The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence
Brazil is experiencing a time of change in pattern of care: from 'traditional' to Family Health Strategy (FHS), a model guided by the principles of people, family and community-centred medicine. The heterogeneity in care currently offered affects the primary care impact. This study aims to...
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| Veröffentlicht in: | Health policy and planning 2014-09, Vol.29 Suppl 2 (suppl 2), p.ii107-ii113 |
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| creator | Ferrer, Ana Paula Scoleze Brentani, Alexandra Valéria Maria Sucupira, Ana Cecília Silveira Lins Navega, Ana Carolina Barsaglini Cerqueira, Elisa Scanavini Grisi, Sandra Josefina Ferraz Ellero |
| description | Brazil is experiencing a time of change in pattern of care: from 'traditional' to Family Health Strategy (FHS), a model guided by the principles of people, family and community-centred medicine. The heterogeneity in care currently offered affects the primary care impact. This study aims to evaluate the longitudinality of care and correlate this primary care principle to the utilization pattern of care among patients hospitalized due to preventable conditions, comparing the two care models currently offered in Brazil. It is a cross-sectional, analytical and descriptive study with a quantitative approach. The sample consisted of 501 patients from 0 to 14 years old. Data was collected in 2011 and the Primary Care Assessment Tool (PCATool-Brazil) child version was used. Bivariate and multivariate analyses were performed including patient-related variables (age, maternal education, income and type of diagnosis) and care model. From the hospitalizations occurred during the period, 65.2% were Ambulatory Care Sensitive Conditions. Patients evaluated 'longitudinality' as regular. Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered. Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services. |
| doi_str_mv | 10.1093/heapol/czu077 |
| format | Article |
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The heterogeneity in care currently offered affects the primary care impact. This study aims to evaluate the longitudinality of care and correlate this primary care principle to the utilization pattern of care among patients hospitalized due to preventable conditions, comparing the two care models currently offered in Brazil. It is a cross-sectional, analytical and descriptive study with a quantitative approach. The sample consisted of 501 patients from 0 to 14 years old. Data was collected in 2011 and the Primary Care Assessment Tool (PCATool-Brazil) child version was used. Bivariate and multivariate analyses were performed including patient-related variables (age, maternal education, income and type of diagnosis) and care model. From the hospitalizations occurred during the period, 65.2% were Ambulatory Care Sensitive Conditions. Patients evaluated 'longitudinality' as regular. Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered. Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services.</description><identifier>ISSN: 0268-1080</identifier><identifier>EISSN: 1460-2237</identifier><identifier>DOI: 10.1093/heapol/czu077</identifier><identifier>PMID: 25274635</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Adolescent ; Ambulatory care ; Ambulatory Care - utilization ; Brazil ; Child ; Child, Preschool ; Continuity of Patient Care ; Correlation analysis ; Cross-Sectional Studies ; Female ; Health administration ; Health care ; Health services ; Health Services Accessibility ; Health services utilization ; Hospitalization ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Male ; Multivariate analysis ; Original ; Patient-Centered Care ; Patients ; Primary care ; Primary Health Care - utilization ; Quality of care ; Socioeconomic Factors ; Studies</subject><ispartof>Health policy and planning, 2014-09, Vol.29 Suppl 2 (suppl 2), p.ii107-ii113</ispartof><rights>Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.</rights><rights>Copyright Oxford Publishing Limited(England) Sep 2014</rights><rights>Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-7b8eabed33bfdbb9d5bd6ef02caf80dbfb93339403b41f28fc489843618df03e3</citedby><cites>FETCH-LOGICAL-c481t-7b8eabed33bfdbb9d5bd6ef02caf80dbfb93339403b41f28fc489843618df03e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202922/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202922/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27871,27929,27930,31004,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25274635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferrer, Ana Paula Scoleze</creatorcontrib><creatorcontrib>Brentani, Alexandra Valéria Maria</creatorcontrib><creatorcontrib>Sucupira, Ana Cecília Silveira Lins</creatorcontrib><creatorcontrib>Navega, Ana Carolina Barsaglini</creatorcontrib><creatorcontrib>Cerqueira, Elisa Scanavini</creatorcontrib><creatorcontrib>Grisi, Sandra Josefina Ferraz Ellero</creatorcontrib><title>The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence</title><title>Health policy and planning</title><addtitle>Health Policy Plan</addtitle><description>Brazil is experiencing a time of change in pattern of care: from 'traditional' to Family Health Strategy (FHS), a model guided by the principles of people, family and community-centred medicine. 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Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered. Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services.</description><subject>Adolescent</subject><subject>Ambulatory care</subject><subject>Ambulatory Care - utilization</subject><subject>Brazil</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Continuity of Patient Care</subject><subject>Correlation analysis</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health administration</subject><subject>Health care</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Health services utilization</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Multivariate analysis</subject><subject>Original</subject><subject>Patient-Centered Care</subject><subject>Patients</subject><subject>Primary care</subject><subject>Primary Health Care - utilization</subject><subject>Quality of care</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><issn>0268-1080</issn><issn>1460-2237</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqF0jlvFDEUAGALgciyUNIiSzQ0Q3zN1SBBxCVFogm15eM568hrD7ZnpWzLH2cmGyKgoXLxPj-9C6GXlLylZOTnO1BTCufmOJO-f4Q2VHSkYYz3j9GGsG5oKBnIGXpWyg0hVAjRPkVnrGW96Hi7QT-vdoDBOTC14OSwwhOkKUBjINYMFu-ThYBTxCHFa19n66MKvt6u2KgMWEWL5-qDP6rqFzepWiHHNb7UFuruThXIB2-gNM2HrI6LVhHDwVuIBp6jJ06FAi_u3y36_unj1cWX5vLb568X7y8bIwZam14PoDRYzrWzWo-21bYDR5hRbiBWOz1yzkdBuBbUscEt38ZB8I4O1hEOfIvenfJOs96DvetQBTllv1f5Vibl5d-R6HfyOh2kYISNy0y36M19gpx-zFCq3PtiIAQVIc1F0m4kfOwY7f5P26EjY0v7dqGv_6E3ac7LlNeElBJCxLCq5qRMTqVkcA91UyLXS5CnS5CnS1j8qz-bfdC_V89_AdqDtMg</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Ferrer, Ana Paula Scoleze</creator><creator>Brentani, Alexandra Valéria Maria</creator><creator>Sucupira, Ana Cecília Silveira Lins</creator><creator>Navega, Ana Carolina Barsaglini</creator><creator>Cerqueira, Elisa Scanavini</creator><creator>Grisi, Sandra Josefina Ferraz Ellero</creator><general>Oxford Publishing Limited (England)</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>8BJ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140901</creationdate><title>The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence</title><author>Ferrer, Ana Paula Scoleze ; 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The heterogeneity in care currently offered affects the primary care impact. This study aims to evaluate the longitudinality of care and correlate this primary care principle to the utilization pattern of care among patients hospitalized due to preventable conditions, comparing the two care models currently offered in Brazil. It is a cross-sectional, analytical and descriptive study with a quantitative approach. The sample consisted of 501 patients from 0 to 14 years old. Data was collected in 2011 and the Primary Care Assessment Tool (PCATool-Brazil) child version was used. Bivariate and multivariate analyses were performed including patient-related variables (age, maternal education, income and type of diagnosis) and care model. From the hospitalizations occurred during the period, 65.2% were Ambulatory Care Sensitive Conditions. Patients evaluated 'longitudinality' as regular. Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered. Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>25274635</pmid><doi>10.1093/heapol/czu077</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Ambulatory care Ambulatory Care - utilization Brazil Child Child, Preschool Continuity of Patient Care Correlation analysis Cross-Sectional Studies Female Health administration Health care Health services Health Services Accessibility Health services utilization Hospitalization Hospitalization - statistics & numerical data Humans Infant Infant, Newborn Male Multivariate analysis Original Patient-Centered Care Patients Primary care Primary Health Care - utilization Quality of care Socioeconomic Factors Studies |
| title | The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence |
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