Assessment of primary health care's functions in a health center of buenos aires from the perspective of health proffesionals: cross-sectional study
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Primary health care (PHC) favors more efficient and equitable attention to the needs of the population. The objective of this cross-sectional study carried out during 2013 was to evaluate the degree of implementation of the basic functions of PHC in the San Pantaleón Family and Community Medicine Health Center (CMFyCSP), located in Boulogne, San Isidro, Buenos Aires, Argentina, from the perspective of health professionals. The Primary Care Assessment Tool (PCAT) for health professionals validated in Argentina was administered electronically. All professionals with a seniority of at least two years (n = 25) responded the survey. The overall score for essential APS functions was 16.75 SD (1.42) for a maximum of 24 points. Family Focus, Integrality / Rendered Services and Coordination / Information Systems were the functions with the highest scores (3.51 [0.55], 3.49 [0.58], and 3.16 [0.47], respectively
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Greenfield S, Rogers W, Mangotich M, et al. Outcomes of patients with hypertension and non-insulin dependent diabetes mellitus treated by different systems and specialties. Results from the medical outcomes study. JAMA. 1995;274(18):1436-44. DOI: https://doi.org/10.1001/jama.1995.03530180030026
Shi L. The relationship between primary care and life chances. J Health Care Poor Underserved. 1992;3(2):321-35. DOI: https://doi.org/10.1353/hpu.2010.0460
Starfield B. Atención Primaria. Equilibrio entre necesidades de salud, servicios y tecnología. Barcelona: Masson; 2001.
Starfield B. Is primary care essential? Lancet. 1994;344(8930):1129-33. DOI: https://doi.org/10.1016/S0140-6736(94)90634-3
Parchman ML, Culler S. Primary care physicians and avoidable hospitalizations. J Fam Pract. 1994;39(2):123-8.
Shi L. Primary care, specialty care, and life chances. Int J Health Serv. 1994;24(3):431-58. DOI: https://doi.org/10.2190/BDUU-J0JD-BVEX-N90B
Shi L, Starfield B, Kennedy B, et al. Income inequality, primary care, and health indicators. J Fam Pract. 1999;48(4):275-84
Shi L, Starfield B, Politzer R, et al. Primary care, self-rated health, and reductions in social disparities in health. Health Serv Res. 2002;37(3):529-50.9. DOI: https://doi.org/10.1111/1475-6773.t01-1-00036
Organización Panamericana de la Salud. La renovación de la atención primaria de la salud en las Américas: documento de posición de la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS) [Internet]. Washington, DC: OPS/OMS; 2007 jul [citado 2017 enero 10]. Disponible en: http://www2.paho.org/hq/dmdocuments/2010/Renovacion_Atencion_Primaria_Salud_Americas-OPS.pdf
Kringos DS, Boerma WG, Spaan E, et al. A snapshot of the organization and provision of primary care in Turkey. BMC Health Serv Res. 2011;11:90. DOI: https://doi.org/10.1186/1472-6963-11-90
Rose-Jacobs R, Black MM, Casey PH, et al. Household food insecurity: associations with at-risk infant and toddler development. Pediatrics. 2008;121(1):65-72. DOI: https://doi.org/10.1542/peds.2006-3717
Tomasi E, Facchini LA, Osorio A, et al. [Software program to systematize data for planning public health actions]. Rev Saude Publica. 2003;37(6):800-6. DOI: https://doi.org/10.1590/S0034-89102003000600017
Safran DG, Kosinski M, Tarlov AR, et al. The Primary Care Assessment Survey: tests of data quality and measurement performance. Med Care. 1998;36(5):728-39. DOI: https://doi.org/10.1097/00005650-199805000-00012
Mead N, Bower P, Roland M. The General Practice Assessment Questionnaire (GPAQ) - development and psychometric characteristics. BMC Fam Pract. 2008;9:13. DOI: https://doi.org/10.1186/1471-2296-9-13
Leiyushi L, Starfield B, Xu J. Validating the Adult Primary Care Assessment Tool. J Fam Pract. 2001; 50(2):161-75. DOI: https://doi.org/10.1037/t77102-000
Berra S. El estudio de las funciones de la atención primaria de la salud: adaptación e implementación de los cuestionarios PCAT en Argentina [Internet]. Córdoba: Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Centro de Investigaciones Epidemiológicas y en Servicios de Salud Escuela de Salud Pública; 2012 octubre [citado 2017 enero 10] . Disponible en: http://ciess.webs.fcm.unc.edu.ar/files/2012/05/2012_FuncionesAPS_AR-PCAT_CIESS-UNC.pdf
Cassady CE, Starfield B, Hurtado MP, et al. Measuring consumer experiences with primary care. Pediatrics. 2000;105(4 Pt 2):998-1003. DOI: https://doi.org/10.1542/peds.105.S3.998
Haggerty J, Martin CM. Evaluating primary health care in Canada and the right questions to ask! The National Evaluation Strategy for Primary Health Care. Ottawa: Health Canada; 2005.
Haggerty JL, Pineault R, Beaulieu MD, et al. Room for improvement: patients’ experiences of primary care in Quebec before major reforms. Can Fam Physician. 2007;53(6):1057, 2001:e.1-6, 1056.
Macinko J, Almeida C, de Sá PK. A rapid assessment methodology for the evaluation of primary care organization and performance in Brazil. Health Policy Plan. 2007;22(3):167-77. DOI: https://doi.org/10.1093/heapol/czm008
Pasarín MI, Berra S, Rajmil L, et al. [An instrument to evaluate primary health care from the population perspective]. Aten Primaria. 2007;39(8):395-401. DOI: https://doi.org/10.1157/13108612
Tsai J, Shi L, Yu WL, et al. Physician specialty and the quality of medical care experiences in the context of the Taiwan national health insurance system. J Am Board Fam Med. 2010;23(3):402-12. DOI: https://doi.org/10.3122/jabfm.2010.03.090222
Wong SY, Kung K, Griffiths SM, et al. Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong. BMC Public Health. 2010;10:397. DOI: https://doi.org/10.1186/1471-2458-10-397
Tsai J, Shi L, Yu WL, et al. Usual source of care and the quality of medical care experiences: a cross-sectional survey of patients from a Taiwanese community. Med Care. 2010;48(7):628-34. DOI: https://doi.org/10.1097/MLR.0b013e3181dbdf76
Macinko J, Almeida C, dos SE, et al. Organization and delivery of primary health care services in Petrópolis, Brazil. Int J Health Plann Manage. 2004;19(4):303-17. DOI: https://doi.org/10.1002/hpm.766
Berra S, Audisio Y, Mántaras J, et al. Adaptación cultural y al sistema de salud argentino del conjunto de instrumentos para la evaluación de la atención primaria de la salud.