...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Revista de Saúde Pública >Mental health in primary care: an evaluation using the Item Response Theory
【24h】

Mental health in primary care: an evaluation using the Item Response Theory

机译：初级保健中的心理健康：使用项目反应理论的评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach’s alpha, Spearman’s correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of records of the most serious cases of users in psychological distress, and provision of group care. The items that required a higher level of mental health care in the parameter of location were the provision of any type of group care and the provision of educational and mental health promotion activities. Total Cronbach’s alpha coefficient was 0.87. The items that obtained the highest correlation with total score were the recording of the most serious cases of users in psychological distress and scheduling of the agenda according to risk stratification. The final scores obtained oscillated between -2.07 (minimum) and 1.95 (maximum). CONCLUSIONS There are important aspects in the discrimination of the capacity to provide mental health care by primary health care teams: risk stratification for care management, follow-up of the most serious cases, group care, and preventive and health promotion actions.
机译：目的确定巴西国家改善初级保健服务和质量的计划，以更好地评估提供精神保健的能力。方法这是一项横断面研究，使用项目反应理论的分级反应模型，使用来自国家改善初级保健服务和质量计划第二周期的二级数据，该评估对自2007年以来的30,523个初级保健团队进行了评估。 2013年至2014年在巴西。内部一致性，项目之间的相关性以及项目与总得分之间的相关性分别使用Cronbach的alpha，Spearman的相关性和点双数系数进行了测试。测试了项目的一维性和局部独立性的假设。词云被用作呈现结果的一种方法。结果最具区分能力的项目是根据风险分层安排日程安排，保存最严重心理困扰用户的记录以及提供团体护理。在位置参数上需要更高级别的精神保健的项目包括提供任何类型的团体护理以及提供教育和精神保健促进活动。克朗巴赫的总Alpha系数为0.87。与总分相关性最高的项目是记录最严重的用户心理困扰情况，并根据风险分层安排议程。最终分数在-2.07（最低）和1.95（最高）之间波动。结论初级卫生保健团队在提供精神卫生保健能力方面存在重要方面的歧视：护理管理的风险分层，最严重病例的跟进，团体护理以及预防和健康促进行动。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号