Association between Primary Care Assessment Tool (PCAT) and Assessment of Chronic Illness Care (ACIC): a Brazilian cross-sectional study.

IF 3.1 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Frontiers in Medicine Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI:10.3389/fmed.2024.1374801

Brenda Lorrana de Almeida Gomes, Renan Felipe Neves Mota, Renata Sant'ana Braga, Cynthia Assis de Barros Nunes, Rafael Alves Guimarães, Ana Paula Dos Santos Rodrigues, Sandro Rogério Rodrigues Batista, Valéria Pagotto

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引用次数: 0

Abstract

Aim: To analyze the association between Primary Health Care (PHC) performance and institutional ability to provide care for individuals with noncommunicable diseases (NCDs).

Methods: Cross-sectional study conducted with primary care nurses and physicians in Brazil. The performance of PHC was assessed by using the Primary Care Assessment Tool (PCAT), whereas institutional ability for the care of people with NCDs was assessed through the Assessment of Chronic Illness Care (ACIC). Pearson correlation and multiple linear regression models were used to analyze the association between the PHC attributes measured in the PCAT (independent variables) and the ACIC dimensions (dependent variables).

Results: In total, 308 health professionals -190 nurses (61.7%) and 118 physicians (38.3%)-at mean age 37.5 years and mean time of 6.5 years working in PHC participated of the study. On a scale of 0 to 10, the overall PCAT score was 6.74, while the ACIC score was 5.20. The PCAT score was High in only 58.8% of respondents (score ≥6.6). The ACIC scores showed basic institutional ability to care for people with NCDs. All ACIC dimensions have shown positive correlation to PCAT attributes, except for accessibility, continuity of care and care coordination.

Conclusion: A positive association was found between PHC performance and institutional ability to care for people with NCDs. Results have evidenced the need of investing in PCH by providing technical, political, logistical and financial support to PHC units to improve PHC organization points and care for people with NCDs.

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初级护理评估工具（PCAT）与慢性病护理评估（ACIC）之间的关联：一项巴西横断面研究。

目的：分析初级卫生保健（PHC）绩效与机构为非传染性疾病（NCDs）患者提供护理的能力之间的关联：方法：对巴西的初级保健护士和医生进行横断面研究。初级保健绩效通过初级保健评估工具（PCAT）进行评估，而护理非传染性疾病患者的机构能力则通过慢性病护理评估（ACIC）进行评估。我们使用了皮尔逊相关和多元线性回归模型来分析 PCAT 中测量的初级保健属性（自变量）与 ACIC 维度（因变量）之间的关联：共有 308 名卫生专业人员参加了研究，其中护士 190 名（占 61.7%），医生 118 名（占 38.3%），平均年龄 37.5 岁，在初级保健中心工作的平均时间为 6.5 年。以 0-10 分为标准，PCAT 总分为 6.74 分，ACIC 为 5.20 分。只有 58.8% 的受访者 PCAT 得分为高分（得分≥6.6）。ACIC 分数显示了机构照顾非传染性疾病患者的基本能力。除可及性、护理连续性和护理协调外，所有 ACIC 维度均与 PCAT 属性呈正相关：结论：研究发现，初级保健中心的绩效与护理非传染性疾病患者的机构能力之间存在正相关。研究结果表明，有必要对初级保健中心进行投资，为初级保健中心提供技术、政治、后勤和财政支持，以改善初级保健中心的组织结构和对非传染性疾病患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Medicine Medicine-General Medicine

CiteScore

5.10

自引率

5.10%

发文量

3710

审稿时长

12 weeks

期刊介绍： Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world