Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/24395 |
Resumo: | Introduction: Primary Care in Health (PHC) had the Program to Improve Access and Quality of Primary Care (PMAQ-AB) as the main instrument to assess its quality until the end of 2019. It was replaced by the Primary Care Assessment Tool (PCATool) from 2020. This change was justified due to several weaknesses in the assessment instruments and their application. Objective: To identify the main characteristics of the PMAQ and PCATool assessment instruments, as well as their potential and limitations in Brazil. Material and method: This is a literature review, with a qualitative approach, based on the analysis and interpretation of official PHC assessment instruments (PMAQ and PCATool), made available by the Ministry of Health - Brazil, and scientific productions on the thematic. Results and discussion: The main differences between the instruments were perceived as the quantitative, the format/type, the organization of the items/questions, as well as the treatment and analysis of the respective data. As for the main similarities, the foundations are related to the work process of the teams and the organization of services. Both are applied to PHC users and professionals, although the PCATool does not include the Family Health Support Nucleus. Conclusion: The PMAQ instrument was considered more extensive and complex than the PCATool in terms of its variables and application. Theoretical references that supported the PMAQ instrument were not found. The external validation of the samples and psychometric properties, in addition to the high international comparability denote greater robustness and effectiveness of the PCATool. |
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Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool Evaluación de la atención primaria de salud en Brasil: principales características, limitaciones y potencialidades entre PMAQ y PCAToolAvaliação da atenção primária em saúde no Brasil: principais características, limitações e potencialidades entre PMAQ e PCATool Atenção Primária em SaúdeAvaliação de ProcessosGestão da qualidade.Atención Primaria en SaludEvaluación de procesosGestión de la calidad.Primary Health CareProcess EvaluationQuality management.Introduction: Primary Care in Health (PHC) had the Program to Improve Access and Quality of Primary Care (PMAQ-AB) as the main instrument to assess its quality until the end of 2019. It was replaced by the Primary Care Assessment Tool (PCATool) from 2020. This change was justified due to several weaknesses in the assessment instruments and their application. Objective: To identify the main characteristics of the PMAQ and PCATool assessment instruments, as well as their potential and limitations in Brazil. Material and method: This is a literature review, with a qualitative approach, based on the analysis and interpretation of official PHC assessment instruments (PMAQ and PCATool), made available by the Ministry of Health - Brazil, and scientific productions on the thematic. Results and discussion: The main differences between the instruments were perceived as the quantitative, the format/type, the organization of the items/questions, as well as the treatment and analysis of the respective data. As for the main similarities, the foundations are related to the work process of the teams and the organization of services. Both are applied to PHC users and professionals, although the PCATool does not include the Family Health Support Nucleus. Conclusion: The PMAQ instrument was considered more extensive and complex than the PCATool in terms of its variables and application. Theoretical references that supported the PMAQ instrument were not found. The external validation of the samples and psychometric properties, in addition to the high international comparability denote greater robustness and effectiveness of the PCATool.Introducción: La Atención Primaria en Salud (APS) contó con el Programa de Mejoramiento del Acceso y la Calidad de la Atención Primaria (PMAQ-AB) como principal instrumento para evaluar su calidad hasta finales de 2019. Fue reemplazado por la Herramienta de Evaluación de la Atención Primaria (PCATool ) a partir de 2020. Este cambio se justificó debido a varias deficiencias en los instrumentos de evaluación y su aplicación. Objetivo: Identificar las principales características de los instrumentos de evaluación PMAQ y PCATool, así como sus potencialidades y limitaciones en Brasil. Material y método: Se trata de una revisión de la literatura, con enfoque cualitativo, basada en el análisis e interpretación de los instrumentos oficiales de evaluación de la APS (PMAQ y PCATool), puestos a disposición por el Ministerio de Salud - Brasil, y producciones científicas sobre la temática. Resultados y discusión: Las principales diferencias entre los instrumentos se percibieron como la cuantitativa, el formato / tipo, la organización de los ítems / preguntas, así como el tratamiento y análisis de los datos respectivos. En cuanto a las principales similitudes, los fundamentos están relacionados con el proceso de trabajo de los equipos y la organización de los servicios. Ambos se aplican a usuarios y profesionales de la APS, aunque el PCATool no incluye el Núcleo de Apoyo a la Salud de la Familia. Conclusión: El instrumento PMAQ se consideró más extenso y complejo que el PCATool en cuanto a sus variables y aplicación. No se encontraron referencias teóricas que respaldaran el instrumento PMAQ. La validación externa de las muestras y las propiedades psicométricas, además de la alta comparabilidad internacional denotan una mayor robustez y eficacia del PCATool.Introdução: A Atenção Primária em Saúde (APS) teve o Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) como principal instrumento para avaliar sua qualidade até o fim de 2019. Sendo substituído pelo Primary Care Assessment Tool (PCATool) a partir de 2020. Essa mudança se justificou devido diversas fragilidades nos instrumentos de avaliação e sua aplicação. Objetivo: Identificar as principais características dos instrumentos de avaliação do PMAQ e PCATool, bem como suas potencialidades e limitações no Brasil. Material e método: Trata-se de uma revisão de literatura, de abordagem qualitativa, feita a partir da análise e interpretação dos instrumentos oficiais de avaliação da APS (PMAQ e PCATool), disponibilizados pelo Ministério da Saúde – Brasil, e produções científicas sobre a temática. Resultados e discussão: Percebeu-se como principais diferenças entre os instrumentos, o quantitativo, o formato/tipo, a organização dos itens/questões, bem como o tratamento e análise dos respectivos dados. Quanto as principais similaridades, destaca-se as bases de fundamentação serem relacionadas ao processo de trabalho das equipes e a organização dos serviços. Ambos são aplicados à usuários e profissionais da APS, apesar que o PCATool não inclui o Núcleo de Apoio a Saúde da Família. Conclusão: O instrumento do PMAQ foi considerado mais extenso e complexo que o do PCATool no que tange suas variáveis e aplicação. Não foram encontrados referenciais teóricos que alicerçaram o instrumento do PMAQ. A validação externa das amostras e propriedade psicométricas, além da alta comparabilidade internacional denotam maior robustez e efetividade do PCATool.Research, Society and Development2022-01-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2439510.33448/rsd-v11i1.24395Research, Society and Development; Vol. 11 No. 1; e29311124395Research, Society and Development; Vol. 11 Núm. 1; e29311124395Research, Society and Development; v. 11 n. 1; e293111243952525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/24395/21895Copyright (c) 2022 Rogério Carvalho de Figueredo; Roxana Isabel Cardozo Gonzales; Eduarda Signor; Leidiany Souza Silva; Renata Cristina Correia da Silva Amorim; Daniel Ribeiro de Almeida; Adriana Keila Dias; Kênia Alessandra de Araújo Celestino; Aniele Silveira Machado de Oliveira Bianchinihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFigueredo, Rogério Carvalho deGonzales, Roxana Isabel Cardozo Signor, EduardaSilva, Leidiany Souza Amorim, Renata Cristina Correia da Silva Almeida, Daniel Ribeiro de Dias, Adriana Keila Celestino, Kênia Alessandra de Araújo Bianchini, Aniele Silveira Machado de Oliveira 2022-01-16T18:08:18Zoai:ojs.pkp.sfu.ca:article/24395Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:42:58.096252Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool Evaluación de la atención primaria de salud en Brasil: principales características, limitaciones y potencialidades entre PMAQ y PCATool Avaliação da atenção primária em saúde no Brasil: principais características, limitações e potencialidades entre PMAQ e PCATool |
title |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
spellingShingle |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool Figueredo, Rogério Carvalho de Atenção Primária em Saúde Avaliação de Processos Gestão da qualidade. Atención Primaria en Salud Evaluación de procesos Gestión de la calidad. Primary Health Care Process Evaluation Quality management. |
title_short |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
title_full |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
title_fullStr |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
title_full_unstemmed |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
title_sort |
Evaluation of primary health care in Brazil: main characteristics, limitations and potential between PMAQ and PCATool |
author |
Figueredo, Rogério Carvalho de |
author_facet |
Figueredo, Rogério Carvalho de Gonzales, Roxana Isabel Cardozo Signor, Eduarda Silva, Leidiany Souza Amorim, Renata Cristina Correia da Silva Almeida, Daniel Ribeiro de Dias, Adriana Keila Celestino, Kênia Alessandra de Araújo Bianchini, Aniele Silveira Machado de Oliveira |
author_role |
author |
author2 |
Gonzales, Roxana Isabel Cardozo Signor, Eduarda Silva, Leidiany Souza Amorim, Renata Cristina Correia da Silva Almeida, Daniel Ribeiro de Dias, Adriana Keila Celestino, Kênia Alessandra de Araújo Bianchini, Aniele Silveira Machado de Oliveira |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Figueredo, Rogério Carvalho de Gonzales, Roxana Isabel Cardozo Signor, Eduarda Silva, Leidiany Souza Amorim, Renata Cristina Correia da Silva Almeida, Daniel Ribeiro de Dias, Adriana Keila Celestino, Kênia Alessandra de Araújo Bianchini, Aniele Silveira Machado de Oliveira |
dc.subject.por.fl_str_mv |
Atenção Primária em Saúde Avaliação de Processos Gestão da qualidade. Atención Primaria en Salud Evaluación de procesos Gestión de la calidad. Primary Health Care Process Evaluation Quality management. |
topic |
Atenção Primária em Saúde Avaliação de Processos Gestão da qualidade. Atención Primaria en Salud Evaluación de procesos Gestión de la calidad. Primary Health Care Process Evaluation Quality management. |
description |
Introduction: Primary Care in Health (PHC) had the Program to Improve Access and Quality of Primary Care (PMAQ-AB) as the main instrument to assess its quality until the end of 2019. It was replaced by the Primary Care Assessment Tool (PCATool) from 2020. This change was justified due to several weaknesses in the assessment instruments and their application. Objective: To identify the main characteristics of the PMAQ and PCATool assessment instruments, as well as their potential and limitations in Brazil. Material and method: This is a literature review, with a qualitative approach, based on the analysis and interpretation of official PHC assessment instruments (PMAQ and PCATool), made available by the Ministry of Health - Brazil, and scientific productions on the thematic. Results and discussion: The main differences between the instruments were perceived as the quantitative, the format/type, the organization of the items/questions, as well as the treatment and analysis of the respective data. As for the main similarities, the foundations are related to the work process of the teams and the organization of services. Both are applied to PHC users and professionals, although the PCATool does not include the Family Health Support Nucleus. Conclusion: The PMAQ instrument was considered more extensive and complex than the PCATool in terms of its variables and application. Theoretical references that supported the PMAQ instrument were not found. The external validation of the samples and psychometric properties, in addition to the high international comparability denote greater robustness and effectiveness of the PCATool. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-07 |
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://rsdjournal.org/index.php/rsd/article/view/24395 10.33448/rsd-v11i1.24395 |
url |
https://rsdjournal.org/index.php/rsd/article/view/24395 |
identifier_str_mv |
10.33448/rsd-v11i1.24395 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/24395/21895 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 1; e29311124395 Research, Society and Development; Vol. 11 Núm. 1; e29311124395 Research, Society and Development; v. 11 n. 1; e29311124395 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052826071859200 |