TY - JOUR
KW - Brazil
KW - Cross-Sectional Studies
KW - Health Services Accessibility
KW - Humans
KW - Mental Health Services/organization & administration/standards
KW - Primary Health Care/organization & administration/standards
KW - Reproducibility of Results
KW - Surveys and Questionnaires
AU - H. A. D. Rocha
AU - A. F. D. Santos
AU - I. A. Reis
AU - M. A. D. C. Santos
AU - M. L. Cherchiglia
A1 - 
AB - OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach's alpha, Spearman's correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach's alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.
AD - Programa de Pos-Graduacao em Saude Publica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.; Departamento de Estatistica, Instituto de Ciencias Exatas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.; Departamento de Estatistica, Instituto de Ciencias Exatas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
BT - Revista de saude publica
C5 - General Literature
CY - Brazil
JF - Revista de saude publica
M1 - Journal Article
N2 - OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach's alpha, Spearman's correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach's alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.
PP - Brazil
PY - 2018
SN - 1518-8787; 0034-8910
SP - 17
EP - 8787.2018052000051. Epub 2018 Feb 26
EP - 
T1 - Mental health in primary care: an evaluation using the Item Response Theory
T2 - Revista de saude publica
TI - Mental health in primary care: an evaluation using the Item Response Theory
U1 - General Literature
U2 - 29489992
VL - 52
VO - 1518-8787; 0034-8910
Y1 - 2018
ER -