IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0271158.html
   My bibliography  Save this article

Patient safety culture in primary health care: Medical office survey on patient safety culture in a Brazilian family health strategy setting

Author

Listed:
  • Gleiton Lima Araújo
  • Fábio Ferreira Amorim
  • Rafaela Cristina Pereira Santos de Miranda
  • Flávio Ferreira Pontes Amorim
  • Levy Aniceto Santana
  • Leila Bernarda Donato Göttems

Abstract

Study objectives: To assess the patient safety culture in Primary Health Care (PHC) setting after the transition to the Family Health Strategy (FHS) model in a Brazilian metropolitan area and compare the results between the categories of health care professionals. Methods: A cross-sectional study including 246 workers from primary health care services in Federal District, Brazil. Data collection took place from October to December 2019 through the Medical Office Survey on Patient Safety Culture (MOSPSC) application. Patient safety culture was considered positive when the score was above 60%. For comparisons between the categories of health care professionals’, the ANOVA and Kruskal-Wallis test were used for composite percent positive scores, and Pearson’s chi-square or Fishers exact test for frequency and percentage of positive responses. Results: The overall MOSPSC composite percent positive score was 49.9%. Among the 12 dimensions, only three showed a positive patient safety culture: Teamwork (73.1%), Organizational learning (62.9%), and Patient care tracking/follow-up (60.1%). The percentage of positive responses on overall quality assessment (78.1%) and overall patient safety assessment (78.0%) showed a positive evaluation. There was no significant difference in the composite percent positive score of overall MOSPSC (p = 0.135) and the percentage of positive responses on overall patient safety assessment (p = 0.156) between the categories of health care professionals. Overall quality assessment showed a significant difference between job roles (p

Suggested Citation

  • Gleiton Lima Araújo & Fábio Ferreira Amorim & Rafaela Cristina Pereira Santos de Miranda & Flávio Ferreira Pontes Amorim & Levy Aniceto Santana & Leila Bernarda Donato Göttems, 2022. "Patient safety culture in primary health care: Medical office survey on patient safety culture in a Brazilian family health strategy setting," PLOS ONE, Public Library of Science, vol. 17(7), pages 1-16, July.
    • Handle: RePEc:plo:pone00:0271158
    DOI: 10.1371/journal.pone.0271158
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0271158
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0271158&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0271158?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Romero Rocha & Rodrigo R. Soares, 2010. "Evaluating the impact of community‐based health interventions: evidence from Brazil's Family Health Program," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 126-158, September.
    2. Jasna Mesarić & Diana Šimić & Milica Katić & Ellen Catharina Tveter Deilkås & Dag Hofoss & Gunnar Tschudi Bondevik, 2020. "The safety attitudes questionnaire for out-of-hours service in primary healthcare—Psychometric properties of the Croatian version," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-17, November.
    3. Mayara Lisboa Bastos & Dick Menzies & Thomas Hone & Kianoush Dehghani & Anete Trajman, 2017. "The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-14, August.
    4. Ane Auraaen & Luke Slawomirski & Niek Klazinga, 2018. "The economics of patient safety in primary and ambulatory care: Flying blind," OECD Health Working Papers 106, OECD Publishing.
    5. repec:plo:pone00:0189557 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ferreira-Batista, Natalia N. & Postali, Fernando Antonio Slaibe & Diaz, Maria Dolores Montoya & Teixeira, Adriano Dutra & Moreno-Serra, Rodrigo, 2022. "The Brazilian Family Health Strategy and adult health: Evidence from individual and local data for metropolitan areas," Economics & Human Biology, Elsevier, vol. 46(C).
    2. Resul Cesur & Pinar Mine Gunes & Erdal Tekin & Aydogan Ulker, 2023. "Socialized Healthcare and Women’s Fertility Decisions," Journal of Human Resources, University of Wisconsin Press, vol. 58(3), pages 1028-1055.
    3. Sunhwa Shin & Mihwa Won, 2021. "Trend Analysis of Patient Safety Incidents and Their Associated Factors in Korea Using National Patient Safety Report Data (2017~2019)," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    4. Vânia Cristina Campelo Barroso Carneiro & Paulo de Tarso Ribeiro de Oliveira & Saul Rassy Carneiro & Marinalva Cardoso Maciel & Janari da Silva Pedroso, 2021. "Evidence of the effect of primary care expansion on hospitalizations: Panel analysis of 143 municipalities in the Brazilian Amazon," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-14, April.
    5. Marcelo Castro & Enlinson Mattos & Fernanda Patriota, 2021. "The effects of health spending on the propagation of infectious diseases," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2323-2344, September.
    6. Bhalotra, Sonia & Rocha, Rudi & R. Soares, Rodigo, 2016. "Does universalization of health work? Evidence from health systems restructuring and maternal and child health in Brazil," ISER Working Paper Series 2016-16, Institute for Social and Economic Research.
    7. Bancalari, Antonella & Berlinski, Samuel & Buitrago, Giancarlo & García, María Fernanda & Mata, Dolores de la & Vera-Hernández, Marcos, 2023. "Health Inequalities in Latin American and the Caribbean: Child, Adolescent, Reproductive, Metabolic Syndrome and Mental Health," IDB Publications (Working Papers) 13158, Inter-American Development Bank.
    8. Alessandro Rizzi & Enrico Sorano & Stefano A. Cerrato & Federico Riganti & Alessandro Stiari & Ernesto Macrì & Alberto Sardi, 2021. "Civil Liability of Regional Health Services: The Case of the Piedmont Region," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    9. Singhal, Sonica & Correa, Rejane & Quiñonez, Carlos, 2013. "The impact of dental treatment on employment outcomes: A systematic review," Health Policy, Elsevier, vol. 109(1), pages 88-96.
    10. Mateus Dias & Luiz Felipe Fontes, 2024. "The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 257-289, August.
    11. Leonardo Graever & Aurora Felice Castro Issa & Viviane Belidio Pinheiro da Fonseca & Marcelo Machado Melo & Gabriel Pesce de Castro da Silva & Isabel Cristina Pacheco da Nóbrega & Leonardo Cançado Mon, 2023. "Telemedicine Support for Primary Care Providers versus Usual Care in Patients with Heart Failure: Protocol of a Pragmatic Cluster Randomised Trial within the Brazilian Heart Insufficiency with Telemed," IJERPH, MDPI, vol. 20(11), pages 1-16, May.
    12. Vinícius Halmenschlager & Alexandre Nunes de Almeida & Felipe Garcia Ribeiro & Carolina Silva da Trindade, 2025. "The Effects of Hydrological Disasters on the Population's Health in the Northeast Region of Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 34(5), pages 855-868, May.
    13. Bhalotra, Sonia R. & Rocha, Rudi & Soares, Rodrigo R., 2019. "Does Universalization of Health Work? Evidence from Health Systems Restructuring and Expansion in Brazil," IZA Discussion Papers 12111, Institute of Labor Economics (IZA).
    14. Mattos, Enlinson & Mazetto, Debora, 2019. "Assessing the impact of more doctors’ program on healthcare indicators in Brazil," World Development, Elsevier, vol. 123(C), pages 1-1.
    15. dos Santos, Anderson Moreira Aristides & Triaca, Lívia Madeira & Tejada, Cesar Augusto Oviedo, 2021. "Evolution of inequalities in health care use among older people in Brazil: Evidence for the period 1998–2019," The Journal of the Economics of Ageing, Elsevier, vol. 20(C).
    16. Nishijima, Marislei & Sarti, Flavia Mori & Canuto, Otaviano, 2020. "Does the Brazilian policy for oil revenues distribution foster investment in human capital?," Energy Economics, Elsevier, vol. 88(C).
    17. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    18. Mattos, Enlinson & Mazetto, Débora, 2018. "Assessing the impact of More Doctors Program on health care indicators," Textos para discussão 494, FGV EESP - Escola de Economia de São Paulo, Fundação Getulio Vargas (Brazil).
    19. Charris, Carlos & Branco, Danyelle & Carrillo, Bladimir, 2024. "Economic shocks and infant health: Evidence from a trade reform in Brazil," Journal of Development Economics, Elsevier, vol. 166(C).
    20. Sonia Bhalotra & Letícia Nunes & Rudi Rocha, 2020. "Urgent Care Centers, Hospital Performance and Population Health," Working Papers 10, Instituto de Estudos para Políticas de Saúde.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0271158. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.