Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/94572 |
Resumo: | Objective. To determine the validity and reliability of the version of the Primary Care Assessment Tool for adult users, adapted for Argentina (known as AR-PCAT-AE). Methods. Two cross-sectional pilot studies were conducted among people over age 17, largely through self-administered questionnaires. Items that were equivalent to the original version of the PCAT and 13 others proposed for the instruments were analyzed. The factorial validity and reliability of the scores for each dimension were studied. The validity indicators were: factors that had three or more items with a factorial load of > 0.35, item-total correlation > 0.30, and interpretation of the solution according to the theoretical model. Results. The factorial analysis yielded nine factors that explained 57.4% of the variability. Considering the pre-established criteria for validity, two items were excluded from the dimensions of continuity and comprehensiveness and six were added to comprehensiveness and cultural competency. In the dimensions, the percentage of questions with an item-total correlation of greater than 0.30 ranged from 67% to 100% and the Chronbach’s (alpha) coefficient of internal consistency ranged from 0.44 to 0.90. Conclusions. The validity and reliability of the AR-PCAT-AE questionnaire are adequate, maintaining high equivalence with the original version. The process presented could be adopted in other contexts to advance the evaluation of primary health care functions with quality tools. |
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Berra, SilvinaHauser, LisianeAudisio, YaninaMántaras, JoséNicora, ValeriaOliveira, Mônica Maria Celestina deStarfield, BarbaraHarzheim, Erno2014-04-18T01:53:07Z20131020-4989http://hdl.handle.net/10183/94572000913381Objective. To determine the validity and reliability of the version of the Primary Care Assessment Tool for adult users, adapted for Argentina (known as AR-PCAT-AE). Methods. Two cross-sectional pilot studies were conducted among people over age 17, largely through self-administered questionnaires. Items that were equivalent to the original version of the PCAT and 13 others proposed for the instruments were analyzed. The factorial validity and reliability of the scores for each dimension were studied. The validity indicators were: factors that had three or more items with a factorial load of > 0.35, item-total correlation > 0.30, and interpretation of the solution according to the theoretical model. Results. The factorial analysis yielded nine factors that explained 57.4% of the variability. Considering the pre-established criteria for validity, two items were excluded from the dimensions of continuity and comprehensiveness and six were added to comprehensiveness and cultural competency. In the dimensions, the percentage of questions with an item-total correlation of greater than 0.30 ranged from 67% to 100% and the Chronbach’s (alpha) coefficient of internal consistency ranged from 0.44 to 0.90. Conclusions. The validity and reliability of the AR-PCAT-AE questionnaire are adequate, maintaining high equivalence with the original version. The process presented could be adopted in other contexts to advance the evaluation of primary health care functions with quality tools.Objetivo. Determinar la validez y la fiabilidad de los “instrumentos para evaluar la atención primaria de salud” (Primary Care Assessment Tool [PCAT, por su siglas en inglés]), versión dirigida a usuarios adultos, adaptada para Argentina (AR-PCAT-AE). Métodos. Se realizaron dos estudios piloto transversales con personas mayores de 17 años, mediante cuestionarios mayoritariamente autoadministrados. Se analizaron los ítems equivalentes a la versión original de los PCAT y otros 13 propuestos para ser adicionados. Se examinó la validez factorial y la fiabilidad de las puntuaciones de cada dimensión. Los indicadores de validez fueron: factores que tuvieran tres o más ítems con una carga factorial >0,35, correlación ítem-total >0,30 e interpretación de la solución en consecuencia con el modelo teórico. Resultados. El análisis factorial resultó en nueve factores que explicaron 57,4% de la variabilidad. Considerando los criterios de validez preestablecidos, se excluyeron dos ítems de las dimensiones de continuidad e integralidad y se adicionaron seis en integralidad y competencia cultural. En las dimensiones, el porcentaje de preguntas con correlación ítemtotal mayor de 0,30 osciló entre 67% y 100% y el coeficiente de consistencia interna alfa de Cronbach entre 0,44 y 0,90. Conclusiones. El cuestionario AR-PCAT-AE tiene validez y fiabilidad adecuadas, manteniendo una alta equivalencia con la versión original. El proceso presentado podría ser adoptado en otros contextos para avanzar en la necesidad de evaluar las funciones de la atención primaria con herramientas de calidad.Telemedicinaapplication/pdfspaRevista panamericana de salud pública. Washington. Vol. 33, no. 1 (2013), p. 30-39Atenção primária à saúdeInquéritos epidemiológicosServiços de saúdeAssistência ambulatorialArgentinaPrimary health careHealth surveysHealth servicesAmbulatory careAtención primaria de saludEncuestas de saludServicios de saludAtención ambulatoriaArgentinaValidez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de saludValidity and reliability of the argentine version of the PCAT-AE for the evaluation of primary health care Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000913381.pdf000913381.pdfTexto completo (espanhol)application/pdf172618http://www.lume.ufrgs.br/bitstream/10183/94572/1/000913381.pdf3930cbf993d6ca530b7a468928286937MD51TEXT000913381.pdf.txt000913381.pdf.txtExtracted Texttext/plain54382http://www.lume.ufrgs.br/bitstream/10183/94572/2/000913381.pdf.txt1819472da7ae220cd564351cb648d30dMD52THUMBNAIL000913381.pdf.jpg000913381.pdf.jpgGenerated Thumbnailimage/jpeg1942http://www.lume.ufrgs.br/bitstream/10183/94572/3/000913381.pdf.jpg3bb3423e5ef43b73d36b15a3d2a9bd48MD5310183/945722018-10-22 08:07:26.156oai:www.lume.ufrgs.br:10183/94572Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-22T11:07:26Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
dc.title.alternative.en.fl_str_mv |
Validity and reliability of the argentine version of the PCAT-AE for the evaluation of primary health care |
title |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
spellingShingle |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud Berra, Silvina Atenção primária à saúde Inquéritos epidemiológicos Serviços de saúde Assistência ambulatorial Argentina Primary health care Health surveys Health services Ambulatory care Atención primaria de salud Encuestas de salud Servicios de salud Atención ambulatoria Argentina |
title_short |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
title_full |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
title_fullStr |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
title_full_unstemmed |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
title_sort |
Validez y fiabilidad de la versión argentina del PCAT-AE para evaluar la atención primaria de salud |
author |
Berra, Silvina |
author_facet |
Berra, Silvina Hauser, Lisiane Audisio, Yanina Mántaras, José Nicora, Valeria Oliveira, Mônica Maria Celestina de Starfield, Barbara Harzheim, Erno |
author_role |
author |
author2 |
Hauser, Lisiane Audisio, Yanina Mántaras, José Nicora, Valeria Oliveira, Mônica Maria Celestina de Starfield, Barbara Harzheim, Erno |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Berra, Silvina Hauser, Lisiane Audisio, Yanina Mántaras, José Nicora, Valeria Oliveira, Mônica Maria Celestina de Starfield, Barbara Harzheim, Erno |
dc.subject.por.fl_str_mv |
Atenção primária à saúde Inquéritos epidemiológicos Serviços de saúde Assistência ambulatorial Argentina |
topic |
Atenção primária à saúde Inquéritos epidemiológicos Serviços de saúde Assistência ambulatorial Argentina Primary health care Health surveys Health services Ambulatory care Atención primaria de salud Encuestas de salud Servicios de salud Atención ambulatoria Argentina |
dc.subject.eng.fl_str_mv |
Primary health care Health surveys Health services Ambulatory care |
dc.subject.spa.fl_str_mv |
Atención primaria de salud Encuestas de salud Servicios de salud Atención ambulatoria Argentina |
description |
Objective. To determine the validity and reliability of the version of the Primary Care Assessment Tool for adult users, adapted for Argentina (known as AR-PCAT-AE). Methods. Two cross-sectional pilot studies were conducted among people over age 17, largely through self-administered questionnaires. Items that were equivalent to the original version of the PCAT and 13 others proposed for the instruments were analyzed. The factorial validity and reliability of the scores for each dimension were studied. The validity indicators were: factors that had three or more items with a factorial load of > 0.35, item-total correlation > 0.30, and interpretation of the solution according to the theoretical model. Results. The factorial analysis yielded nine factors that explained 57.4% of the variability. Considering the pre-established criteria for validity, two items were excluded from the dimensions of continuity and comprehensiveness and six were added to comprehensiveness and cultural competency. In the dimensions, the percentage of questions with an item-total correlation of greater than 0.30 ranged from 67% to 100% and the Chronbach’s (alpha) coefficient of internal consistency ranged from 0.44 to 0.90. Conclusions. The validity and reliability of the AR-PCAT-AE questionnaire are adequate, maintaining high equivalence with the original version. The process presented could be adopted in other contexts to advance the evaluation of primary health care functions with quality tools. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013 |
dc.date.accessioned.fl_str_mv |
2014-04-18T01:53:07Z |
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Estrangeiro info:eu-repo/semantics/article |
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Revista panamericana de salud pública. Washington. Vol. 33, no. 1 (2013), p. 30-39 |
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