, Samejima’s Gradual Response Model was used to estimate the score related to the level of coordination. The Cronbach’s alpha and Spearman’ coefficients and the point-biserial correlation were used to analyze the internal consistency and the correlation between the items and between the items and the total score. We evaluated the assumptions of unidimensionality and local independence of the items. Cloud-type word charts aided in the interpretation of coordination levels. RESULTS: The Program items with the greatest discrimination in coordination level were: telephone/Internet existence, institutional communication flows, and matrix support actions. The specialists’ contact frequency with the primary care and integrated electronic medical record required a greater level of coordination among the teams. The Cronbach’ alpha was 0.8018. The institutional communication flows and telephone/Internet items had a higher correlation with the total score. Coordination scores ranged from -2.67 (minimum) to 2.83 (maximum). More communication, information exchange, matrix support, health care in the territory and the domicile had a significant influence on the levels of coordination. CONCLUSIONS: The ability to provide information and the frequency of contact among professionals are important elements for a comprehensive, continuous and high-quality car.