Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/60721
Tipo: Artigo de Periódico
Título: Mental health in primary care: an evaluation using the item response theory
Autor(es): Hugo André da Rocha
Alaneir de Fátima Dos Santos
Ilka Afonso Reis
Marcos Antônio da Cunha Santos
Mariângela Leal Cherchiglia
Resumo: 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.
Assunto: Mental Health Services
Primary Health Care
Health Services Research
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: ICX - DEPARTAMENTO DE ESTATÍSTICA
Tipo de Acesso: Acesso Aberto
Identificador DOI: 10.11606/S1518-8787.2018052000051
URI: http://hdl.handle.net/1843/60721
Data do documento: 2018
metadata.dc.url.externa: https://doi.org/10.11606/S1518-8787.2018052000051
metadata.dc.relation.ispartof: Revista de Saúde Pública
Aparece nas coleções:Artigo de Periódico

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