Schiller Carolina de Oliveira Azim, Bellani William Augusto Gomes de Oliveira, Moysés Samuel Jorge, Werneck Renata Iani, Ignácio Sérgio Aparecido, Moysés Simone Tetu
Secretaria de Estado da Saúde do Paraná. R. Piquiri 170, Rebouças. 80230-140 Curitiba PR Brasil.
Departamento de Medicina, Faculdades Pequeno Príncipe. Curitiba PR Brasil.
Cien Saude Colet. 2021 Aug 30;26(suppl 2):3657-3670. doi: 10.1590/1413-81232021269.2.33872019. eCollection 2021.
The organization of health systems in Health Care Networks (HCN) presents itself as a strategy to overcome the fragmentation of maternal and child health actions and services and to qualify care management. The objective of this study was to validate the Instrument for Evaluation of Maternal and Child Health Care Networks (IARAMI), adapted from the Evaluation Tool of Health Care Networks. The validation process comprised face and construct validation. The methodology used for face validation included the conceptual and semantic adaptation of the instrument and analysis by a panel of experts, through the modified consensus e-Delphi technique. After face validation, IARAMI was applied in a sample of 99 health managers of municipalities in the state of Paraná. The construct validation was conducted through the internal consistency analysis using Cronbach's alpha coefficient and factorial analysis. The factorial analysis technique was applied to each of the dimensions of the instrument, enabling the analysis of communalities. The results showed that IARAMI presented reliability and validity, proving to be a tool that can help managers and health workers in the planning, management, and evaluation of the degree of integration of the maternal and child care network.
医疗保健网络(HCN)中的卫生系统组织是一种战略,旨在克服母婴健康行动和服务的碎片化,并提升护理管理质量。本研究的目的是验证从医疗保健网络评估工具改编而来的母婴保健网络评估工具(IARAMI)。验证过程包括表面效度和结构效度验证。用于表面效度验证的方法包括对工具进行概念和语义调整,并由专家小组通过改进的共识电子德尔菲技术进行分析。表面效度验证后,IARAMI应用于巴拉那州99名市卫生管理人员的样本。结构效度验证通过使用克朗巴哈α系数进行内部一致性分析和因子分析来进行。因子分析技术应用于该工具的每个维度,从而能够分析共同性。结果表明,IARAMI具有可靠性和有效性,证明是一种可帮助管理人员和卫生工作者规划、管理和评估母婴护理网络整合程度的工具。