Assessment of the essential attributes of Primary Health Care for children

Juliane Pagliari Araujo1, Cláudia Silveira Viera2, Beatriz Rosana Gonçalves de Oliveira2

  • 1Instituto Federal do Paraná. Londrina, Paraná, Brazil.

Insights

Primary health care for children shows weak essential attribute scores, indicating a need for improvement in structure and process. The study evaluated 23 health units using the PCATool Brazil, child version.

Area of Science:

  • Pediatric primary care
  • Health services research
  • Public health

Background:

  • Evaluating essential attributes of primary health care (PHC) is crucial for child well-being.
  • Assessing the structure and process of PHC services provides insights into service quality.

Purpose of the Study:

  • To identify the presence and extent of essential attributes in PHC services for children.
  • To evaluate the structure and process of child-focused primary healthcare.

Main Methods:

  • Quantitative, evaluative study in 23 basic health units in Parana State.
  • Survey of 548 caregivers of children under 12 using the Primary Care Assessment Instrument (PCATool Brazil), child version.
  • Calculation of essential and general PHC scores with a cut-off score of ≥6.6.

Main Results:

  • Structural attribute scores: Accessibility (5.5), Kinship (6.9), Integrality - Services Available (6.0), Coordination - System Information (7.4).
  • Process attribute scores: First Visit - Use (8.6), Longitudinally (6.1), Integrality - Services Provided (6.1), Coordination - Integration of Care (6.9).

Conclusions:

  • The essential PHC score was 6.6 and the general score was 6.3.
  • Findings indicate a weak focus on essential attributes in primary health care for children.
Abstract

Related Concept Videos

Essential Minerals for Bone Health01:31

Essential Minerals for Bone Health

The minerals contained in all of the food we consume are essential for our organ systems. However, certain essential minerals, such as calcium, phosphorus, magnesium, manganese, and fluoride, largely affect bone health.
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
6.5K
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
Attribution Theory00:56

Attribution Theory

Behavior is a product of both the situation (e.g., cultural influences, social roles, and the presence of bystanders) and of the person (e.g., personality characteristics). Subfields of psychology tend to focus on one influence or behavior over others. Situationism is the view that our behavior and actions are determined by our immediate environment and surroundings. In contrast, dispositionism holds that our behavior is determined by internal factors (Heider, 1958).
13.8K