Primary care performance in Dominica
Objective. To document the structure and functions of primary care (PC) in the country of Dominica using the Primary Care Assessment Tools (PCAT), a set of questionnaires that evaluate PC functions. Methods. This cross-sectional study combined data from two surveys. The systems PCAT (S-PCAT) survey...
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ftdoajarticles:oai:doaj.org/article:0e81a9d7bb4b4c98b4239a25c59b0bde 2023-05-15T15:12:24+02:00 Primary care performance in Dominica James Macinko Geronimo Jimenez Mario Cruz-Peñate 2015-02-01T00:00:00Z https://doaj.org/article/0e81a9d7bb4b4c98b4239a25c59b0bde EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000200006&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/0e81a9d7bb4b4c98b4239a25c59b0bde Revista Panamericana de Salud Pública, Vol 37, Iss 2, Pp 104-112 (2015) Atención primaria de salud sistemas de salud calidad acceso y evaluación de la atención de salud Dominica Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles 2022-12-31T00:41:16Z Objective. To document the structure and functions of primary care (PC) in the country of Dominica using the Primary Care Assessment Tools (PCAT), a set of questionnaires that evaluate PC functions. Methods. This cross-sectional study combined data from two surveys. The systems PCAT (S-PCAT) survey gathered national-level data from key informants about health system characteristics and PC performance. The provider version (P-PCAT) survey collected data on PC performance from health providers (nurses and physicians) at all PC facilities in the country. Provider-level data were aggregated to obtain national and district-level results for PC domains scored from 0.00 (worst) to 1.00 (best). Results. From the systems perspective, results showed several knowledge gaps in PC policy, financing, and structure. Key informants gave “Good” (adequate) ratings for “first-contact” care (0.74), continuity of care (0.77), comprehensive care (0.70), and coordinated care (0.78); middling scores for family-centered care and community-oriented care (0.65); and low scores for access to care (0.57). PC providers assessed access to care (which included “first-contact” care, in the P-PCAT surveys) (0.84), continuity of care (0.86), information systems (0.84), family-centered care (0.92), and community-oriented care (0.85) as “Very Good”; comprehensive care as “Good” (0.79); and coordinated care as “Reasonable” (0.68). Overall, the scores for the country's health districts were good, although the ratings varied by specific PC domain. Conclusions. The assessments described here were carried out with relatively little expense and have provided important inputs into strategic planning, strategies for improving PC, and identification of priority areas for further investigation. This two-staged approach could be adapted and used in other countries. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Atención primaria de salud sistemas de salud calidad acceso y evaluación de la atención de salud Dominica Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Atención primaria de salud sistemas de salud calidad acceso y evaluación de la atención de salud Dominica Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 James Macinko Geronimo Jimenez Mario Cruz-Peñate Primary care performance in Dominica |
topic_facet |
Atención primaria de salud sistemas de salud calidad acceso y evaluación de la atención de salud Dominica Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To document the structure and functions of primary care (PC) in the country of Dominica using the Primary Care Assessment Tools (PCAT), a set of questionnaires that evaluate PC functions. Methods. This cross-sectional study combined data from two surveys. The systems PCAT (S-PCAT) survey gathered national-level data from key informants about health system characteristics and PC performance. The provider version (P-PCAT) survey collected data on PC performance from health providers (nurses and physicians) at all PC facilities in the country. Provider-level data were aggregated to obtain national and district-level results for PC domains scored from 0.00 (worst) to 1.00 (best). Results. From the systems perspective, results showed several knowledge gaps in PC policy, financing, and structure. Key informants gave “Good” (adequate) ratings for “first-contact” care (0.74), continuity of care (0.77), comprehensive care (0.70), and coordinated care (0.78); middling scores for family-centered care and community-oriented care (0.65); and low scores for access to care (0.57). PC providers assessed access to care (which included “first-contact” care, in the P-PCAT surveys) (0.84), continuity of care (0.86), information systems (0.84), family-centered care (0.92), and community-oriented care (0.85) as “Very Good”; comprehensive care as “Good” (0.79); and coordinated care as “Reasonable” (0.68). Overall, the scores for the country's health districts were good, although the ratings varied by specific PC domain. Conclusions. The assessments described here were carried out with relatively little expense and have provided important inputs into strategic planning, strategies for improving PC, and identification of priority areas for further investigation. This two-staged approach could be adapted and used in other countries. |
format |
Article in Journal/Newspaper |
author |
James Macinko Geronimo Jimenez Mario Cruz-Peñate |
author_facet |
James Macinko Geronimo Jimenez Mario Cruz-Peñate |
author_sort |
James Macinko |
title |
Primary care performance in Dominica |
title_short |
Primary care performance in Dominica |
title_full |
Primary care performance in Dominica |
title_fullStr |
Primary care performance in Dominica |
title_full_unstemmed |
Primary care performance in Dominica |
title_sort |
primary care performance in dominica |
publisher |
Pan American Health Organization |
publishDate |
2015 |
url |
https://doaj.org/article/0e81a9d7bb4b4c98b4239a25c59b0bde |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 37, Iss 2, Pp 104-112 (2015) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015000200006&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/0e81a9d7bb4b4c98b4239a25c59b0bde |
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1766343080340881408 |