TY - JOUR
T1 - Assessment of the coordination of integrated health service delivery networks by the primary health care
T2 - COPAS questionnaire validation in the Brazilian context Service organization, utilization, and delivery of care
AU - Rodrigues, Ludmila Barbosa Bandeira
AU - Dos Santos, Claudia Benedita
AU - Goyatá, Sueli Leiko Takamatsu
AU - Popolin, Marcela Paschoal
AU - Yamamura, Mellina
AU - Deon, Keila Christiane
AU - Lapão, L
AU - Santos Neto, Marcelino
AU - Uchoa, Severina Alice Da Costa
AU - Arcêncio, Ricardo Alexandre
PY - 2015/7/22
Y1 - 2015/7/22
N2 - Background: Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire-COPAS-to assess the coordination of Integrated Health Service Delivery Networks by the Primary Health Care. Methods: A cross sectional approach was used. The population was pooled from Family Health Strategy healthcare professionals, of the Alfenas region (Minas Gerais, Brazil). Data collection was performed from August to October 2013. The results were checked for the presence of floor and ceiling effects and the internal consistency measured through Cronbach alpha. Construct validity was verified through convergent and discriminant values following Multitrait-Multimethod (MTMM) analysis. Results: Floor and ceiling effects were absent. The internal consistency of the instrument was satisfactory; as was the convergent validity, with a few correlations lower then 0.30. The discriminant validity values of the majority of items, with respect to their own dimension, were found to be higher or significantly higher than their correlations with the dimensions to which they did not belong. Conclusion: The results showed that the COPAS instrument has satisfactory initial psychometric properties and may be used by healthcare managers and workers to assess the PHC coordination performance within the Integrated Health Service Delivery Network.
AB - Background: Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire-COPAS-to assess the coordination of Integrated Health Service Delivery Networks by the Primary Health Care. Methods: A cross sectional approach was used. The population was pooled from Family Health Strategy healthcare professionals, of the Alfenas region (Minas Gerais, Brazil). Data collection was performed from August to October 2013. The results were checked for the presence of floor and ceiling effects and the internal consistency measured through Cronbach alpha. Construct validity was verified through convergent and discriminant values following Multitrait-Multimethod (MTMM) analysis. Results: Floor and ceiling effects were absent. The internal consistency of the instrument was satisfactory; as was the convergent validity, with a few correlations lower then 0.30. The discriminant validity values of the majority of items, with respect to their own dimension, were found to be higher or significantly higher than their correlations with the dimensions to which they did not belong. Conclusion: The results showed that the COPAS instrument has satisfactory initial psychometric properties and may be used by healthcare managers and workers to assess the PHC coordination performance within the Integrated Health Service Delivery Network.
KW - Coordination
KW - Health Care Networks
KW - Primary Health Care
KW - Psychometric analysis
KW - Validation studies
UR - http://www.scopus.com/inward/record.url?scp=84937400688&partnerID=8YFLogxK
U2 - 10.1186/s12875-015-0299-5
DO - 10.1186/s12875-015-0299-5
M3 - Article
C2 - 26198100
AN - SCOPUS:84937400688
VL - 16
SP - 87
EP - 96
JO - BMC Family Practice
JF - BMC Family Practice
IS - 1
M1 - 87
ER -
