Cargando…

Validity and reliability of a health care service evaluation instrument for tuberculosis

OBJECTIVE: To evaluate the validity and reliability of an instrument that evaluates the structure of primary health care units for the treatment of tuberculosis. METHODS: This cross-sectional study used simple random sampling and evaluated 1,037 health care professionals from five Brazilian municipa...

Descripción completa

Detalles Bibliográficos
Autores principales: Scatena, Lucia Marina, Wysocki, Anneliese Domingues, Beraldo, Aline Ale, Magnabosco, Gabriela Tavares, Brunello, Maria Eugênia Firmino, Netto, Antonio Ruffino, Nogueira, Jordana de Almeida, Silva, Reinaldo Antonio, Brito, Ewerton William Gomes, Alexandre, Patricia Borges Dias, Monroe, Aline Aparecida, Villa, Tereza Cristina Scatena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386554/
https://www.ncbi.nlm.nih.gov/pubmed/25741651
http://dx.doi.org/10.1590/S0034-8910.2015049005548
_version_ 1782365185485307904
author Scatena, Lucia Marina
Wysocki, Anneliese Domingues
Beraldo, Aline Ale
Magnabosco, Gabriela Tavares
Brunello, Maria Eugênia Firmino
Netto, Antonio Ruffino
Nogueira, Jordana de Almeida
Silva, Reinaldo Antonio
Brito, Ewerton William Gomes
Alexandre, Patricia Borges Dias
Monroe, Aline Aparecida
Villa, Tereza Cristina Scatena
author_facet Scatena, Lucia Marina
Wysocki, Anneliese Domingues
Beraldo, Aline Ale
Magnabosco, Gabriela Tavares
Brunello, Maria Eugênia Firmino
Netto, Antonio Ruffino
Nogueira, Jordana de Almeida
Silva, Reinaldo Antonio
Brito, Ewerton William Gomes
Alexandre, Patricia Borges Dias
Monroe, Aline Aparecida
Villa, Tereza Cristina Scatena
author_sort Scatena, Lucia Marina
collection PubMed
description OBJECTIVE: To evaluate the validity and reliability of an instrument that evaluates the structure of primary health care units for the treatment of tuberculosis. METHODS: This cross-sectional study used simple random sampling and evaluated 1,037 health care professionals from five Brazilian municipalities (Natal, state of Rio Grande do Norte; Cabedelo, state of Paraíba; Foz do Iguaçu, state of Parana; Sao José do Rio Preto, state of Sao Paulo, and Uberaba, state of Minas Gerais) in 2011. Structural indicators were identified and validated, considering different methods of organization of the health care system in the municipalities of different population sizes. Each structure represented the organization of health care services and contained the resources available for the execution of health care services: physical resources (equipment, consumables, and facilities); human resources (number and qualification); and resources for maintenance of the existing infrastructure and technology (deemed as the organization of health care services). The statistical analyses used in the validation process included reliability analysis, exploratory factor analysis, and confirmatory factor analysis. RESULTS: The validation process indicated the retention of five factors, with 85.9% of the total variance explained, internal consistency between 0.6460 and 0.7802, and quality of fit of the confirmatory factor analysis of 0.995 using the goodness-of-fit index. The retained factors comprised five structural indicators: professionals involved in the care of tuberculosis patients, training, access to recording instruments, availability of supplies, and coordination of health care services with other levels of care. Availability of supplies had the best performance and the lowest coefficient of variation among the services evaluated. The indicators of assessment of human resources and coordination with other levels of care had satisfactory performance, but the latter showed the highest coefficient of variation. The performance of the indicators “training” and “access to recording instruments” was inferior to that of other indicators. CONCLUSIONS: The instrument showed feasibility of application and potential to assess the structure of primary health care units for the treatment of tuberculosis.
format Online
Article
Text
id pubmed-4386554
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Faculdade de Saúde Pública da Universidade de São Paulo
record_format MEDLINE/PubMed
spelling pubmed-43865542015-04-08 Validity and reliability of a health care service evaluation instrument for tuberculosis Scatena, Lucia Marina Wysocki, Anneliese Domingues Beraldo, Aline Ale Magnabosco, Gabriela Tavares Brunello, Maria Eugênia Firmino Netto, Antonio Ruffino Nogueira, Jordana de Almeida Silva, Reinaldo Antonio Brito, Ewerton William Gomes Alexandre, Patricia Borges Dias Monroe, Aline Aparecida Villa, Tereza Cristina Scatena Rev Saude Publica Original Articles OBJECTIVE: To evaluate the validity and reliability of an instrument that evaluates the structure of primary health care units for the treatment of tuberculosis. METHODS: This cross-sectional study used simple random sampling and evaluated 1,037 health care professionals from five Brazilian municipalities (Natal, state of Rio Grande do Norte; Cabedelo, state of Paraíba; Foz do Iguaçu, state of Parana; Sao José do Rio Preto, state of Sao Paulo, and Uberaba, state of Minas Gerais) in 2011. Structural indicators were identified and validated, considering different methods of organization of the health care system in the municipalities of different population sizes. Each structure represented the organization of health care services and contained the resources available for the execution of health care services: physical resources (equipment, consumables, and facilities); human resources (number and qualification); and resources for maintenance of the existing infrastructure and technology (deemed as the organization of health care services). The statistical analyses used in the validation process included reliability analysis, exploratory factor analysis, and confirmatory factor analysis. RESULTS: The validation process indicated the retention of five factors, with 85.9% of the total variance explained, internal consistency between 0.6460 and 0.7802, and quality of fit of the confirmatory factor analysis of 0.995 using the goodness-of-fit index. The retained factors comprised five structural indicators: professionals involved in the care of tuberculosis patients, training, access to recording instruments, availability of supplies, and coordination of health care services with other levels of care. Availability of supplies had the best performance and the lowest coefficient of variation among the services evaluated. The indicators of assessment of human resources and coordination with other levels of care had satisfactory performance, but the latter showed the highest coefficient of variation. The performance of the indicators “training” and “access to recording instruments” was inferior to that of other indicators. CONCLUSIONS: The instrument showed feasibility of application and potential to assess the structure of primary health care units for the treatment of tuberculosis. Faculdade de Saúde Pública da Universidade de São Paulo 2015-02-19 2015 /pmc/articles/PMC4386554/ /pubmed/25741651 http://dx.doi.org/10.1590/S0034-8910.2015049005548 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Scatena, Lucia Marina
Wysocki, Anneliese Domingues
Beraldo, Aline Ale
Magnabosco, Gabriela Tavares
Brunello, Maria Eugênia Firmino
Netto, Antonio Ruffino
Nogueira, Jordana de Almeida
Silva, Reinaldo Antonio
Brito, Ewerton William Gomes
Alexandre, Patricia Borges Dias
Monroe, Aline Aparecida
Villa, Tereza Cristina Scatena
Validity and reliability of a health care service evaluation instrument for tuberculosis
title Validity and reliability of a health care service evaluation instrument for tuberculosis
title_full Validity and reliability of a health care service evaluation instrument for tuberculosis
title_fullStr Validity and reliability of a health care service evaluation instrument for tuberculosis
title_full_unstemmed Validity and reliability of a health care service evaluation instrument for tuberculosis
title_short Validity and reliability of a health care service evaluation instrument for tuberculosis
title_sort validity and reliability of a health care service evaluation instrument for tuberculosis
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386554/
https://www.ncbi.nlm.nih.gov/pubmed/25741651
http://dx.doi.org/10.1590/S0034-8910.2015049005548
work_keys_str_mv AT scatenaluciamarina validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT wysockianneliesedomingues validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT beraldoalineale validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT magnaboscogabrielatavares validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT brunellomariaeugeniafirmino validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT nettoantonioruffino validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT nogueirajordanadealmeida validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT silvareinaldoantonio validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT britoewertonwilliamgomes validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT alexandrepatriciaborgesdias validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT monroealineaparecida validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis
AT villaterezacristinascatena validityandreliabilityofahealthcareserviceevaluationinstrumentfortuberculosis