• Bmc Fam Pract · Jul 2015

    Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context.

    • Ludmila Barbosa Bandeira Rodrigues, Claudia Benedita Dos Santos, Sueli Leiko Takamatsu Goyatá, Marcela Paschoal Popolin, Mellina Yamamura, Keila Christiane Deon, Luis Miguel Veles Lapão, Santos NetoMarcelinoMMother-Baby Department, University of São Paulo at Ribeirão Preto, College of Nursing, 3900 Bandeirantes Avenue, 14040-902, Ribeirão Preto, SP, Brazil. marcelinosn@gmail.com., Severina Alice da Costa Uchoa, and Ricardo Alexandre Arcêncio.
    • Institute for Health Sciences, Federal University of Mato Grosso (UFMT), 1200 Alexandre Ferronato Avenue - Industrial Sector, 78557267, Sinop, MT, Brazil. ludbbr@yahoo.com.br.
    • Bmc Fam Pract. 2015 Jul 22; 16: 8787.

    BackgroundHealth 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.MethodsA 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.ResultsFloor 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.ConclusionThe 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.

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