Construction and validation of a matrix for normative evaluation of the integrated health system of the borders.

Luciana Aparecida Fabriz,Valéria Conceição de Oliveira,Ione Carvalho Pinto,Fabiana Costa Machado Zacharias,Denise Ferro,Silvia Helena Valente

doi:10.1590/1518-8345.4141.3433

Abstract

Objective: to build and validate a matrix for normative evaluation of the Integrated Health System of Borders. Method: a methodological study, composed by the construction of an evaluation matrix elaborated in three stages: elaboration of the logical model, containing the triad of structure, process and result; definition of evaluative questions and appearance and content validation of the matrix. Appearance and content validation were performed simultaneously by seven judges. For data collection, an online questionnaire and the Delphi technique were used and, for analysis, the Content Validity Index and Content Validity Ratio.Results: the evaluation matrix containing 24 questions was submitted to two evaluations for its appearance and content validation. In the first, the overall mean Content Validity Index was 99.40% and the Content Validity Ratio was 0.90. In the second, the Content Validity Index was 100% and the Content Validity Ratio, 1.0; there were no new proposals and the matrix was made up of 24 questions. The matrix was considered intelligible in terms of appearance validation.Conclusion: the evaluation matrix of the Integrated Health System of the Borders is validated in terms of appearance and content for analyzing the performance of public actions and policies in border regions.

Highlights

IntroductionBetween the local and the international space, it is where the border peoples are located, which are the people who live, articulate and establish bonds
The concept of borders has been improved over the years, ceasing to be seen only as barriers, and becoming contact zones and places for regional integration[1].In the international borders, between the local and the international space, it is where the border peoples are located, which are the people who live, articulate and establish bonds
The mobility of people across international borders is a worldwide phenomenon and can cause divergences when the countries present economic discrepancies, as is the case of the United States of America (USA), which adopts rigid standards on the border with Mexico, due to the Mexicans searching for better living conditions in the USA, in addition to the flow of illegal drugs and due to trade; in contrast, this problem does not occur on the border between the USA and Canada, as the countries have economic equivalence[3]

Summary

Introduction

Between the local and the international space, it is where the border peoples are located, which are the people who live, articulate and establish bonds. In this context, pendular migration takes place, which consists of people moving from their country of origin to the neighboring country, for work, study, or other reasons[2]. The surplus foreign population is not counted for financial transfer in border municipalities[5]

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Discussion

Conclusion