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初级保健评估工具(PCAT)的应用:一项综合综述及更新建议

The use of the Primary Care Assessment Tool (PCAT): an integrative review and proposed update.

作者信息

D'Avila Otávio Pereira, Pinto Luiz Felipe da Silva, Hauser Lisiane, Gonçalves Marcelo Rodrigues, Harzheim Erno

机构信息

Projeto TelessaúdeRS, Fundação de Apoio à Universidade Federal do Rio Grande do Sul. R. Dona Laura 320/11º, Rio Branco. 90000-035 Porto Alegre RS Brasil.

Departamento de Medicina de Família e Comunidade, Faculdade de Medicina. Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2017 Mar;22(3):855-865. doi: 10.1590/1413-81232017223.03312016.

DOI:10.1590/1413-81232017223.03312016
PMID:28300993
Abstract

This study proposes an integrative review of the literature based on articles and publications on the use of the Primary Care Assessment Tool (PCAT) as a tool for evaluating these services, discussing the results found in Brazil and in other countries of the world, from the initial matrix conceived by Professor Barbara Starfield's team and proposing updates for the Brazilian version. We identified 124 studies, of which 42 were selected after full reading and according to the established inclusion criteria. Of this subtotal, 17 (40.5%) were Brazilian studies. There is a need to update items of each tool's attribute, in particular "access - first contact", including new forms of doctor-patient communication such as: email, mobile application messages, use of videoconference software for communication and even use of telemedicine, among others. PCAT's use, application and calculation of scores is simple, which makes it useful and suitable for use in the local management of services, especially in its short version.

摘要

本研究基于关于使用初级保健评估工具(PCAT)作为评估这些服务的工具的文章和出版物,对文献进行综合综述,讨论在巴西和世界其他国家发现的结果,这些结果源自芭芭拉·斯塔菲尔德教授团队最初构思的矩阵,并为巴西版本提出更新建议。我们识别出124项研究,其中42项在全文阅读后根据既定纳入标准被选中。在这一总数中,17项(40.5%)是巴西的研究。有必要更新每个工具属性的项目,特别是“获得——首次接触”,包括医患沟通的新形式,如:电子邮件、移动应用程序消息、使用视频会议软件进行沟通,甚至使用远程医疗等。PCAT的使用、应用和分数计算很简单,这使其在服务的本地管理中很有用且适用,尤其是其简短版本。

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