The use of PCATool (Primary care Assessment tool) as an oral health assessment tool: a scope review
DOI:
https://doi.org/10.33448/rsd-v11i6.28834Keywords:
Delivery of Health Care; Dental Health Services; Health care evaluation mechanisms.Abstract
The Primary Health Care (PHC) is represented through essential and derived attributes. The monitoring frequently is essential to ensure a good result for health. The PCATool is a validated instrument that ensures the evaluation of PHC based on the structure and process of the performance analyzing the essential and derived attributes. This scope review aims to map the studies that evaluated the quality of oral health actions and services in PHC through the PCATool instrument. The research question was based on the PCC (Population, concept, and context) strategy and followed the PRISMA-ScR recommendations. All included studies used the PCATool assessment instrument to assess the quality of oral health services offered in PHC, without restriction to the year and language of publication. Four studies were selected, that answer all the inclusion criteria and the information were analyzed. All studies found evaluated the quality of oral health in PHC based on the essential attributes and derived from the PCATool, in total, data from 2848 participants were detected. Most studies found a high quality of PHC, which proves the improvement of the public oral health service in Brazil, although many users find it difficult to access oral health services. This scoping review found few studies that used the PCATool as an assessment tool in oral health services. Therefore, it is recommended that more research use the tool and its versions for a consistent evaluation.
References
Almeida, C., & MacInko, J. (2006). Validation of methodology of quick evaluation of the organizational and performance characteristics of the basic health services of the health system (SUS) in local level. Organização Pan-Americana Da Saúde, p. 215.
Anversa, E. T. R., Bastos, G. A. N., Nunes, L. N., & Pizzol, T. da S. D. (2012). Quality of prenatal care: traditional primary care and Family Health Strategy units in a city in southern Brazil. Cadernos de Saúde Pública, 28(4), 789–800.
Aquilante, A. G., & Aciole, G. G. (2015). Construindo um “Brasil Sorridente”? Olhares sobre a implementação da Política nacional de Saúde Bucal numa região de saúde do interior paulista. Cadernos de Saúde Pública, 31(1), 82–96. doi:10.1590/0102-311X00193313
Atkinson, S. J., Janeiro, R. De, & Services, H. (1993). Anthropology in Research on the Quality of Health Services Antropologia e Pesquisa sobre Qualidade dos Serviços de Saúde. Cadernos de Saúde Pública, 9(3), 283–299.
Baldani, M. H., Rocha, J. S., Fadel, C. B., Nascimento, A. C., Antunes, J. L. F., & Moysés, S. J. (2017). Avaliação do papel da atenção primária adequada no uso de serviços de saúde bucal por pré-escolares brasileiros de baixa renda. Cadernos de Saúde Pública, 33(11). doi:10.1590/0102-311X00158116
Bastos, L. F., Hugo, F. N., Hilgert, J. B., Cardozo, D. D., Bulgarelli, A. F., & dos Santos, C. M. (2019). Access to dental services and oral health-related quality of life in the context of primary health care. Brazilian Oral Research, 33. doi:10.1590/1807-3107BOR-2019.VOL33.0018
Bordin, D., Fadel, C. B., Moimaz, S. A. S., Garbin, C. A. S., & Saliba, N. A. (2017). Comparative study of satisfaction of users and health professionals with the public dental service. Ciência e Saúde Coletiva, 22(1), 151–160. doi:10.1590/1413-81232017221.13522015
Brasil, M. da S. (2010). Manual do Instrumento de Avaliação da Atenção Primária à Saúde Primary Care Assessment Tool PCATool. Brasília: Ministério da Saúde.
Cardozo, D. D., Hilgert, J. B., Stein, C., Hauser, L., Harzhein, E., & Hugo, F. N. (2020). Presence and extension of the attributes of primary health care in public dental services in Porto Alegre, Rio Grande do Sul State, Brazil. Cadernos de Saúde Pública, 36(2). doi:10.1590/0102-311X00004219
Castro, R. C. L. de, Knauth, D. R., Harzheim, E., Hauser, L., & Duncan, B. B. (2012). Quality assessment of primary care by health professionals: a comparison of different types of services. Cadernos de Saúde Pública, 28(9), 1772–1784. doi:10.1590/S0102-311X2012000900015
Donabedian, A. (2005). Evaluating the Quality of Medical Care. New York: The Milbank Memorial Fund Quarterly.
Fausto, M. C. R., & Matta, G. C. (2007). Atenção Primária à Saúde: histórico e perspectivas. In: MOROSINI, Márcia Valéria G. C.; CORBO, Anamaria D'Andrea (Org.). Modelos de atenção e a saúde da família. Rio de Janeiro: ESPJV/FIOCRUZ.
Ferreira, T., Paula, C. C. de, Kleinubing, R. E., Kinalski, D. D. F., Anversa, E. T. R., & Padoin, S. M. de M. (2016). Evaluation of the quality of primary health care for children and adolescents with HIV: PCATool-Brasil. Revista Gaucha de Enfermagem, 37(3). doi:10.1590/1983-1447.2016.03.61132
Fracolli, L. A., Gomes, M. F. P., Nabão, F. R. Z., Santos, M. S., Cappellini, V. K., & de Almeida, A. C. C. (2014). Primary health care assessment tools: A literature review and metasynthesis. Ciência e Saúde Coletiva, 19(12), 4851–4860.doi:10.1590/1413-812320141912.00572014
Honkala, E. (2014). Primary oral health care. Medical Principles and Practice, 23(1), 17–23. doi:10.1159/000357916
Junqueira, S. R., Pannuti, C. M., & Rode, S. D. M. (2008). Oral health in Brazil--part I: public oral health policies. Brazilian Oral Research, 22(1), 8–17. doi:10.1590/S1806-83242008000500003
Kfouri, M. da G., Moysés, S. T., Gabardo, M. C. L., Nascimento, A. C., da Rosa, S. V., & Moysés, S. J. (2019). The feminization of dentistry and the perceptions of public service users about gender issues in oral health. Ciência e Saúde Coletiva, 24(11), 4285–4296. doi:10.1590/1413-812320182411.00832018
Mattos, G. C. M., Ferreira, E. F. e, Leite, I. C. G., & Greco, R. M. (2014). A inclusão da equipe de saúde bucal na Estratégia Saúde da família: Entraves, avanços e desafios. Ciência e Saúde Coletiva, 19(2), 373–382. doi:10.1590/1413-81232014192.21652012
Moysés, S. J., Pucca Junior, G. A., Paludetto Junior, M., & Moura, L. de. (2013). Avanços e desafios à Política de Vigilância à Saúde Bucal no Brasil. Revista de saúde pública, 47(3), 161–167. doi:10.1590/s0034-8910.2013047004329
Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1). doi:10.1186/s12874-018-0611-x
Nascimento, A. C., Moysés, S. T., Werneck, R. I., Gabardo, M. C. L., & Moysés, S. J. (2019). Assessment of public oral healthcare services in Curitiba, Brazil: A cross-sectional study using the Primary Care Assessment Tool (PCATool). BMJ Open, 9(1). doi:10.1136/bmjopen-2018-023283
Oliveira, M. A. de C., & Pereira, I. C. (2013). Primary Health Care essential attributes and the Family Health Strategy. Revista Brasileira de Enfermagem, 66, 158-164.
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. doi:10.11124/JBIES-20-00167
Pimenta, A. L., Coimbra, A. M. V., Livorato, F., Barros, J. N. C. de, & Rezende, T. C. B. (2008). Research concerning the organization and performance of family health units in Amparo (SP): use of rapid assessment methodology. Revista divulgação em Saúde para Debate, 1(42), 102–117.
Prates, M. L., Machado, J. C., Da Silva, L. S., Avelar, P. S., Prates, L. L., De Mendonça, E. T., Da Costa, G. D., & Cotta, R. M. M. (2017). Performance of primary health care according to PCATool instrument: a systematic review. Ciência e Saúde Coletiva, 22(6), 1881–1893. doi:10.1590/1413-81232017226.14282016
Protasio, A. P. L., Gomes, L. B., Machado, L. dos S., & Valença, A. M. G. (2017). Satisfação do usuário da atenção básica em saúde por regiões do Brasil: 1º ciclo de avaliação externa do PMAQ-AB. Ciência e Saúde Coletiva, 22(6), 1829–1844. doi:10.1590/1413-81232017226.26472015
Santos, T. P., Machado, A. T. G. da M., Abreu, M. H. N. G., & Martins, R. C. (2019). What we know about management and organisation of primary dental care in Brazil. Plos One, 14(4), 1–9.
Schraiber, L. B. (2012). Necessidades de saúde , políticas públicas e gênero : a perspectiva das práticas profissionais Healthcare needs , public policies and gender : the perspective of professional practices. Ciência e Saúde Coletiva, 17(10), 2635–2644.
Shi, L., Starfield, B., D Jiahong Xu, A. N., Baltimore, M., & Carolina, S. (2001). Validating the Adult Primary Care Assessment Tool. The Journal of Family Practice, 50(2), p.161.
Silva, S. A. da, Baitelo, T. C., & Fracolli, L. A. (2015). Avaliação da Atenção Primária à Saúde : a visão de usuários e profissionais sobre a Estratégia de Saúde da Família. Revista Latino Americano Enfermagem, 23(5), 979–987. doi: 10.1590/0104-1169.0489.2639
Soares, L. S., & Junqueira, M. A. de B. (2022). A percepção sobre o acesso avançado em uma unidade-escola de atenção básica à saúde. Revista Brasileira de Educação Médica, 46(1), 1–9. doi:10.1590/1981-5271v46.1-20210115
Souza, M. M., Santos, F. P. dos, Herr, G. E. G., Loro, M. M., Stum, E. M., & Kolankiewicz, A. C. B. (2016). Attributes Derived From Primary Care In Assisting Oncologic Patients. Rev Enferm UFPE on Line, 10(8), 3004–3010. doi:10.5205/reuol.9373-82134-1-RV1008201627
Starfield, B. (2002). Primary Care: balancing health needs, services, and technology. New York: Oxford University.
Stein, A. T. (2013). A avaliação dos serviços de saúde deve ser realizada com instrumentos validados. Epidemiologia e Serviços de Saúde, 22(1), 179–181. doi:10.5123/s1679-49742013000100019
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Tatiana Santos Pereira Cipriano; Lívia de Oliveira Teixeira; Caroline Marques Hugolino de Araujo; Andréa Maria Duarte Vargas; Efigênia Ferreira e Ferreira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
