Evidence map›Paper›PMID 22994254›Full record

ArticleAmerican journal of public health2012

Primary care and public health services integration in Brazil's unified health system.

Rogério M Pinto, Melanie Wall, Gary Yu, Cláudia Penido, Clecy Schmidt

Abstract read
In one paragraph

Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  3. Challenges facing community health workers in Brazil's Family Health Strategy: A qualitative study.The International journal of health planning and management · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Rogério M PintoSchool of Social Work, Columbia University, New York, NY 10040, USA. rmp98@columbia.edu
Melanie Wall
Gary Yu
Cláudia Penido
Clecy Schmidt

Funding

Promoting Community Collaboration in HIV ResearchK01MH081787 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI PINTO, ROGERIO M. · 2007 to 2011
$875k
NIMH NIH HHS K01 MH081787NIMH NIH HHS K01MH081787
6 · The paper itself

Abstract

objectivesWe examined associations between transdisciplinary collaboration, evidence-based practice, and primary care and public health services integration in Brazil's Family Health Strategy. We aimed to identify practices that facilitate service integration and evidence-based practice.

methodsWe collected cross-sectional data from community health workers, nurses, and physicians (n = 262). We used structural equation modeling to assess providers' service integration and evidence-based practice engagement operationalized as latent factors. Predictors included endorsement of team meetings, access to and consultations with colleagues, familiarity with community, and previous research experience.

resultsProviders' familiarity with community and team meetings positively influenced evidence-based practice engagement and service integration. More experienced providers reported more integration and engagement. Physicians reported less integration than did community health workers. Black providers reported less evidence-based practice engagement than did Pardo (mixed races) providers. After accounting for all variables, evidence-based practice engagement and service integration were moderately correlated.

conclusionsAge and race of providers, transdisciplinary collaboration, and familiarity with the community are significant variables that should inform design and implementation of provider training. Promising practices that facilitate service integration in Brazil may be used in other countries.

Indexed as

Public Health AdministrationBrazilCooperative BehaviorCross-Sectional StudiesDelivery of Health Care, IntegratedEvidence-Based MedicineHealth Care SurveysHumansModels, OrganizationalNational Health ProgramsPrimary Health Care

Identifiers

PMID22994254
PMCPMC3477957

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.