O uso do Primary Care Assessment Tool (PCAT): uma revisão integrativa e proposta de atualização

D’Ávila, Otávio Pereira; Pinto, Luiz Felipe; Hauser, Lisiane; Gonçalves, Marcelo Rodrigues; Harzheim, Erno

doi:10.1590/1413-81232017223.03312016

Cited by 60 publications

(28 citation statements)

References 27 publications

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“…The instrument used in our research was the Primary Care Assessment Tool, which has been widely used and tested in the United States and some other countries [3,4,8,11,[15][16][17][18]. We chose the Chinese version of the Primary Care Assessment Tool-Adult Short Version (PCAT-AS, John Hopkins University, Baltimore, MD, USA) for data collection after the author's consent.…”

Section: Data Collectionmentioning

confidence: 99%

“…We did the literature search to obtain related evidence on patients' perceived quality of primary healthcare. Studies from the United States, Brazil, Canada, Argentina, South Africa, Japan, and other locations worldwide evaluated the quality of primary care in different healthcare models [14,[17][18][19][20][21][22][23][24][25][26][27][28]. As for China, some studies compared the patients' perceived quality of primary care provided in primary healthcare, secondary, and tertiary settings [15,[29][30][31], but no studies have been conducted to compare the patients' perceived quality of primary care in urban areas and rural areas in Guangdong and other similar areas in China.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China

Chen

Feng

Zhang

et al. 2020

IJERPH

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Background: A series of reforms were implemented to improve the quality of primary care services in China. This study aims to assess patients’ perceived quality of primary healthcare between rural and urban community health centers in Guangdong. Methods: A cross-sectional survey was conducted from July to December 2015 in Guangdong. We surveyed 1010 respondents who visited either community health centers/stations (CHCs/CHSs) in urban areas or township health centers/rural health stations (THCs/RHSs) in rural areas. A validated Chinese version of the Primary Care Assessment Tool-Adult Short Version (PCAT-AS), representing ten primary care domains, was used to collect information on patients’ primary care experiences. A t-test was used for comparison on domain scores and total scores between patients from CHCs/CHSs and THCs/RHSs. An analysis of covariance was employed to compare the adjusted PCAT domain scores and total scores. Multilevel models were used to explore factors associated with PCAT total scores. Results: Overall, patients reported a lower level of experience of community orientation and family centeredness compared to other primary care domains. Patients from THCs/RHSs settings in the rural area reported better primary care experience in four domains, including first contact, accessibility, ongoing care, and community orientation. Higher education background and those with a chronic disease were associated with better primary care experience, after controlling for confounding factors. Patients who preferred primary care institutions when getting sick or used health services more frequently reported better primary care experiences. Conclusion: Continued efforts are needed to strengthen primary care performances, particularly in a community orientation and family centeredness. Primary care delivery in CHCs/CHSs settings should be improved in four domains, including first contact, accessibility, ongoing care, and community orientation.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China

Chen

Feng

Zhang

et al. 2020

IJERPH

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“…Due to the current trend of measuring the functions of primary care by using patients' perceptions of quality, this research adopted the internationally reputed assessment tool PCAT-AS as the major part of the questionnaire. PCAT was designed and developed by Dr. Barbara Starfield and Dr. Leiyu Shi in Johns Hopkins University, and has been used in a number of studies in different countries [22][23][24][25][26]. We received consent from JHU to use and adapt the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Effect of family doctor contract services on patient perceived quality of primary care in Southern China

Feng

Cheng

Luo

et al. 2020

Preprint

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Background Family doctor contract service is an important service item in China’s primary care reform. This research was designed to evaluate the impact of the provision of family doctor contract services on the patient-perceived quality of primary care, and therefore give evidence-based policy suggestions. Methods This cross-sectional study of family doctor contract service policy was conducted in three pilot cities in the Pearl River Delta, South China,using a multistage stratified sampling method. The adapted Primary Care Assessment Tool-Adult Edition (PCAT-AS) was used to measure the quality of primary care services. Data was collected through face-to-face interviews held from July to November, 2015. Covariate analysis and multivariate Linear Regression were adopted to explore the effect of contract on the quality of primary care by controlling for the socio-demographic status and health care service utilization factors. Results A total of 828 valid questionnaires were collected. From the interviewees, 453 patients signed the contract (54.7%) and 375 did not (45.3%). Multivariate linear regression showed that patients who received services from contracted family doctors reported higher scores in dimensions of PCAT total score (β=-8.98, P<0.000), first contact-utilization(β=-0.71,P<0.001), first contact-accessibility(β=-1.49, P<0.001), continuity (β=1.27, P<0.001), coordination(referral) (β=-1.42, P<0.001), comprehensiveness(utilization) (β=-1.70, P<0.001), comprehensiveness(provision) (β=-0.99, P<0.001), family-centeredness(β=-0.52, P<0.01), community orientation(β=-1.78, P<0.001), than those who did not receive contract services after controlling socio-demographic and service utilization factors. There were no statistically significant differences in the dimensions of coordination (information system) (β=-0.25, P=0.137) and culture orientation (β=-0.264, P=0.056), than those who did not receive family doctor contract services. Conclusions This study demonstrates that the pilot implementation of family doctor contract services has significantly improved patients’ perceived primary care quality in the pilot cities, and could help solve the quality problem of primary care. It needs further promotion across the province.

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“…Various studies around the world have explored patients’ experiences of primary care, and have often revealed systemic problems that affect quality and efficiency [ 7 , 8 ]. To obtain an objective and comprehensive view of this service delivery, evaluation should come from both sides of the system: users (patients) on the demand-side, and providers (health care professionals) and health care managers on the supply-side.…”

Section: Introductionmentioning

confidence: 99%

Primary care quality in Vietnam: Perceptions and opinions of primary care physicians in commune health centers – a mixed-methods study

et al. 2020

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Introduction Measuring the performance of a primary care system is one of the very first steps to find out whether there is room for improvement. To obtain an objective and comprehensive view, this measurement should come from both the supply and demand sides of the system. Patients’ experiences of primary care have been studied around the world, but much less energy has been invested in researching providers’ perspectives. This research aims to explore how primary care physicians working at commune health centers in Vietnam evaluate their performance and their opinions on how to improve the quality of primary care services. Materials and methods First, a quantitative study was conducted using the validated Vietnamese PCAT questionnaire—provider expanded version (VN PCAT PE) targeting all primary care physicians (PCPs) working at commune health centers in a province of Central Vietnam. Next, a qualitative study was carried out, consisting of in-depth interviews with PCPs, to better understand the results of the quantitative survey and gain insight on barriers of primary care services and how to overcome them. Results In the quantitative portion of our study, 150 PCPs rated the quality of ongoing care and first contact in CHCs as the best (3.09 and 3.11 out of 4, respectively), and coordination as the worst performing core domain (2.53). Twenty-two PCPs also participated in our qualitative research. In regards to challenges that primary care physicians face during their daily practice, three central themes emerged: 1) patient factors such as client attitude and knowledge, 2) provider factors such as the burden of administrative work and lack of training opportunities, and 3) contextual factors such as low income and lack of resources including medicines and diagnostics. Participants recommended more health promotion campaigns in the media, increasing the number of services available at CHCs (such as being able to take blood samples), reducing the workload related to administration for CHC leaders, greater government subsidies, and providing more training courses for PCPs. Conclusions Findings from this study offer a valuable view from the supply-side of the primary care system, specifically those who directly deliver primary care services. Along with the earlier study on consumers’ evaluation of the Vietnamese primary care system, and literature from other low and middle-income countries, these findings offer emerging evidence for policymakers to improve the quality of primary care in Vietnam.

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O uso do Primary Care Assessment Tool (PCAT): uma revisão integrativa e proposta de atualização

Abstract: Abstract

Cited by 60 publications

References 27 publications

Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China

Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China

Effect of family doctor contract services on patient perceived quality of primary care in Southern China

Primary care quality in Vietnam: Perceptions and opinions of primary care physicians in commune health centers – a mixed-methods study

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