Evaluation of comprehensive care for older adults in primary care services
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100204 |
Resumo: | ABSTRACT OBJECTIVE To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care. |
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Evaluation of comprehensive care for older adults in primary care servicesHealth Services for Older AdultsComprehensive Health CarePrimary Health CareHealth Services ResearchBrazilian Unified Health SystemABSTRACT OBJECTIVE To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care.Faculdade de Saúde Pública da Universidade de São Paulo2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100204Revista de Saúde Pública v.54 2020reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2020054001370info:eu-repo/semantics/openAccessPlacideli,NádiaCastanheira,Elen Rose LodeiroDias,AdrianoSilva,Pedro Alcântara daCarrapato,Josiane Lozigia FernandesSanine,Patricia RodriguesMachado,Dinair FerreiraMendonça,Carolina SiqueiraZarili,Thais Fernanda TortorelliNunes,Luceime OliviaMonti,José Fernando CasquelHartz,Zulmira Maria de AraújoNemes,Maria Ines Battistellaeng2020-01-15T00:00:00Zoai:scielo:S0034-89102020000100204Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-01-15T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Evaluation of comprehensive care for older adults in primary care services |
title |
Evaluation of comprehensive care for older adults in primary care services |
spellingShingle |
Evaluation of comprehensive care for older adults in primary care services Placideli,Nádia Health Services for Older Adults Comprehensive Health Care Primary Health Care Health Services Research Brazilian Unified Health System |
title_short |
Evaluation of comprehensive care for older adults in primary care services |
title_full |
Evaluation of comprehensive care for older adults in primary care services |
title_fullStr |
Evaluation of comprehensive care for older adults in primary care services |
title_full_unstemmed |
Evaluation of comprehensive care for older adults in primary care services |
title_sort |
Evaluation of comprehensive care for older adults in primary care services |
author |
Placideli,Nádia |
author_facet |
Placideli,Nádia Castanheira,Elen Rose Lodeiro Dias,Adriano Silva,Pedro Alcântara da Carrapato,Josiane Lozigia Fernandes Sanine,Patricia Rodrigues Machado,Dinair Ferreira Mendonça,Carolina Siqueira Zarili,Thais Fernanda Tortorelli Nunes,Luceime Olivia Monti,José Fernando Casquel Hartz,Zulmira Maria de Araújo Nemes,Maria Ines Battistella |
author_role |
author |
author2 |
Castanheira,Elen Rose Lodeiro Dias,Adriano Silva,Pedro Alcântara da Carrapato,Josiane Lozigia Fernandes Sanine,Patricia Rodrigues Machado,Dinair Ferreira Mendonça,Carolina Siqueira Zarili,Thais Fernanda Tortorelli Nunes,Luceime Olivia Monti,José Fernando Casquel Hartz,Zulmira Maria de Araújo Nemes,Maria Ines Battistella |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Placideli,Nádia Castanheira,Elen Rose Lodeiro Dias,Adriano Silva,Pedro Alcântara da Carrapato,Josiane Lozigia Fernandes Sanine,Patricia Rodrigues Machado,Dinair Ferreira Mendonça,Carolina Siqueira Zarili,Thais Fernanda Tortorelli Nunes,Luceime Olivia Monti,José Fernando Casquel Hartz,Zulmira Maria de Araújo Nemes,Maria Ines Battistella |
dc.subject.por.fl_str_mv |
Health Services for Older Adults Comprehensive Health Care Primary Health Care Health Services Research Brazilian Unified Health System |
topic |
Health Services for Older Adults Comprehensive Health Care Primary Health Care Health Services Research Brazilian Unified Health System |
description |
ABSTRACT OBJECTIVE To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100204 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100204 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2020054001370 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.54 2020 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1748936505627246592 |