Ferre Curtido Patricia, Minué Lorenzo Sergio
Unidad de Gestión Clínica Interniveles de Prevención, Promoción y Vigilancia de la Salud de Granada, Área de Gestión Sanitaria Nordeste de Granada, Granada, España; Escuela Andaluza de Salud Pública, Granada, España.
Escuela Andaluza de Salud Pública, Granada, España.
J Healthc Qual Res. 2018 May-Jun;33(3):121-129. doi: 10.1016/j.jhqr.2018.02.001. Epub 2018 May 26.
To assess accessibility and longitudinality performance in Primary Care Teams of Granada from the point of view of Clinical Team Leaders. Any differences will also be determined in the performance of these 2functions depending on the environment of the Primary Care Centres (urban, rural or suburban).
A cross-sectional descriptive study using the "Primary Care Assessment Tool" (PCAT) questionnaire on all Primary Care Team managers from "Granada-Metropolitan" Primary Health Care District (n = 35). The Objective functions were described using the mean numerical scores obtained through the questionnaire. A mean score of ≥3 shows good performance. A bivariate analysis by Prevalence ORs was performed to study the factors related to a good performance.
Granada-Metropolitan Primary Health District achieved a good accessibility performance (3.03). Differences were found depending on the Primary Care Team environment (OR rural/urban=32). Only Primary Care Centres with emergency services had a good accessibility scores. A good longitudinality performance was assessed by 94% of Clinical Team Leaders, with a better performance in the urban areas (OR urban/rural = 7.5). Primary Care Teams with trainees in Family and Community Medicine achieved better longitudinality results.
Primary Care Teams from Granada Primary Health Care District achieved a good performance in Accessibility and Longitudinality in the PCAT Facilities questionnaire, from the point of view of their Clinical Team Leaders. However, it would be interesting to check these items from a user and provider perspective. According to this study, good accessibility was related to the availability of emergency services.
从临床团队负责人的角度评估格拉纳达初级保健团队的可及性和纵向性表现。还将根据初级保健中心的环境（城市、农村或郊区）确定这两项功能在表现上的任何差异。
采用“初级保健评估工具”（PCAT）问卷对“格拉纳达-大都会”初级卫生保健区的所有初级保健团队管理人员进行横断面描述性研究（n = 35）。通过问卷获得的平均数值分数描述客观功能。平均得分≥3表明表现良好。通过患病率比值比进行双变量分析，以研究与良好表现相关的因素。
格拉纳达-大都会初级卫生区取得了良好的可及性表现（3.03）。根据初级保健团队环境发现了差异（农村/城市比值比 = 32）。只有设有急诊服务的初级保健中心具有良好的可及性得分。94%的临床团队负责人评估纵向性表现良好，城市地区表现更好（城市/农村比值比 = 7.5）。有家庭和社区医学实习生的初级保健团队取得了更好的纵向性结果。
从临床团队负责人的角度来看，格拉纳达初级卫生保健区的初级保健团队在PCAT设施问卷中的可及性和纵向性方面表现良好。然而，从用户和提供者的角度检查这些项目会很有意思。根据这项研究，良好的可及性与急诊服务的可用性有关。
