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ORIGINAL RESEARCH article
Front. Med.
Sec. Family Medicine and Primary Care
Volume 11 - 2024 |
doi: 10.3389/fmed.2024.1374801
Association between Primary Care Assessment (PCAT) and Assessment of Chronic Illness Care (ACIC): a Brazilian cross-sectional study
Provisionally accepted- 1 Faculty of Nursing, Federal University of Goias, Goiânia, Brazil
- 2 Faculty of Nursing, Federal University of Goias, Goiânia, Goiás, Brazil
- 3 Post-Graduation Program in Nursing, Nursing School, Universidade Federal de Goiás, Goiânia, Brazil
- 4 Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás (IPTSP - UFG), Goiânia, Brazil
- 5 Independent researcher, Goiânia, Brazil
- 6 Independent researcher, Brasília, Brazil
- 7 Universidade Federal de Goiás, Goiânia, Brazil
Aim: to analyze the association between Primary Health Care (PHC) performance and institutional ability to provide care for individuals with noncommunicable diseases (NCDs).Methods: Cross-sectional study conducted with primary care nurses and physicians in Brazil.The performance of PHC was assessed by using the Primary Care Assessment (PCAT), whereas institutional ability for the care of people with NCDs was assessed through the Assessment of Chronic Illness Care (ACIC). Pearson correlation and multiple linear regression models were used to analyze the association between the PHC attributes measured in the PCAT (independent variables) and the ACIC dimensions (dependent variables).Results: In total, 308 health professionals -190 nurses (61.7%) and 118 physicians (38.3%)at mean age 37.5 years and mean time of 6.5 years working in PHC participated of the study.On a scale of 0 to 10, the overall PCAT score was 6.74, while the ACIC score was 5.20. The PCAT score was High in only 58.8% of respondents (score >6.6). The ACIC scores showed basic institutional ability to care for people with NCDs. All ACIC dimensions have shown positive correlation to PCAT attributes, except for accessibility, continuity of care and care coordination. Conclusion: A positive association was found between PHC performance and institutional ability to care for people with NCDs. Results have evidenced the need of investing in PCH by providing technical, political, logistical and financial support to PHC units to improve PHC organization points and care for people with NCDs.
Keywords: Primary Health Care, noncommunicable diseases, Chronic Disease, Quality of Health Care, Process assessment, Health Care
Received: 13 Feb 2024; Accepted: 03 Sep 2024.
Copyright: © 2024 Gomes, Mota, Braga, Nunes, Guimarães, Rodrigues, Rodrigues Batista and Pagotto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Rafael Guimarães, Post-Graduation Program in Nursing, Nursing School, Universidade Federal de Goiás, Goiânia, Brazil
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