Prates Mariana Louzada, Machado Juliana Costa, Silva Luciana Saraiva da, Avelar Patrícia Silva, Prates Luciana Louzada, Mendonça Erica Toledo de, Costa Glauce Dias da, Cotta Rosângela Minardi Mitre
Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Henry Rolfs s/n, Campus Universitário. 36570-000 Viçosa MG Brasil.
University of Saskatchewan. Saskatoon Canada.
Cien Saude Colet. 2017 Jun;22(6):1881-1893. doi: 10.1590/1413-81232017226.14282016.
This study aims to analyze studies that evaluated the performance of Primary Health Care (PHC) services by using the Primary Care Assessment Tool (PCATool) under a worldwide user perspective. This is a systematic review that implemented the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) model, from the following databases: Lilacs, Medline, SciELO, PubMed and the Coordination for the Improvement of Higher Education Personnel (CAPES) Journals Website, using descriptors Primary Care Assessment Tool and PCATool. Considering inclusion and exclusion criteria, we analyzed 22 research papers published from 2007 to 2015. The best-evaluated attributes were cultural competence, first contact use and longitudinality. On the other hand, the worst evaluated were first contact accessibility, family orientation, community orientation and comprehensiveness. Most of the health services evaluated were from Brazil, applied to "traditional" primary care clinic (UBS) and the Health Family Strategy (FHS). Services evaluated should strengthen structure and process components to achieve a better performance in PHC.
本研究旨在从全球用户视角分析那些使用初级保健评估工具（PCATool）对初级卫生保健（PHC）服务绩效进行评估的研究。这是一项系统评价，采用了系统评价和Meta分析的首选报告项目（PRISMA）模型，检索了以下数据库：拉丁美洲和加勒比地区卫生科学数据库（Lilacs）、医学文献数据库（Medline）、科学电子图书馆在线（SciELO）、美国国立医学图书馆生物医学文献数据库（PubMed）以及高等教育人员素质提升协调办公室（CAPES）期刊网站，使用的描述词为“初级保健评估工具”和“PCATool”。根据纳入和排除标准，我们分析了2007年至2015年发表的22篇研究论文。评价最好的属性是文化能力、首次接触利用和纵向性。另一方面，评价最差的是首次接触可及性、家庭导向、社区导向和综合性。大多数被评估的卫生服务来自巴西，应用于“传统”初级保健诊所（UBS）和健康家庭战略（FHS）。被评估的服务应加强结构和流程组成部分，以在初级卫生保健中取得更好的绩效。
