title: [Internal consistency and reliability of Primary Care Assessment Tool (PCATool-Brasil) for child health services].
abstract: Health strategies based on primary health care have been expanding in Brazil. An instrument applied to users, the Primary Care Assessment Tool (the PCATool), which measures the extent of primary care, has been validated in the United States. We sought to adapt the PCATool to Brazil and analyze its validation and reliability through a cross-sectional validation study of the Child PCATool. Validation included: translation, back-translation, adaptation, debriefing, content and construct validate, internal consistency, and reliability analysis. The questionnaire was applied to 468 parents or guardians of children registered with 18 primary health services in Porto Alegre, representing the services' normal pediatric population. Using factor analysis, 8 domains were identified, with Cronbach's aranging from 0.74 to 0.88. Validation resulted in a 45-item scale, divided into 8 attributes (Access to First Contact, Continuity, Coordination, 3 attributes of Comprehensiveness, Community Orientation, and Family Orientation). These results showed that the PCATool-Brasil has adequate validity and reliability and could be used as a national instrument to evaluate primary health care after its application to other population settings in the country.
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. ernoharz@terra.com.br
authors.forename: Erno
authors.initials: E
authors.lastname: Harzheim
authors.forename: Barbara
authors.initials: B
authors.lastname: Starfield
authors.forename: Luis
authors.initials: L
authors.lastname: Rajmil
authors.forename: Carlos
authors.initials: C
authors.lastname: Alvarez-Dardet
authors.forename: Airton T
authors.initials: AT
authors.lastname: Stein
mesh_terms: D001938:Brazil; D002662:Child Health Services / Q000592:standards*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014175:Translating