Evidence map›Paper›PMID 29538582›Full record

ArticleRevista latino-americana de enfermagem2018

Assessment of the quality of primary care for the elderly according to the Chronic Care Model.

Líliam Barbosa Silva, Sônia Maria Soares, Patrícia Aparecida Barbosa Silva, Joseph Fabiano Guimarães Santos, Lívia Carvalho Viana Miranda, Raquel Melgaço Santos

Abstract read
In one paragraph

Article in Revista latino-americana de enfermagem, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Inequalities in Older age and Primary Health Care Utilization in Low- and Middle-Income Countries: A Systematic Review.International journal of health services : planning, administration, evaluation · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Líliam Barbosa SilvaDoctoral student, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Scholarship holder at Coordenação de Aperfeiçoamento Pessoal de Nível Superior (CAPES), Brazil.
Sônia Maria SoaresPhD, Associated Professor, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Patrícia Aparecida Barbosa SilvaPhD.
Joseph Fabiano Guimarães SantosPhD, Physician, Hospital Governador Israel Pinheiro, Belo Horizonte, MG, Brazil.
Lívia Carvalho Viana MirandaMSc, RN, Centro de Saúde, Secretaria Municipal de Saúde, Belo Horizonte, MG, Brazil.
Raquel Melgaço SantosUndergraduate student in Nursing, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto evaluate the quality of care provided to older people with diabetes mellitus and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care Model (CCM) and identify associations with care outcomes.

methodcross-sectional study involving 105 older people with diabetes mellitus and/or hypertension. The Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used to evaluate the quality of care. The total score was compared with care outcomes that included biochemical parameters, body mass index, pressure levels and quality of life. Data analysis was based on descriptive statistics and multiple logistic regression.

resultsthere was a predominance of females and a median age of 72 years. The median PACIC score was 1.55 (IQ 1.30-2.20). Among the PACIC dimensions, the "delivery system design/decision support" was the one that presented the best result. There was no statistical difference between the medians of the overall PACIC score and individual care outcomes. However, when the quality of life and health satisfaction were simultaneously evaluated, a statistical difference between the medians was observed.

conclusionthe low PACIC scores found indicate that chronic care according to the CCM in the PHC seems still to fall short of its assumptions.

Indexed as

Quality Assurance, Health CareAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesDiabetes MellitusFemaleHumansHypertensionMaleMiddle AgedModels, TheoreticalPrimary Health Care

Identifiers

PMID29538582
PMCPMC5863273

What OpenQuestion holds

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Registered trials

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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.