Gomes Brenda Lorrana de Almeida, Mota Renan Felipe Neves, Braga Renata Sant'ana, Nunes Cynthia Assis de Barros, Guimarães Rafael Alves, Rodrigues Ana Paula Dos Santos, Batista Sandro Rogério Rodrigues, Pagotto Valéria
School of Nursing, Federal University of Goiás, Goiânia, Brazil.
Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Brazil.
Front Med (Lausanne). 2024 Nov 4;11:1374801. doi: 10.3389/fmed.2024.1374801. eCollection 2024.
To analyze the association between Primary Health Care (PHC) performance and institutional ability to provide care for individuals with noncommunicable diseases (NCDs).
Cross-sectional study conducted with primary care nurses and physicians in Brazil. The performance of PHC was assessed by using the Primary Care Assessment Tool (PCAT), whereas institutional ability for the care of people with NCDs was assessed through the Assessment of Chronic Illness Care (ACIC). Pearson correlation and multiple linear regression models were used to analyze the association between the PHC attributes measured in the PCAT (independent variables) and the ACIC dimensions (dependent variables).
In total, 308 health professionals -190 nurses (61.7%) and 118 physicians (38.3%)-at mean age 37.5 years and mean time of 6.5 years working in PHC participated of the study. On a scale of 0 to 10, the overall PCAT score was 6.74, while the ACIC score was 5.20. The PCAT score was High in only 58.8% of respondents (score ≥6.6). The ACIC scores showed basic institutional ability to care for people with NCDs. All ACIC dimensions have shown positive correlation to PCAT attributes, except for accessibility, continuity of care and care coordination.
A positive association was found between PHC performance and institutional ability to care for people with NCDs. Results have evidenced the need of investing in PCH by providing technical, political, logistical and financial support to PHC units to improve PHC organization points and care for people with NCDs.
分析初级卫生保健（PHC）绩效与为非传染性疾病（NCDs）患者提供护理的机构能力之间的关联。
对巴西的初级保健护士和医生进行横断面研究。使用初级保健评估工具（PCAT）评估PHC的绩效，而通过慢性病护理评估（ACIC）评估护理NCDs患者的机构能力。采用Pearson相关性分析和多元线性回归模型分析PCAT中测量的PHC属性（自变量）与ACIC维度（因变量）之间的关联。
共有308名卫生专业人员参与了该研究，其中190名护士（61.7%）和118名医生（38.3%），平均年龄37.5岁，在PHC工作的平均时间为6.5年。在0至10分的量表上，PCAT的总体得分为6.74，而ACIC得分为5.20。只有58.8%的受访者PCAT得分高（得分≥6.6）。ACIC得分显示出护理NCDs患者的基本机构能力。除了可及性、护理连续性和护理协调外，所有ACIC维度与PCAT属性均呈正相关。
发现PHC绩效与护理NCDs患者的机构能力之间存在正相关。结果表明，需要通过向PHC单位提供技术、政策、后勤和财政支持来投资于初级保健，以改善PHC组织要点并护理NCDs患者。
