Evaluation of comprehensive care for older adults in primary care services

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dc.contributor.authorPlacideli, Nadia [UNESP]
dc.contributor.authorLodeiro Castanheira, Elen Rose [UNESP]
dc.contributor.authorDias, Adriano [UNESP]
dc.contributor.authorSilva, Pedro Alcantara da
dc.contributor.authorFernandes Carrapato, Josiane Lozigia [UNESP]
dc.contributor.authorSanine, Patricia Rodrigues [UNESP]
dc.contributor.authorMachado, Dinair Ferreira [UNESP]
dc.contributor.authorMendonca, Carolina Siqueira [UNESP]
dc.contributor.authorTortorelli Zaril, Thais Fernanda [UNESP]
dc.contributor.authorNunes, Luceime Olivia [UNESP]
dc.contributor.authorCasquel Monti, Jose Fernando [UNESP]
dc.contributor.authorAraujo Hartz, Zulmira Maria de
dc.contributor.authorBattistella Nemes, Maria Ines
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniv Lisbon
dc.contributor.institutionInst Toledo Ensino
dc.contributor.institutionUniversidade Federal de São Carlos (UFSCar)
dc.contributor.institutionUniv Nova Lisboa
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2020-12-10T19:47:18Z
dc.date.available2020-12-10T19:47:18Z
dc.date.issued2020-01-01
dc.description.abstractOBJECTIVE: To evaluate the performance of comprehensive care for older adults in primary care services in the Brazilian Unified Health System in the state of Sao Paulo, Brazil. METHODS: A total of 157 primary care services from five health regions in midwestern Sao 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 dl (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.en
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Enfermagem, Campus Botucatu, BR-18618687 Botucatu, SP, Brazil
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Saude Publ, Programa Posgrad Saude Colet, Botucatu, SP, Brazil
dc.description.affiliationUniv Lisbon, Inst Ciencias Sociais, Lisbon, Portugal
dc.description.affiliationInst Toledo Ensino, Bauru, SP, Brazil
dc.description.affiliationUniv Fed Sao Carlos, Fac Med, Sao Carlos, SP, Brazil
dc.description.affiliationUniv Nova Lisboa, Inst Higiene & Med Trop, Lisbon, Portugal
dc.description.affiliationUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Enfermagem, Campus Botucatu, BR-18618687 Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Saude Publ, Programa Posgrad Saude Colet, Botucatu, SP, Brazil
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipIdCNPq: 485848/2012-0
dc.format.extent13
dc.identifierhttp://dx.doi.org/10.11606/s1518-8787.2020054001370
dc.identifier.citationRevista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 54, 13 p., 2020.
dc.identifier.doi10.11606/s1518-8787.2020054001370
dc.identifier.fileS0034-89102020000100204.pdf
dc.identifier.issn0034-8910
dc.identifier.scieloS0034-89102020000100204
dc.identifier.urihttp://hdl.handle.net/11449/196512
dc.identifier.wosWOS:000508623000001
dc.language.isoeng
dc.publisherRevista De Saude Publica
dc.relation.ispartofRevista De Saude Publica
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectHealth Services for Older Adults
dc.subjectComprehensive Health Care
dc.subjectPrimary Health Care
dc.subjectHealth Services Research
dc.subjectBrazilian Unified Health System
dc.titleEvaluation of comprehensive care for older adults in primary care servicesen
dc.typeArtigo
dcterms.rightsHolderRevista De Saude Publica
unesp.author.orcid0000-0002-8204-0668[1]
unesp.author.orcid0000-0001-6895-372X[3]
unesp.author.orcid0000-0002-2036-1888[4]
unesp.author.orcid0000-0002-7668-0327[6]
unesp.author.orcid0000-0001-6505-1800[10]

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