Evaluation of comprehensive care for older adults in primary care services

Bibliographic Data

ID16780690
AuthorsNádia Placideli Ramos (0000-0002-8204-0668, Instituto de Saúde), Elen Rose Lodeiro Castanheira (0000-0002-4587-7573, Instituto de Saúde), Adriano Dias (0000-0001-6895-372X, Instituto de Saúde), Priscilla A Da Silva (0000-0002-2036-1888, University of Lisbon), Josiane Fernandes Loziglia Carrapato (0000-0002-4987-8418, Instituto de Saúde), Patricia Rodrigues Sanine (0000-0002-7668-0327, Instituto de Saúde), Dinair Ferreira Machado (0000-0003-3006-7110, Instituto de Saúde), Carolina Siqueira Mendonça (0000-0002-2697-4992, Instituto de Saúde), Thais Fernanda Tortorelli Zarili (0000-0002-0690-2334, Instituto de Saúde), Luceime Olívia Nunes (0000-0001-6505-1800, Instituto de Saúde), José Fernando Casquel Monti (0000-0003-0131-7926, Universidade Federal de São Carlos), Zulmira Maria De Araújo Hartz (0000-0001-9780-9428, Instituto de Medicina Tropical), Maria Ines Battistella Nemes (0000-0001-9862-1603, Universidade de São Paulo)
Year2020
Volume54
Pages6
Publication date2020-01-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2020054001370
PMID31967275
OpenAlexW2999770048
LanguageEN
Citations received9
References cited13

OBJECTIVE: To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of São Paulo, Brazil. METHODS: A total of 157 primary care services from five health regions in midwestern São Paulo responded, from October to December 2014, the pre-validated 2014 questionnaire for primary care services assessment and monitoring. We selected 155 questions, based on national policies and guidelines on this theme. The responses indicate the service performance in older adults’ care, clustered into three areas of analysis: health care for active and healthy aging (45 indicators, d1), chronic noncommunicable diseases care (89 indicators, d2), and support network in aging care (21 indicators, d3). Performance was measured by the sum of positive (value 1) or negative (value 0) responses for each indicator. Services were clustered according to k-means of the performance scores of each domain. After weighting the domains (Z tests), we estimated the associations between the scores of each domain and independent management variables (typology, planning and evaluation of services), with simple and multiple linear regression. RESULTS: Chronic noncommunicable diseases care (d2) showed, for all clusters, better average performance (55.7) than domains d1 (35.4) and d3 (39.2). Service performance in the general area of planning and evaluation associates with the performance of older adults’ care. CONCLUSIONS: The evaluated services had incipient implementation of comprehensive care for older adults. The evaluation framework can contribute to processes to improve the quality of primary health care

Business · Family medicine · Geography · Health care · Primary care · Service (business) · Typology · Chronic Disease Management Strategies · Health, Nursing, Elderly Care · Medicine · Primary Care and Health Outcomes · Gerontology

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