Team climate and patients' perception of primary healthcare attributes in Brazil: a cross-sectional study.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Marina Peduzzi, Heloise Fernandes Agreli, Jaqueline Alcantara Marcelino da Silva, Mitti Ayako Hara Koyama, L. Fracolli, A. Xyrichis
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Abstract

Team climate and attributes of primary healthcare (PHC) are key elements for collaborative practice. Few researchers have explored the relationship between team climate and patients' perceptions of PHC. This study aimed to assess the association between team climate and patients' perceptions of primary healthcare attributes. A quantitative approach was adopted. In Stage 1, Team climate was assessed using Team Climate Inventory in 118 Family Health Strategy (FHS) teams at a PHC setting. In Stage 2, Patients' perceptions of PHC attributes were assessed using the Primary Care Assessment Tool (PCATool) in a sample of 844 patients enrolled in teams studied in Stage 1. Cluster analysis was used to identify team climate groups. The analysis used multilevel linear regression models. Patients assigned to teams with the highest team climate scores had the highest PHC attributes scores. Patients who reported affiliation at the team level had the highest PCATool scores overall. They also scored higher on the attributes of comprehensiveness and coordinated care compared to patients with affiliation to the health unit. In conclusion, patients under the care of FHS teams exhibiting a more favorable team climate had more positive patient perceptions of PHC attributes.
巴西团队氛围与患者对初级医疗保健属性的感知:一项横断面研究。
团队氛围和初级医疗保健(PHC)的属性是合作实践的关键因素。很少有研究人员探讨团队氛围与患者对初级医疗保健的认知之间的关系。本研究旨在评估团队氛围与患者对初级医疗保健属性认知之间的关系。研究采用了定量方法。在第一阶段,使用团队氛围量表对初级保健中心 118 个家庭保健战略(FHS)团队的团队氛围进行评估。在第二阶段,使用初级保健评估工具(PCATool)对第一阶段研究团队中的 844 名患者进行抽样评估。聚类分析用于确定团队氛围组。分析采用多层次线性回归模型。被分配到团队氛围得分最高的团队的患者的初级保健属性得分也最高。报告隶属于团队的患者的 PCATool 总分最高。与隶属于医疗单位的患者相比,他们在全面性和协调护理属性方面的得分也更高。总之,接受家庭健康服务团队护理的患者在团队氛围方面更为有利,患者对初级保健属性的感知也更为积极。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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