Applying Primary Care Assessment Tools in UruguayMiguel Pizzanelli, Jacqueline Ponzo

Uruguay

Uruguay

Applying Primary Care Assessment Tools in Uruguay

UR-PCAT-PE / provider extended version 2011.

Primary Care Assessment Tools

Primary care is now well understood as the basis for rational health systems. Its components are well known. A major challenge has been to translate the broad concepts into characteristics that can be measured. These concepts include first contact care, person-focused care over time, comprehensiveness, and coordination, as well as the three related aspects of community orientation, family-centeredness, and cultural competence.

Barbara Starfield and James Macinko in Uruguay, November 2010

Training Residents

Interviews

Results

Scores obtained in each attribute of Primary Care (scale from 1 to 10. Acceptable 6.6)

Acces / First Contact 4.9

Longitudinality / Ongoing Care 7.6

Coordination 7.6

Coordination / Information Systems 6.1

Comprehesiveness 8.5

Family Centeredness 8.2

Community Orientation 6.4

Culturally Competent 4.9

Conclusions

• This process will promote new capacity in primary care research

• UR PCAT PE was effective to assess primary care

• Encouraged reflection on practice and the organization of the health service.

Barbara Starfield

legacy