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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...

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Autores principales: Silva, Líliam Barbosa, Silva, Patrícia Aparecida Barbosa, Santos, Joseph Fabiano Guimarães, Silqueira, Salete Maria de Fátima, Borges, Eline Lima, Soares, Sônia Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2019
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.
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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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