title: Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context.
abstract: BACKGROUND
  Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to assess the coordination of Integrated Health Service Delivery Networks by the Primary Health Care.
  
  
  METHODS
  A cross sectional approach was used. The population was pooled from Family Health Strategy healthcare professionals, of the Alfenas region (Minas Gerais, Brazil). Data collection was performed from August to October 2013. The results were checked for the presence of floor and ceiling effects and the internal consistency measured through Cronbach alpha. Construct validity was verified through convergent and discriminant values following Multitrait-Multimethod (MTMM) analysis.
  
  
  RESULTS
  Floor and ceiling effects were absent. The internal consistency of the instrument was satisfactory; as was the convergent validity, with a few correlations lower then 0.30. The discriminant validity values of the majority of items, with respect to their own dimension, were found to be higher or significantly higher than their correlations with the dimensions to which they did not belong.
  
  
  CONCLUSIONS
  The results showed that the COPAS instrument has satisfactory initial psychometric properties and may be used by healthcare managers and workers to assess the PHC coordination performance within the Integrated Health Service Delivery Network.
authors.affiliation: Institute for Health Sciences, Federal University of Mato Grosso (UFMT), 1200 Alexandre Ferronato Avenue - Industrial Sector, 78557267, Sinop, MT, Brazil. ludbbr@yahoo.com.br.
authors.forename: Ludmila Barbosa Bandeira
authors.initials: LB
authors.lastname: Rodrigues
authors.affiliation: Mother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. cbsantos@eerp.usp.br.
authors.forename: Claudia Benedita
authors.initials: CB
authors.lastname: Dos Santos
authors.affiliation: Nursing Department, Federal University of Alfenas, 700 Gabriel Monteiro da Silva St., 37130000, Alfenas, MG, Brazil. sueligoyata@yahoo.com.br.
authors.forename: Sueli Leiko Takamatsu
authors.initials: SL
authors.lastname: Goyatá
authors.affiliation: Mother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. marcelapopolin@yahoo.com.br.
authors.forename: Marcela Paschoal
authors.initials: MP
authors.lastname: Popolin
authors.affiliation: Mother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. mellinayamamura@yahoo.com.br.
authors.forename: Mellina
authors.initials: M
authors.lastname: Yamamura
authors.affiliation: Physical Education Department, Federal University of Rio Grande do Sul Physical Education College, 750 Felizardo St., Jardim Botânico, 90690-200, Porto Alegre, RS, Brazil. keiladeon@yahoo.com.br.
authors.forename: Keila Christiane
authors.initials: KC
authors.lastname: Deon
authors.affiliation: WHO Collaborating Center for Health Workforce Policy and Planning, International Public Health and Biostatistics, Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 100 Junqueira, Lisbon, 1349-008, Portugal. luis.lapao@ihmt.unl.pt.
authors.forename: Luis Miguel Veles
authors.initials: LM
authors.lastname: Lapão
authors.affiliation: Mother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. marcelinosn@gmail.com.
authors.forename: Marcelino
authors.initials: M
authors.lastname: Santos Neto
authors.affiliation: Public Health Department, Federal University of Rio Grande do Norte. Campus Universitário, Salgado Filho Avenue, Natal, RN, Brazil. alicedacostauchoa@gmail.com.
authors.forename: Severina Alice da Costa
authors.initials: SA
authors.lastname: Uchoa
authors.affiliation: Mother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. ricardo@eerp.usp.br.
authors.forename: Ricardo Alexandre
authors.initials: RA
authors.lastname: Arcêncio
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000458:organization & administration*; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires