Abstract

OBJECTIVE: To construct and validate a questionnaire to evaluate the quality of oral health services in primary health care, from patients. 
 
 METHODS: Initially a theoretical model of evaluation of Primary Health Care was elaborated, based on the evaluation of primary care and integrality in primary care. This model served as the basis for the script of a focus group with patients, aiming to verify the attributes perceived as important for such evaluation. The focus group results substantiated the first version of the questionnaire. Content validation was performed through a committee of experts (five teachers/researchers) and face validation in two pre-tests (37 patients each pre-test). For construct validation, factor analysis was performed and reliability (Kappa coefficient) and internal consistency (Cronbach's alpha) were verified. 
 
 RESULTS: Thirty questions were considered for exploratory factor analysis. The anti-image matrix of covariances showed the need to exclude fourteen questions (values <0.5). After this initial analysis, 16 questions remained in the questionnaire. The KMO test, considering the 16 questions, presented a value of 0.84. Cronbach's alpha was 0.919. The final version contains 16 questions divided into two dimensions: my health unit and the care in my health unit. 
 
 CONCLUSIONS: The questionnaire allows a strategy that easily evaluates oral health services in primary care, based on the perception of patients.

Highlights

  • The evaluation of systems and programs has occupied an increasing space in the process of consolidating services in the health area

  • Thirty questions were considered for exploratory factor analysis

  • The final version contains 16 questions divided into two dimensions: my health unit and the care in my health unit

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Summary

Introduction

The evaluation of systems and programs has occupied an increasing space in the process of consolidating services in the health area. Assessments are seen as an important part of an effort to redirect professional and institutional practices. They can produce data necessary for accountability to society on the use of committed resources, as well as on the progress of the programs currently in force, empowering management with appropriate tools in the various processes decision-making (Felisberto, 2006). Patients are not yet configured as fundamental subjects in the process of evaluation of health services (Esperidião & Trad, 2005), which is a mistake. Patients' views are seen as an effort in which individual and citizenship rights are reaffirmed, contributing to empowerment, in a political and social dimension (Kleba & Wendhausen, 2010)

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