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. 2020 Jan 14;54:6. doi: 10.11606/s1518-8787.2020054001370

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.