Evaluation of Primary Care Accessibility and Longitudinality in Granada Using Primary Care Assessment Tools

Objective: To assess accessibility and longitudinality performance in Primary Care Teams of Granada from the point of view of Clinical Team Leaders. Any differences will also be determined in the performance of these 2 functions depending on the environment of the Primary Care Centres (urban, rural or suburban). Method: A cross-sectional descriptive study using the "Primary Care Assessment Tool" (PCAT) questionnaire on all Primary Care Team managers from "Granada-Metropolitan" Primary Health Care District (n = 35). The Objective functions were described using the mean numerical scores obtained through the questionnaire. A mean score of >= 3 shows good performance. A bivariate analysis by Prevalence ORs was performed to study the factors related to a good performance. Results: Granada-Metropolitan Primary Health District achieved a good accessibility performance (3.03). Differences were found depending on the Primary Care Team environment (OR rural/urban=32). Only Primary Care Centres with emergency services had a good accessibility scores. A good longitudinality performance was assessed by 94% of Clinical Team Leaders, with a better performance in the urban areas (OR urban/rural = 7.5). Primary Care Teams with trainees in Family and Community Medicine achieved better longitudinality results. Conclusions: Primary Care Teams from Granada Primary Health Care District achieved a good performance in Accessibility and Longitudinality in the PCAT Facilities questionnaire, from the point of view of their Clinical Team Leaders. However, it would be interesting to check these items from a user and provider perspective. According to this study, good accessibility was related to the availability of emergency services.