Scheduling models and primary health care quality: a multilevel and cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.11606/S1518-8787.2019053000940 http://hdl.handle.net/11449/184487 |
Resumo: | OBJECTIVE: To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS: This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in FlorianOpolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by primary health team, poverty ratio as income proxy, number of health teams, presence of economically interest areas, number of medical appointments in one year per primary health team, number of people treated in one year per health team), with p < 0.20 were selected for the multilevel model, which was adjusted with aggregates of information from users and health centers. RESULTS: The health center that used advanced access had a general score of 7.04, while those using a weekly carve-out had a score of 6.26; the carve-out every 15 days, score of 5.87; and the traditional carve-out, score of 6.29. CONCLUSIONS: The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users. |
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Scheduling models and primary health care quality: a multilevel and cross-sectional studyAppointments and SchedulesPrimary Health Care, organization & administrationHealth Care Quality, Access, and EvaluationMultilevel AnalysisOBJECTIVE: To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS: This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in FlorianOpolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by primary health team, poverty ratio as income proxy, number of health teams, presence of economically interest areas, number of medical appointments in one year per primary health team, number of people treated in one year per health team), with p < 0.20 were selected for the multilevel model, which was adjusted with aggregates of information from users and health centers. RESULTS: The health center that used advanced access had a general score of 7.04, while those using a weekly carve-out had a score of 6.26; the carve-out every 15 days, score of 5.87; and the traditional carve-out, score of 6.29. CONCLUSIONS: The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users.Univ Fed Santa Catarina, Programa Posgrad Saude Colet, Florianopolis, SC, BrazilUniv Estadual Paulista, Programa Posgrad SaUde Colet, Sao Paulo, SP, BrazilUniv Fed Rio Grande do Sul, Fac Med, Programa Posgrad Epidemiol, Porto Alegre, RS, BrazilUniv Fed Rio Grande do Sul, Programa Posgrad Epidemiol, Porto Alegre, RS, BrazilUniv Estadual Paulista, Programa Posgrad SaUde Colet, Sao Paulo, SP, BrazilRevista De Saude PublicaUniversidade Federal de Santa Catarina (UFSC)Universidade Estadual Paulista (Unesp)Univ Fed Rio Grande do SulVidal, Tiago BarraRocha, Suelen Alves [UNESP]Harzheim, ErnoHauser, LisianeTesser, Charles Dalcanale2019-10-04T12:14:04Z2019-10-04T12:14:04Z2019-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://dx.doi.org/10.11606/S1518-8787.2019053000940Revista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 53, 10 p., 2019.0034-8910http://hdl.handle.net/11449/18448710.11606/S1518-8787.2019053000940S0034-89102019000100233WOS:000467737300003S0034-89102019000100233.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista De Saude Publicainfo:eu-repo/semantics/openAccess2023-12-17T06:16:42Zoai:repositorio.unesp.br:11449/184487Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-17T06:16:42Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
title |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
spellingShingle |
Scheduling models and primary health care quality: a multilevel and cross-sectional study Vidal, Tiago Barra Appointments and Schedules Primary Health Care, organization & administration Health Care Quality, Access, and Evaluation Multilevel Analysis |
title_short |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
title_full |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
title_fullStr |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
title_full_unstemmed |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
title_sort |
Scheduling models and primary health care quality: a multilevel and cross-sectional study |
author |
Vidal, Tiago Barra |
author_facet |
Vidal, Tiago Barra Rocha, Suelen Alves [UNESP] Harzheim, Erno Hauser, Lisiane Tesser, Charles Dalcanale |
author_role |
author |
author2 |
Rocha, Suelen Alves [UNESP] Harzheim, Erno Hauser, Lisiane Tesser, Charles Dalcanale |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Santa Catarina (UFSC) Universidade Estadual Paulista (Unesp) Univ Fed Rio Grande do Sul |
dc.contributor.author.fl_str_mv |
Vidal, Tiago Barra Rocha, Suelen Alves [UNESP] Harzheim, Erno Hauser, Lisiane Tesser, Charles Dalcanale |
dc.subject.por.fl_str_mv |
Appointments and Schedules Primary Health Care, organization & administration Health Care Quality, Access, and Evaluation Multilevel Analysis |
topic |
Appointments and Schedules Primary Health Care, organization & administration Health Care Quality, Access, and Evaluation Multilevel Analysis |
description |
OBJECTIVE: To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS: This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in FlorianOpolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by primary health team, poverty ratio as income proxy, number of health teams, presence of economically interest areas, number of medical appointments in one year per primary health team, number of people treated in one year per health team), with p < 0.20 were selected for the multilevel model, which was adjusted with aggregates of information from users and health centers. RESULTS: The health center that used advanced access had a general score of 7.04, while those using a weekly carve-out had a score of 6.26; the carve-out every 15 days, score of 5.87; and the traditional carve-out, score of 6.29. CONCLUSIONS: The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-04T12:14:04Z 2019-10-04T12:14:04Z 2019-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.11606/S1518-8787.2019053000940 Revista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 53, 10 p., 2019. 0034-8910 http://hdl.handle.net/11449/184487 10.11606/S1518-8787.2019053000940 S0034-89102019000100233 WOS:000467737300003 S0034-89102019000100233.pdf |
url |
http://dx.doi.org/10.11606/S1518-8787.2019053000940 http://hdl.handle.net/11449/184487 |
identifier_str_mv |
Revista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 53, 10 p., 2019. 0034-8910 10.11606/S1518-8787.2019053000940 S0034-89102019000100233 WOS:000467737300003 S0034-89102019000100233.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista De Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
10 application/pdf |
dc.publisher.none.fl_str_mv |
Revista De Saude Publica |
publisher.none.fl_str_mv |
Revista De Saude Publica |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1792962100455276544 |