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Risk strata and quality of care for the elderly in Primary Health Care
OBJECTIVE: to identify patterns of associations between the degree of compliance to laboratory test requests by risk strata and the parameters of quality of care outcomes in primary health care (PHC). METHOD: a cross-sectional study involving 108 elderly patients with hypertension and/or diabetes tr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781381/ https://www.ncbi.nlm.nih.gov/pubmed/31596406 http://dx.doi.org/10.1590/1518-8345.2968.3166 |
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author | Silva, Líliam Barbosa Silva, Patrícia Aparecida Barbosa Santos, Joseph Fabiano Guimarães Silqueira, Salete Maria de Fátima Borges, Eline Lima Soares, Sônia Maria |
author_facet | Silva, Líliam Barbosa Silva, Patrícia Aparecida Barbosa Santos, Joseph Fabiano Guimarães Silqueira, Salete Maria de Fátima Borges, Eline Lima Soares, Sônia Maria |
author_sort | Silva, Líliam Barbosa |
collection | PubMed |
description | OBJECTIVE: to identify patterns of associations between the degree of compliance to laboratory test requests by risk strata and the parameters of quality of care outcomes in primary health care (PHC). METHOD: a cross-sectional study involving 108 elderly patients with hypertension and/or diabetes treated in PHC. A semi-structured questionnaire and electronic medical record data were used. To evaluate the quality of care, the Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used. Descriptive analysis, multiple correspondence analysis and k-means grouping were performed. RESULTS: it was observed low compliance of the care practice, standing out as the worst parameter the evaluation of the diabetic foot (2.2%). Three clusters were identified, with cluster 1 having the highest number of individuals (37.0%), with better indicators of quality of care, evidenced by above 50% of compliance with laboratory tests (75.0%), high PACIC score (47.2%), control of blood pressure (70.0%) and metabolic levels (95.0%), and satisfaction with health (92.5%) and health access (90.0%). In contrast, cluster 3 (29.6%) was made up of individuals with worse outcomes of care. CONCLUSION: low compliance of care practice and asymmetries among health actions and users’ needs were observed, indicating failures in the care process in PHC. |
format | Online Article Text |
id | pubmed-6781381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-67813812019-10-16 Risk strata and quality of care for the elderly in Primary Health Care Silva, Líliam Barbosa Silva, Patrícia Aparecida Barbosa Santos, Joseph Fabiano Guimarães Silqueira, Salete Maria de Fátima Borges, Eline Lima Soares, Sônia Maria Rev Lat Am Enfermagem Artigo Original OBJECTIVE: to identify patterns of associations between the degree of compliance to laboratory test requests by risk strata and the parameters of quality of care outcomes in primary health care (PHC). METHOD: a cross-sectional study involving 108 elderly patients with hypertension and/or diabetes treated in PHC. A semi-structured questionnaire and electronic medical record data were used. To evaluate the quality of care, the Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used. Descriptive analysis, multiple correspondence analysis and k-means grouping were performed. RESULTS: it was observed low compliance of the care practice, standing out as the worst parameter the evaluation of the diabetic foot (2.2%). Three clusters were identified, with cluster 1 having the highest number of individuals (37.0%), with better indicators of quality of care, evidenced by above 50% of compliance with laboratory tests (75.0%), high PACIC score (47.2%), control of blood pressure (70.0%) and metabolic levels (95.0%), and satisfaction with health (92.5%) and health access (90.0%). In contrast, cluster 3 (29.6%) was made up of individuals with worse outcomes of care. CONCLUSION: low compliance of care practice and asymmetries among health actions and users’ needs were observed, indicating failures in the care process in PHC. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2019-10-07 /pmc/articles/PMC6781381/ /pubmed/31596406 http://dx.doi.org/10.1590/1518-8345.2968.3166 Text en Copyright © 2019 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Artigo Original Silva, Líliam Barbosa Silva, Patrícia Aparecida Barbosa Santos, Joseph Fabiano Guimarães Silqueira, Salete Maria de Fátima Borges, Eline Lima Soares, Sônia Maria Risk strata and quality of care for the elderly in Primary Health Care |
title | Risk strata and quality of care for the elderly in Primary Health
Care
|
title_full | Risk strata and quality of care for the elderly in Primary Health
Care
|
title_fullStr | Risk strata and quality of care for the elderly in Primary Health
Care
|
title_full_unstemmed | Risk strata and quality of care for the elderly in Primary Health
Care
|
title_short | Risk strata and quality of care for the elderly in Primary Health
Care
|
title_sort | risk strata and quality of care for the elderly in primary health
care |
topic | Artigo Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781381/ https://www.ncbi.nlm.nih.gov/pubmed/31596406 http://dx.doi.org/10.1590/1518-8345.2968.3166 |
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