Table 2. Percentage distribution (%) of performance indicator frequencies in older adults’ health and aging care in primary care services, according to domain (d1, d2 and d3) and performance groups (G1, G2 and G3), with significant p-values, 2014 (n = 157).
Domain | Indicators | G1 | G2 | G3 | p |
---|---|---|---|---|---|
d1 | Cognitive evaluation | 90.0b | 38.7c | 9.7a | 0.001 |
Depressive conditions evaluation | 90.0b | 43.4c | 3.2a | 0.001 | |
Functional evaluation | 85.0b | 19.8c | 0.0a | 0.001 | |
Fall prevention guidelines | 95.0b | 60.4c | 0.0a | 0.001 | |
Guidelines on food and nutrition | 100.0b | 72.6c | 6.5a | 0.001 | |
Guidelines on urinary incontinence | 95.0b | 48.1c | 0.0a | 0.001 | |
Guidelines on the importance of physical activity | 95.0b | 42.5c | 0.0a | 0.001 | |
Actions on sexuality and sexually transmitted diseases (STD) | 90.0b | 32.1c | 0.0a | 0.001 | |
Guidelines on menopause and andropause | 95.0b | 44.3c | 6.5a | 0.001 | |
Guidelines on oral health | 95.0b | 68.9c | 16.1a | 0.001 | |
Guidelines on older adults’ rights | 70.0b | 29.2c | 3.2a | 0.001 | |
Guidelines on violence against older adults | 85.0b | 32.1c | 0.0a | 0.001 | |
Investigation of alcohol and other drugs abuse | 75.0b | 23.6c | 0.0a | 0.001 | |
Home care | 100.0b | 59.4a | 29.0a | 0.001 | |
Support for older adults in long-term care facilities | 50.0b | 15.1b | 9.7a | 0.001 | |
Dental care for older adults | 75.0b | 52.8a | 25.8a | 0.002 | |
Health education in the community in the promotion of healthy aging | 55.0b | 21.7c | 3.2a | 0.001 | |
Health education in the service in the promotion of healthy aging | 80.0b | 22.6c | 0.0a | 0.001 | |
Prevention and screening of prostate cancer and other neoplasia in man health care | 100.0b | 81.1c | 35.5a | 0.001 | |
Care and rehabilitation of male urinary incontinence | 70.0b | 17.9c | 3.2a | 0.001 | |
Prevention and education on male sexual dysfunction | 100.0b | 42.5c | 6.5a | 0.001 | |
Guidelines on andropause in man health care | 50.0b | 15.1a | 3.2a | 0.001 | |
Early detection of breast cancer as a scheduled action for women's health | 100.0b | 82.1c | 64.5a | 0.006 | |
Identification and guidance of older adults’ caregivers | 95.0b | 44.3c | 12.9a | 0.001 | |
Evaluation of the caregiver's family functionality | 90.0b | 44.3c | 9.7a | 0.001 | |
Investigation of the caregiver's social support network | 75.0b | 34.9c | 9.7a | 0.001 | |
Informative support for caregivers | 75.0b | 55.7b | 19.4a | 0.001 | |
Evaluation of the caregiver’s stress | 85.0b | 26.4c | 0.0a | 0.001 | |
Support group for caregivers | 30.0b | 5.7a | 3.2a | 0.001 | |
Detection of violence against older adults by identifying symptoms | 100b | 72.6c | 32.3a | 0.001 | |
Detection of violence against older adults by listening to reports from other users | 90.0b | 74.5b | 38.7a | 0.001 | |
Detection of violence against older adults by their own declaration | 90.0b | 71.7a.b | 54.8a | 0.025 | |
Detection of violence against older adults by a case discussion | 85.0b | 40.6c | 9.7a | 0.001 | |
Detection of violence against older adults by team training | 80.0b | 24.5c | 0.0a | 0.001 | |
Detection of violence against older adults by home visits | 100.0b | 60.4c | 32.3a | 0.001 | |
Arraignment to the Social Assistance Reference Center (SARC) and the Specialized Social Assistance Reference Center (SSARC) after the identification of violence against older adults | 95.0b | 67.9c | 35.5a | 0.001 | |
Caregivers’ care and follow-up after the identification of violence against older adults | 75.0b | 34.0c | 6.5a | 0.001 | |
Compulsory notification after the identification of violence against older adults | 55.0b | 27.4a | 35.5a.b | 0.049 | |
Interdisciplinary care with service professionals after the identification of violence against older adults | 85.0b | 35.8c | 12.9a | 0.001 | |
Intersectoral follow-up of cases after the identification of violence against older adults | 50.0b | 7.5a | 0.0a | 0.001 | |
d2 | Scheduling periodic returns at the end of each care as a routine action for chronic noncommunicable diseases (CNCD) | 100.0b | 72.6a | 54.8a | 0.002 |
Clarification and guidance of examination results as a routine action for CNCD | 100.0b | 90.6b | 41.9a | 0.001 | |
Prescription renewal without medical appointment as a routine action for CNCD | 100.0b | 80.2c | 41.9a | 0.001 | |
Active search for people with CNCD | 85.0b | 54.7c | 12.9a | 0.001 | |
Physical activities guidance as a routine action for CNCD | 100.0b | 81.1c | 25.8a | 0.001 | |
Conducting support groups for people with CNCD | 90.0b | 32.1c | 0.0a | 0.001 | |
Registration of patients at high risk as a routine action for CNCD | 65.0b | 33.0c | 3.2a | 0.001 | |
Referral to specialized service and its follow-up as a routine action for CNCD | 90.0b | 36.8c | 9.7a | 0.001 | |
d2 | Referral to adherent group in the service as a strategy to non-adherents with CNCD | 30.0b | 10.4a | 6.5a | 0.027 |
Active search for non-adherents to the treatment with CNCD | 85.0b | 60.4c | 25.8a | 0.001 | |
Home visit as a strategy for non-adherents to the treatment with CNCD | 95.0b | 59.4c | 19.4a | 0.001 | |
Team discussion on approach alternatives as a strategy for non-adherents with CNCD | 85.0b | 37.7c | 6.5a | 0.001 | |
Discussion of cases of non-adherents with CNCD with external supervision | 25.0b | 11.3b | 0.0a | 0.019 | |
Convocation of missing adults with chronic diseases at risk of complications | 90.0b | 49.1a | 38.7a | 0.001 | |
Follow-up with protocol in the care of people with arterial hypertension | 75.0b | 44.3c | 9.7a | 0.001 | |
Three blood pressure measurements at different times in the care of people with arterial hypertension | 90.0b | 61.3c | 35.5a | 0.001 | |
Diet guidance in the care of people with arterial hypertension | 100.0b | 96.2b | 74.2a | 0.001 | |
Obesity treatment and/or prevention in the care of people with arterial hypertension | 100.0b | 67.9c | 25.8a | 0.001 | |
Periodic exam requests in the care of people with arterial hypertension | 100.0b | 86.8b | 61.3a | 0.001 | |
Introduction of non-drug therapy as a first alternative in the care of people with arterial hypertension | 85.0b | 56.6c | 16.1a | 0.001 | |
Cardiovascular risk assessment for drug therapy in the care of people with arterial hypertension | 100.0b | 57.5c | 22.6a | 0.001 | |
Group activities in the care of people with arterial hypertension | 85.0b | 50.9c | 6.5a | 0.001 | |
Guidance for physical activities in the care of people with arterial hypertension | 100.0b | 84.0b | 45.2a | 0.001 | |
Guidance and support for smoking cessation in the care of people with arterial hypertension | 95.0b | 64.2c | 19.4a | 0.001 | |
Investigation of alcohol and other drugs abuse in the care of people with arterial hypertension | 85.0b | 50.0c | 0.0a | 0.001 | |
Potassium as a routine examination for people with arterial hypertension | 100.0b | 92.5b | 71.0a | 0.001 | |
Triglycerides as a routine examination for people with arterial hypertension | 100.0a.b | 96.2b | 83.9a | 0.017 | |
Uric acid as a routine examination for people with arterial hypertension | 100.0b | 91.5b | 77.4a | 0.020 | |
Funduscopy as a routine examination for people with arterial hypertension | 55.0b | 18.9c | 3.2a | 0.001 | |
Dispensation of hydrochlorothiazide in the care of people with arterial hypertension | 100.0b | 86.8b | 67.7a | 0.004 | |
Dispensation of furosemide in the care of people with arterial hypertension | 100.0b | 86.8b | 67.7a | 0.004 | |
Dispensation of spironolactone in the care of people with arterial hypertension | 95.0b | 68.9c | 48.4a | 0.002 | |
Dispensation of atenolol in the care of people with arterial hypertension | 65.0a.b | 72.6b | 45.2a | 0.017 | |
Dispensation of propranolol in the care of people with arterial hypertension | 100.0b | 87.7b | 58.1a | 0.001 | |
Dispensation of methyldopa in the care of people with arterial hypertension | 95.0b | 79.2b | 58.1a | 0.006 | |
Dispensation of amlodipine besylate in the care of people with arterial hypertension | 65.0b | 59.4b | 25.8a | 0.002 | |
Dispensation of hydralazine hydrochloride in the care of people with arterial hypertension | 20.0b | 4.7%a | 6.5a.b | 0.049 | |
Dispensation of captopril in the care of people with arterial hypertension | 100.0b | 87.7b | 64.5a | 0.001 | |
Dispensation of enalapril in the care of people with arterial hypertension | 100.0b | 76.4a | 64.5a | 0.013 | |
Follow-up with protocol in the care of people with type 2 diabetes mellitus | 75.0b | 47.2c | 16.1a | 0.001 | |
Diet guidance for people with type 2 diabetes mellitus | 100.0b | 96.2b | 80.6a | 0.003 | |
Obesity treatment and/or prevention in the care of people with type 2 diabetes mellitus | 95.0b | 80.2b | 32.3a | 0.001 | |
Periodic exam requests in the care of people with type 2 diabetes mellitus | 100.0b | 90.6b | 67.7a | 0.001 | |
Control, evaluation and guidance of foot care for people with type 2 diabetes mellitus | 100.0b | 82.1c | 41.9a | 0.001 | |
Training for self-application of insulin in the care of people with type 2 diabetes mellitus | 100.0b | 82.1c | 51.6a | 0.001 | |
Glycometer supply in the care of people with type 2 diabetes mellitus | 90.0b | 75.5b | 48.4a | 0.002 | |
Group activities for people with type 2 diabetes mellitus | 95.0b | 52.8c | 6.5a | 0.001 | |
Physical activity guidance for people with type 2 diabetes mellitus | 100.0b | 84.0b | 32.3a | 0.001 | |
Guidance and support for smoking cessation for people with type 2 diabetes mellitus | 90.0b | 55.7c | 12.9a | 0.001 | |
Fasting blood sugar test as a routine examination for people with type 2 diabetes mellitus | 100.0a.b | 100.0b | 87.1a | 0.001 | |
Serum creatinine as a routine examination for people with type 2 diabetes mellitus | 95.0b | 86.8b | 71.0a | 0.039 | |
Glycated hemoglobin every three months, then every six months, as a routine examination for people with type 2 diabetes mellitus | 95.0b | 84.9b | 54.8a | 0.001 | |
Funduscopy as a routine examination for people with type 2 diabetes mellitus | 75.0b | 40.6c | 6.5a | 0.001 | |
Electrocardiography as a routine examination requested for people with type 2 diabetes mellitus | 85.0b | 66.0a.b | 48.4a | 0.026 | |
d2 | Dispensation of regular insulin in the care of people with type 2 diabetes mellitus | 90.0b | 77.4b | 58.1a | 0.024 |
Dispensation of metformin in the care of people with type 2 diabetes mellitus | 95.0b | 79.2b | 58.1a | 0.006 | |
Dispensation of glibenclamide in the care of people with type 2 diabetes mellitus | 100.0b | 80.2c | 54.8a | 0.001 | |
Diagnosis and referrals to other levels of care as an action to bedridden people care | 90.0b | 62.3c | 22.6a | 0.001 | |
Periodic visits with support team as an action to bedridden people care | 90.0b | 54.7c | 25.8a | 0.001 | |
Periodic visits with physician as an action to bedridden people care | 95.0b | 61.3a | 41.9a | 0.001 | |
Home procedures as an action to bedridden people care | 100.0b | 84.0b | 64.5a | 0.004 | |
Oral hygiene guidelines as an action to bedridden people care | 95.0b | 55.7c | 9.7a | 0.001 | |
Home dental care as an action to bedridden people care | 60.0b | 17.9c | 3.2a | 0.001 | |
Guidelines on social rights as an action to bedridden people care | 90.0b | 30.2c | 9.7a | 0.001 | |
Prevention and follow-up in cases of alcohol and other drug use and abuse as an action to bedridden people care | 85.0b | 8.5a | 0.0a | 0.001 | |
Registration in medical records of domiciliary actions as an action to bedridden people care | 100.0b | 71.7c | 22.6a | 0.001 | |
Family care in case of death as an action to bedridden people care | 95.0b | 24.5a | 12.9a | 0.001 | |
Discussion of cases with health network as an action to bedridden people care | 85.0b | 39.6c | 9.7a | 0.001 | |
d3 | Vehicle for service use | 75.0b | 39.6c | 19.4a | 0.001 |
Conducting electrocardiography in the service | 80.0b | 49.1a | 38.7a | 0.012 | |
Conducting rapid HIV test in the service | 75.0b | 49.1c | 22.6a | 0.001 | |
Older adults’ health as a theme of continuing training for the service team | 55.0b | 36.8b | 6.5a | 0.001 | |
Church–linked groups as a support or development of collaborative actions for older adults | 30.0b | 10.4a | 6.5a | 0.027 | |
SARC as a support for referrals and/or development of collaborative actions for older adults | 90.0b | 72.6a.b | 58.1a | 0.045 | |
SSARC as a support for referrals and/or development of collaborative actions for older adults | 55.0b | 31.1a | 22.6a | 0.047 |
Notes: Different letters represent statistically different values. p-value defined by the chi-square test.