Comparative analysis of primary health care attributes between children under and over 3 years of age using the primary care assessment tool

array:22 ["pii" => "S1807593224000309" "issn" => "18075932" "doi" => "10.1016/j.clinsp.2024.100353" "estado" => "S250" "fechaPublicacion" => "2024-01-01" "aid" => "100353" "copyright" => "HCFMUSP" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:17 [ "pii" => "S1807593224000267" "issn" => "18075932" "doi" => "10.1016/j.clinsp.2024.100349" "estado" => "S250" "fechaPublicacion" => "2024-01-01" "aid" => "100349" "copyright" => "HCFMUSP" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Original articles" "titulo" => "Prognostic model on pregnancy outcomes for women with recurrent spontaneous abortions treated with cyclosporin A: A single-institution experience" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "en" ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0001" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2010 "Ancho" => 2000 "Tamanyo" => 89830 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0001" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "The area under the receiver operating characteristic curve for predicting pregnancy success." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ze-Ming Zhang, Na Zhang, Xiao-Fei Wang" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ze-Ming" "apellidos" => "Zhang" ] 1 => array:2 [ "nombre" => "Na" "apellidos" => "Zhang" ] 2 => array:2 [ "nombre" => "Xiao-Fei" "apellidos" => "Wang" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Highlights" "clase" => "author-highlights" "resumen" => "<ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001">•The prognostic model for pregnancy outcomes was constructed.</li><li class="elsevierStyleListItem" id="celistitem0002">•The prognostic factors included age, ANA, and anti-β2 glycoprotein I antibody levels.</li><li class="elsevierStyleListItem" id="celistitem0003">•The prognostic models showed higher value for predicting pregnancy success.</li></ul>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000267?idApp=UINPBA00004N" "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000267/v123_202411010523/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S1807593224000292" "issn" => "18075932" "doi" => "10.1016/j.clinsp.2024.100352" "estado" => "S250" "fechaPublicacion" => "2024-01-01" "aid" => "100352" "copyright" => "HCFMUSP" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Original articles" "titulo" => "Patients who received sleeve gastrectomy have lower plasma osteopontin levels than those who did not" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "en" ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0001" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3380 "Ancho" => 2917 "Tamanyo" => 329915 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0004" "detalle" => "Fig " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "HGF and OPN levels of Group 1 and Group 2. HGF, Hepatocyte Growth Factor; OPN, Osteopontin." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Doğan Öztürk, Arzu Or Koca, Müge Keskin, Bülent Öztürk, Esra Fırat Oğuz, Turan Turhan, Hakan Buluş" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Doğan" "apellidos" => "Öztürk" ] 1 => array:2 [ "nombre" => "Arzu Or" "apellidos" => "Koca" ] 2 => array:2 [ "nombre" => "Müge" "apellidos" => "Keskin" ] 3 => array:2 [ "nombre" => "Bülent" "apellidos" => "Öztürk" ] 4 => array:2 [ "nombre" => "Esra Fırat" "apellidos" => "Oğuz" ] 5 => array:2 [ "nombre" => "Turan" "apellidos" => "Turhan" ] 6 => array:2 [ "nombre" => "Hakan" "apellidos" => "Buluş" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Highlights" "clase" => "author-highlights" "resumen" => "<ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001">•Obesity causes higher plasma OPN levels and higher expression of OPN in adipose tissue.</li><li class="elsevierStyleListItem" id="celistitem0002">•OPN and HGF are promising biomarkers that can be used to detect problems related to obesity.</li><li class="elsevierStyleListItem" id="celistitem0003">•Patients in the early post-SG period had lower plasma OPN and similar plasma HGF compared to nonsurgical patients.</li><li class="elsevierStyleListItem" id="celistitem0004">•After bariatric surgery, despite down-regulation of local OPN expression in adipose tissue, a significant increase in circulating OPN concentrations occurs</li></ul>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000292?idApp=UINPBA00004N" "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000292/v123_202411010523/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "Original articles" "titulo" => "Comparative analysis of primary health care attributes between children under and over 3 years of age using the primary care assessment tool" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luciana Harumi Miranda Omori, Deoclecio Avigo, Itamar de Souza Santos, Gustavo Diniz Ferreira Gusso, Maria Teresa Bechere Fernandes" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Luciana Harumi Miranda" "apellidos" => "Omori" ] 1 => array:2 [ "nombre" => "Deoclecio" "apellidos" => "Avigo" ] 2 => array:2 [ "nombre" => "Itamar de Souza" "apellidos" => "Santos" ] 3 => array:2 [ "nombre" => "Gustavo Diniz Ferreira" "apellidos" => "Gusso" ] 4 => array:4 [ "nombre" => "Maria Teresa Bechere" "apellidos" => "Fernandes" "email" => array:1 [ 0 => "maria.teresa@fm.usp.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0001" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil" "identificador" => "aff0001" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0001" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "textoCompleto" => "IntroductionChild health is a priority area in population care. For their proper development, in addition to knowledge about the characteristics of morbidity and mortality indicators, it is necessary to understand their biological, demographic, and socioeconomic aspects. The set of actions currently in Brazil has a strong emphasis on children in early childhood (especially in the first two years of life), with the National Policy for Comprehensive Child Health Care (NPCCHC) standing out among them. [<a class="elsevierStyleCrossRef" href="#bib0001">1</a>,<a class="elsevierStyleCrossRef" href="#bib0002">2</a>]The relevance of early childhood for a child's proper development is well known, and efforts aiming for better health during this period are justified. Despite being a country with heterogeneous realities, the primary indicator reflecting the improvement in the quality of child healthcare resulting from the strengthening of Primary Health Care (PHC) in Brazil is the infant mortality rate. This rate has shown a significant decrease in recent decades, dropping from 29 in 2000 to 12 per 1000 live births in 2021. [<a class="elsevierStyleCrossRef" href="#bib0003">3</a>,<a class="elsevierStyleCrossRef" href="#bib0004">4</a>]However, the increase in non-communicable chronic diseases is a reality not only for adults but is also increasingly affecting the pediatric age group, from preschoolers to adolescents. This is due to the increase in obesity and its comorbidities, behavioral problems, and mental health issues (which also impact academic performance). [<a class="elsevierStyleCrossRef" href="#bib0005">5</a>,<a class="elsevierStyleCrossRef" href="#bib0006">6</a>]The percentage of Brazilian preschoolers with excess weight (obesity and overweight) is 10%. <a class="elsevierStyleCrossRef" href="#bib0005">[5]</a> For Brazilian children and adolescents, there is a prevalence of 12%‒14% for Metabolic Syndrome (METS), <a class="elsevierStyleCrossRef" href="#bib0007">[7]</a> 14% for high blood pressure, <a class="elsevierStyleCrossRef" href="#bib0008">[8]</a> and 20% for mental health disorders. <a class="elsevierStyleCrossRef" href="#bib0006">[6]</a> Strategic Axis IV of the NPCCHC, <a class="elsevierStyleCrossRef" href="#bib0001">[1]</a> focuses on Comprehensive Care for Children with Prevalent Childhood Illnesses and Chronic Diseases, and outlines actions for some of these issues. However, in the practice of Primary Health Care Units (PHCUs), these issues often go unnoticed by the healthcare team. Additionally, the families of these children typically have little knowledge about these conditions during this phase of life.Another point to highlight, as envisioned in the NPCCHC, is the intersectoral actions, especially relevant for promoting health and preventing the previously mentioned morbidities. One noteworthy intersectoral program is the “Health in Schools” program, established in 2007 through Decree 6286 as a federal program. This program aims to create agreements between PHCUs and schools, collaborating on various aspects of primary healthcare. Despite being considered a potent program, it is predominantly used for curative actions rather than preventive actions. <a class="elsevierStyleCrossRef" href="#bib0009">[9]</a>In Brazil, the construction of PHC began in the 1920s, and expanded in 1988 with the promulgation of the Federal Constitution in Brazil and the establishment of the Unified Health System (UHS). It was organized from the 1990s into family health programs that became known as the Family Health Strategy (FHS) from 2006 onwards. The Ministry of Health, in addition to organizing UHS, oversees its operation. In Primary Care, guiding principles are based on the attributes described by Starfield <a class="elsevierStyleCrossRef" href="#bib0010">[10]</a> and its assessment can be conducted by Primary Care Assessment Tool-Brazil (PCA Tool). <a class="elsevierStyleCrossRefs" href="#bib0011">[11–13]</a>The PCA Tool was developed by Starfield and colleagues, based on Donabedian's model for assessing service quality (structure, process, and outcomes). <a class="elsevierStyleCrossRef" href="#bib0014">[14]</a> It filled a gap in the scientific literature since there were few studies evaluating the performance of PHC until then. This instrument is in the public domain and has been adopted by the World Health Organization (WHO). Moreover, it has been adapted and validated in different countries such as Brazil, <a class="elsevierStyleCrossRefs" href="#bib0015">[15–17]</a> South Korea, <a class="elsevierStyleCrossRef" href="#bib0018">[18]</a> and Spain. <a class="elsevierStyleCrossRef" href="#bib0019">[19]</a>Despite the significant advances related to child health, various studies show that the evaluation of its action in PHC is deficient. <a class="elsevierStyleCrossRef" href="#bib0020">[20]</a> There is a shortage of government programs and public health measures for this new epidemiological scenario of child health, which raises concerns in society about the health of children aged three years or older.Therefore, this study aims to analyze whether there is a difference in the evaluation of PHC attributes among caregivers responsible for children in different age groups, emphasizing the importance of a detailed look from the age of three onwards.Materials and methodsThe present study had a cross-sectional design and followed the STROBE Statement. It was conducted in PHCUs and Ambulatory Medical Assistance (AMA) facilities in the Western Region of the city of São Paulo, under the responsibility of the Technical Health Supervision of Butantã. The Butantã Regional Municipality is one of the 32 regional municipalities in the city of São Paulo, responsible for an area of 56.1 km2 and inhabited by approximately 428 thousand people, with a population density of 7633 inhabitants/km2, and a Human Development Index (HDI) of 0.885, the eighth highest in the city. <a class="elsevierStyleCrossRef" href="#bib0021">[21]</a>PHCUs are responsible for a coverage area established by the municipal health technical supervision, with the responsibility of providing longitudinal care to the residents in their territory through the FHS program. On the other hand, AMAs serve users regardless of their address, providing open access for acute demands and serving as a reference for spontaneous demand for a group of PHCUs near their territory.Data collection took place between 2014 and 2015 in the following Primary Health Care Units: Jardim Boa Vista, Jardim D'Abril, and Vila Dalva, and in the Ambulatory Medical Assistance services: AMA Paulo VI, AMA Vila Nova Jaguaré, and AMA Vila Sônia. This research assessed users of health services, PHCUs, and AMAs using the PCA Tool-Brazil instrument.The data analyzed in this study belong to the project “Evaluation of Primary Health Care Units, Family Health Teams, and Ambulatory Medical Assistance using the Primary Care Assessment Tool”. The research was submitted and approved by the Ethics and Research Committees of the City of São Paulo and the School of Medicine of USP. CAAE: 32,815,414.3.0000.0065.Population and sampleThe study targeted the users of the health units mentioned earlier. Interviewers (trained scholarship holders) conducted the research at the entrance of each of these health services, inviting the caregiver accompanying the child who was leaving the service (not necessarily medical care) of the evaluated PHCUs/FHS and AMAs. All children could participate in the study, regardless of their health condition.This study used data related to children aged 0 to 12 years. A total of 311 interviews were conducted, and 158 (50.8%) of these children were aged three or older.It states that in the original study, adult participants <a class="elsevierStyleCrossRef" href="#bib0022">[22]</a> were included, while in the current study, only data related to children were used. To validate the sample, a “sample power calculation” was performed, considering the total number of evaluated children (311), with a 5% alpha error, a score difference between age groups of 0.15, and a standard deviation of 0.38. <a class="elsevierStyleCrossRef" href="#bib0023">[23]</a> Therefore, the statistical power for this sample was determined to be 80%.Exclusion criteriaUsers who had never been attended to at the health unit where they were being interviewed or who were accompanied by minors under the age of 18 were excluded.InstrumentsThe instrument used was the PCA Tool-Brazil child version, published by the Ministry of Health in 2010. The calculation of the assessment scores followed the PCA Tool Manual. <a class="elsevierStyleCrossRef" href="#bib0011">[11]</a>The socio-demographic data collected included the gender and age of the interviewer and the child, the interviewer's level of education, and economy class, according to the socioeconomic questionnaire of the Brazil Economy Classification Standard/2008. <a class="elsevierStyleCrossRef" href="#bib0024">[24]</a> According to the Brazilian system, education is categorized into 5 levels: 1) Incomplete elementary school (less than five years of education), 2) Complete elementary school (five complete years of education), 3) Complete middle school (nine years of education), 4) Complete high school (twelve years of education), and 5) Bachelor's degree.Calculation of pca tool scoresThe PCA Tool was created by Starfield, Shi, and colleagues <a class="elsevierStyleCrossRef" href="#bib0013">[13]</a> as an assessment tool for the structures and processes of PHC, measuring its attributes from the perspective of healthcare professionals and users. <a class="elsevierStyleCrossRef" href="#bib0025">[25]</a> It was validated in Brazil in 2006 by Harzheim and colleagues. <a class="elsevierStyleCrossRefs" href="#bib0015">[15–17]</a> The child version questionnaire assesses 55 items distributed into 10 components (A‒J) related to the attributes of PHC.A. Affiliation: identification of the user with the service and identification of a service or professional (doctor/nurse) as the reference for the patient's healthcare.B. First Contact - Utilization: the extent of access for utilization (appointments, referrals to/from specialists, acute complaints).C. First Contact - Accessibility: service structure, including location and hours.D. Longitudinality: temporal continuity of healthcare services, including an interpersonal relationship that expresses mutual trust between users and professionals.E. Coordination - Care Integration: coordination between different services and actions (referral/counter-referral).F. Coordination - Information Systems: medical record keeping and access to this information by the caregiver.G. Completeness - Available Services: services present in the unit or offered by it.H. Completeness - Services Provided: services received or offered (including preventive and health promotion guidance).I. Family Orientation: recognition of family factors in determining an individual's health and disease treatment, considering the family as the subject of care.J. Community Orientation: recognition of environmental and community factors in determining health and disease treatment (including home visits and invitations to participate in Health Councils).The calculation of scores followed the recommendations of the PCA Tool-Brazil Application Manual <a class="elsevierStyleCrossRef" href="#bib0011">[11]</a> and is described in detail in Deoclecio Avigo's Doctoral Thesis – “Evaluation of the attributes of primary healthcare in two coexisting models in the western region of the city of São Paulo, using the Primary Care Assessment Tool”. <a class="elsevierStyleCrossRef" href="#bib0022">[22]</a>Statistical analysisA global analysis of pediatric data was conducted according to the child's age group. Categorical variables were presented as counts and proportions. Comparison between groups with ages under and over three years was performed using the Chi-Square test for categorical variables. Quantitative variables were expressed as means and standard deviations, and comparisons between groups were made using analysis of variance (ANOVA).The subsequent step involved comparing scores between AMAs for children under and over three years of age, as well as between PHCUs/FHS for the same pediatric age groups, using analysis of variance (ANOVA).Subsequently, a linear regression model was developed to identify a relationship between the overall and essential scores and the type of healthcare unit (AMA or PHCU/FHS), considering the age cutoff of three years for children. Adjustment variables for the model included the age of the caregiver (equal or over thirty years), the sex of the child and the caregiver, as well as the caregiver's education (with the cutoff point being the completion of high school).For statistical analysis, the R software (R Project for Statistical Computing) <a class="elsevierStyleCrossRef" href="#bib0026">[26]</a> was used, with a significance level set at 0.05.ResultsA total of 311 interviews were conducted, with 153 interviews involving children under the age of three and 158 involving children aged three or older. The interviews were conducted at three AMAs (Jaguaré, Paulo VI, and Vila Sônia) and three PHCUs/FHS (Jardim D'Abril, Vila Dalva, and Jardim Boa Vista); at each of the specified locations, caregivers of 52 children were interviewed, with the exception of PHCU/FHS Jardim Boa Vista, where 51 assessments were conducted. <a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> presents information about the sociodemographic data of the children and their caregivers, organized according to age groups.<elsevierMultimedia ident="tbl0001"></elsevierMultimedia>The results from <a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> indicate a balanced representation of both sexes among the children in this study. Caregivers, for the most part, are female and with a mean age of 31 years. The majority of caregivers have a satisfactory level of education. However, it is important to note that 22% of them have only completed Elementary School. Caregivers of younger children have higher levels of education compared to caregivers of children older than three years of age. Additionally, they are also younger than their counterparts as well.<a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a> shows the comparison of PCA Tool scores between age groups. It is observed that the scores evaluating affiliation, longitudinality, coordination, and completeness have higher scores in the group of children under three years of age, in both types of healthcare services, with statistically significant differences. These values influence the scores of the essential and overall scores. However, it is important to note that these scores do not reach the ideal cutoff point, which is greater or equal to 6.6.<elsevierMultimedia ident="tbl0002"></elsevierMultimedia><a class="elsevierStyleCrossRefs" href="#tbl0003">Tables 3 and 4</a> present the assessment of scores between the age groups studied, considering the type of healthcare service, AMA or PHCU/FHS. When analyzing these tables, it is noticeable that, for both services, the score “Coordination - Information Systems” exhibits a statistically significant difference between the different age groups. This suggests that younger children have a greater number of health-related records, possibly due to more frequent visits to healthcare services.<elsevierMultimedia ident="tbl0003"></elsevierMultimedia><elsevierMultimedia ident="tbl0004"></elsevierMultimedia>In <a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>, the affiliation attribute also showed a significantly higher score in the group of children under three years old.<a class="elsevierStyleCrossRef" href="#tbl0005">Table 5</a> presents the construction of a linear regression model to assess the relationship between essential and overall scores and the type of healthcare unit, considering the age group of the children. The model was adjusted for the age of the caregiver (equal to or greater than 30 years), the sex of the child and the caregiver, and the caregiver's education level (using completion of high school as the cutoff point). It is noteworthy that the essential score for PHCU/FHS shows a tendency to have lower values in the assessments of children over three years of age.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>DiscussionThis study is the first to comparatively assess the attributes of PHC using the PCA Tool instrument across pediatric age groups, considering the age of three as the cutoff point (children under three years old and those three years and older). This cutoff point ensured a balanced distribution of age groups in the samples of children in AMAs and PHCUs, as well as allowed an evaluation of early and late childhood. During this period, children exhibit significant gains in both growth and development and access health services very frequently. <a class="elsevierStyleCrossRef" href="#bib0027">[27]</a>Comparative results between age groups show higher essential and overall scores in the assessment of children under three years old, with the essential score significantly better for this phase of life (6.1 compared to 5.5, as shown in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>). This indicates that services offered for early childhood are positively recognized by the population, although this score does not reach the ideal value of 6.6, according to the literature. [<a class="elsevierStyleCrossRef" href="#bib0013">13</a>,<a class="elsevierStyleCrossRef" href="#bib0020">20</a>,<a class="elsevierStyleCrossRef" href="#bib0028">28</a>,<a class="elsevierStyleCrossRef" href="#bib0029">29</a>] The authors also observed that the scores that showed statistically significant differences in both groups (under three years old and three years and older) were the following: affiliation (4.9 vs. 3.8), continuity of care (5.7 vs. 5.2), coordination - information system (7.4 vs. 6.3), and completeness - services provided (5.4 vs. 4.5).Although it did not reach the ideal score, continuity of care was higher in younger children, indicating that the follow-up proposed by the Ministry of Health, with scheduled appointments, is being implemented and recognized as important by the population. From the age of three, the lower score for this attribute reflects that child health follow-up becomes primarily on-demand, meaning that care focuses on acute illnesses and is less effective in promoting health. It is remarkable that the increase in non-communicable chronic diseases occurs insidiously and is noticed late by caregivers, making it difficult to provide guidance on lifestyle habits and the management of comorbidities. Other studies in the literature, regardless of age group analysis, have also found that healthcare units perform poorly in terms of preventing illnesses and promoting health. <a class="elsevierStyleCrossRef" href="#bib0030">[30]</a>Similarly, to the previous discussion, the same analysis can be applied to the attribute completeness - services provided, which assesses the services offered or received. In this context, issues such as healthy eating, hygiene, sleep, accident prevention, as well as child behavior and development, are more comprehensively addressed in scheduled and frequent appointments.The attribute coordination - information system obtained a score above the ideal for children under three years of age in this study. This may indicate that in the evaluated units, where Family Medicine residency programs are in place, clinical records are an integral part of the training of these professionals. Ensuring adequate information is crucial for the safety of childcare, and several studies [<a class="elsevierStyleCrossRef" href="#bib0031">31</a>,<a class="elsevierStyleCrossRef" href="#bib0032">32</a>] have shown that recording patient information plays a crucial role both in the appointment itself and in understanding the individual's health progress.In the group of children under 3 years old, in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>, the affiliation attribute obtained a higher score. However, a more accurate understanding can be gained from <a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>, as the high scores observed in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a> result from the evaluation of this attribute in the PHCU/FHS, not in the AMA. The degree of affiliation reflects the perception of this health service/professional as fundamental in promoting user care.Of the four most recent studies <a class="elsevierStyleCrossRefs" href="#bib0033">[33–36]</a> that assessed affiliation, three of them presented scores above 6.6. <a class="elsevierStyleCrossRefs" href="#bib0033">[33–35]</a> One of these studies was conducted with caregivers of children with Type 1 Diabetes Mellitus, <a class="elsevierStyleCrossRef" href="#bib0035">[35]</a> a chronic condition that presupposes a strong bond between the user and the responsible professional. The most methodologically well-designed study, more accurately representing the assessment of children's health, was conducted in the city of Rio de Janeiro, where the children's experience with FHS services was well evaluated, achieving a score of 7.59. <a class="elsevierStyleCrossRef" href="#bib0033">[33]</a>In <a class="elsevierStyleCrossRefs" href="#tbl0003">Tables 3 and 4</a>, when considering both age group and type of service (PHCU/FHS), it is noted that the attribute coordination - information system obtained a higher score in the group of children under three years old. Based on these data, the authors may speculate that the medical record is recognized by the child's guardian as an effective tool for both acute demands and longitudinal follow-up, especially during early childhood. This is supported by Silva et al.’s results. <a class="elsevierStyleCrossRef" href="#bib0037">[37]</a> In their study, when assessing the perception of caregivers of children up to two years of age who exclusively attended PHCUs/FHS, they found a high score for this attribute.In the analysis of attributes between age groups in relation to the location of care (PHCU/FHS), several high scores can be observed. Although there is no statistical difference between the groups, the highest values are related to coordination - care integration (8.6 vs. 9.0) and community orientation (9.5 vs. 9.9). The result of the community orientation attribute stands out, as it does not coincide with what was found in other studies. [<a class="elsevierStyleCrossRef" href="#bib0037">37</a>,<a class="elsevierStyleCrossRef" href="#bib0038">38</a>] It is inferred from this result that the work of the Family Health Strategy in the development of collective health has been extremely satisfactory for both age groups and can play an important role in preventing non-communicable chronic diseases for preschool and school-age children.Given the proposal to create AMAs <a class="elsevierStyleCrossRef" href="#bib0039">[39]</a> with the aim of increasing access to PHC, this study revealed that the attribute access - utilization performed satisfactorily in both age groups, exceeding the ideal value when assessed in the group of children aged three and older (7.0, as shown in <a class="elsevierStyleCrossRef" href="#tbl0004">Table 4</a>). However, when analyzing the accessibility aspect of access, which indicates service structure, location, and hours, this score was insufficient in both groups, confirming findings from a previous study. <a class="elsevierStyleCrossRef" href="#bib0039">[39]</a>The other attributes received insufficient evaluations in both age groups, with a maximum of 6.6 for the coordination-information system parameter in the group of children under three years old. These results demonstrate concerns regarding the effectiveness and quality of the service provided.Regarding the sociodemographic profile of the studied population, it is observed that children under three years of age were predominantly cared for by young women with higher education compared to the other group (<a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a>). This can lead to different perspectives and perceptions regarding the studied attributes.In linear regression models, the authors observed a non-significant trend towards better overall and essential scores in the evaluations of the group of children under three years old attending PHCUs/FHS. Although no statistical significance was observed, this result may reflect that strategies for early childhood are positively recognized by the population, according to the PCATool domains, especially when it comes to PHCUs/FHS.Current literature points to other opportunities for implementing nutritional and developmental programs for preschoolers, school-age children, and adolescents. <a class="elsevierStyleCrossRef" href="#bib0040">[40]</a> From this perspective, healthcare units have failed to recognize and manage health issues related to nutritional problems, such as overweight, as well as deficits and childhood developmental disorders. This situation is exacerbated by the lack of population awareness regarding these conditions, making it imperative to adopt a new approach in terms of public policies for children beyond early childhood.One limitation of this research is that the results represent a privileged area of health access and, above all, rely on highly qualified professionals. This is because all the healthcare units studied have residency programs in Family Medicine at the University of São Paulo. This bias may have positively influenced the essential and overall scores related to PHCUs/FHS (<a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>), which does not correlate with the national reality. AMA is a service exclusive to the city of São Paulo and is less studied compared to more traditional PHC services. Although the AMA is classified as part of Primary Health Care and, therefore, was evaluated by the PCA Tool, specific aspects of this strategy may require evaluation by other instruments.Other limitations are related to the lower scores observed in various attributes evaluated in the AMA service, impacting the averages presented in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>. Additionally, the data were collected within UBSs and AMAs, which could introduce bias in the scores of items related to access (B and C).ConclusionThe attributes of PHC, with a focus on affiliation, continuity of care, coordination, and completeness, received more favorable assessments in the group of children under three years of age when considering all services, including AMAs and PHCUs/FHS. When analyzing the services separately, it was observed that the coordination-information system attribute scored higher in the group of children under three years old. Additionally, in the PHCU/FHS service, the affiliation attribute also recorded higher scores in the same group of children.The linear regression analysis indicated a trend of lower essential scores when evaluating children over three years of age.This study suggests the system of care for children aged three years or older may need priority improvement in response to new health demands.CRediT authorship contribution statementLuciana Harumi Miranda Omori: Conceptualization, Resources, Visualization, Writing – original draft. Deoclecio Avigo: Software, Investigation, Resources, Visualization. Itamar de Souza Santos: Conceptualization, Methodology, Software, Formal analysis. Gustavo Diniz Ferreira Gusso: Conceptualization, Methodology, Funding acquisition. Maria Teresa Bechere Fernandes: Conceptualization, Formal analysis, Writing – review & editing." "textoCompletoSecciones" => array:1 [ "secciones" => array:11 [ 0 => array:3 [ "identificador" => "xres2290911" "titulo" => "Highlights" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abss0001" ] ] ] 1 => array:3 [ "identificador" => "xres2290910" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abss0002" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abss0003" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abss0004" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abss0005" "titulo" => "Conclusion" ] ] ] 2 => array:2 [ "identificador" => "xpalclavsec1903304" "titulo" => "Keywords" ] 3 => array:2 [ "identificador" => "sec0001" "titulo" => "Introduction" ] 4 => array:3 [ "identificador" => "sec0002" "titulo" => "Materials and methods" "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0003" "titulo" => "Population and sample" ] 1 => array:2 [ "identificador" => "sec0004" "titulo" => "Exclusion criteria" ] 2 => array:2 [ "identificador" => "sec0005" "titulo" => "Instruments" ] 3 => array:2 [ "identificador" => "sec0006" "titulo" => "Calculation of pca tool scores" ] 4 => array:2 [ "identificador" => "sec0007" "titulo" => "Statistical analysis" ] ] ] 5 => array:2 [ "identificador" => "sec0008" "titulo" => "Results" ] 6 => array:2 [ "identificador" => "sec0009" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0010" "titulo" => "Conclusion" ] 8 => array:2 [ "identificador" => "sec0010a" "titulo" => "CRediT authorship contribution statement" ] 9 => array:2 [ "identificador" => "xack786234" "titulo" => "Acknowledgments" ] 10 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-09-16" "fechaAceptado" => "2024-03-18" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1903304" "palabras" => array:3 [ 0 => "Primary health care" 1 => "Pca tool" 2 => "Child Health" ] ] ] ] "tieneResumen" => true "highlights" => array:2 [ "titulo" => "Highlights" "resumen" => "<ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001">•Government programs primarily focus on early childhood.</li><li class="elsevierStyleListItem" id="celistitem0002">•Primary Care services tend to be better for children under three years old.</li><li class="elsevierStyleListItem" id="celistitem0003">•New programs are needed to provide follow-up care for children beyond early childhood.</li></ul>" ] "resumen" => array:1 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "IntroductionChild health actions in Brazil have their primary focus on early childhood. A new epidemiological profile is emerging for children after the first one thousand days: an increase in non-communicable chronic diseases. This research aimed to analyze the attributes of Primary Health Care comparatively among different age groups, using three years of age as the cutoff point. MethodsThe study design was cross-sectional and conducted in three Primary Health Care Units and three Ambulatory Medical Assistance facilities in the Western Region of São Paulo. The PCA Tool Brazil was used as the assessment instrument. ResultsA total of 311 interviews were conducted with caregivers of children aged 0 to 12 years; 153 children were under three years old, and 158 were three years or older. The attributes that showed statistically significant differences between age groups (< 3 years and > 3 years) were affiliation (4.9 × 3.8), longitudinality (5.7 × 5.2), information system (7.4 × 6.3), and services provided (5.4 × 4.5). Through linear regression analysis, it was observed that there was a trend for better overall and essential scores in the evaluations of the group of children under three years old who attended Primary Health Care Units. ConclusionThe comparative analysis of Primary Health Care attributes among pediatric age groups revealed a trend towards higher scores, according to caregivers' perceptions, for children under three years old. This study suggests the need for the implementation of programs that can better address the healthcare needs of children beyond early childhood." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abss0002" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abss0003" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abss0004" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abss0005" "titulo" => "Conclusion" ] ] ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<elsevierMultimedia ident="ecom0001"></elsevierMultimedia>" "etiqueta" => "Appendix" "titulo" => "Supplementary materials" "identificador" => "sec0012" ] ] ] ] "multimedia" => array:6 [ 0 => array:8 [ "identificador" => "tbl0001" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0001" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0001"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0002"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">< 3-years(n = 153) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0003"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">≥ 3-years(n = 158) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0004"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">Total(n = 311) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0005"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col">p \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr><tr title="table-row"><a name="en0001a"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0007"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean ± SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0008"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean ± SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0009"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean ± SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0005a"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0011"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Child's Information \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0012"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0013"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0014"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0015"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0016"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Female \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0017"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">84 (54.9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0018"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">87 (55.1%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0019"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">171 (55.0%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0020"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0021"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Caregiver's Information \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0022"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0023"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0024"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0025"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0026"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Age \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0027"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">28.8 ± 7.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0028"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">33.1 ± 9.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0029"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">31.0 ± 9.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0030"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.000<a class="elsevierStyleCrossRef" href="#tb1fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0031"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Female \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0032"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">142 (92.8%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0033"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">149 (94.3%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0034"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">291 (93.6%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0035"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.760 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0036"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Economy Class \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0037"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0038"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0039"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0040"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.769 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0041"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A or B \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0042"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">27 (17.6%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0043"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">33 (20.9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0044"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">60 (19.3%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0045"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0046"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0047"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">112 (73.2%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0048"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">111 (70.3%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0049"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">223 (71.7%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0050"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0051"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D or E \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0052"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">14 (9.2%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0053"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">14 (8.9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0054"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">28 (9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0055"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0056"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Education level \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0057"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0058"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0059"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0060"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.004<a class="elsevierStyleCrossRef" href="#tb1fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0061"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Incomplete elementary school \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0062"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6 (3.9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0063"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4 (2.5%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0064"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">10 (3.2%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0065"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0066"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete elementary school \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0067"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">16 (10.5%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0068"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">43 (27.2%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0069"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">59 (19.0%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0070"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0071"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete middle school \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0072"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">49 (32.0%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0073"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">43 (27.2%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0074"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">92 (29.6%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0075"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0076"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete high school \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0077"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">77 (50.3%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0078"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">61 (38.6%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0079"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">138 (44.4%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0080"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0081"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Bachelor's degree \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0082"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5 (3.3%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0083"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7 (4.4%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0084"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">12 (3.9%) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0085"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3711569.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tb1fn1" "etiqueta" => "a" "nota" => "p < 0.05." ] ] ] "descripcion" => array:1 [ "en" => "General characteristics of the studied sample according to the child's age range." ] ] 1 => array:8 [ "identificador" => "tbl0002" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0002" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0086az"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0087"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">< 3-years (n = 153) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0088"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">≥ 3-years (n = 158) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0089"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col">Total (n = 311) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0090"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col">p \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr><tr title="table-row"><a name="en0086a"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0092"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean±SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0093"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean±SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0094"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean±SD/ n (%) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0090a"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0096"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score (Affiliation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0097"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.9 ± 4.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0098"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3.8 ± 3.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0099"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 4.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0100"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.021<a class="elsevierStyleCrossRef" href="#tb2fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0101"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score (Access - utilization) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0102"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.2 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0103"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.4 ± 2.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0104"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.3 ± 2.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0105"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.655 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0106"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score (Access - accessibility) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0107"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.8 ± 2.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0108"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.3 ± 2.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0109"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.6 ± 2.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0110"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.058 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0111"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score (Longitudinality) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0112"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.7 ± 1.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0113"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.2 ± 1.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0114"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.4 ± 1.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0115"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.006<a class="elsevierStyleCrossRef" href="#tb2fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0116"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score (Coordination - Care Integration) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0117"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.5 ± 3.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0118"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.4 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0119"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.4 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0120"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.886 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0121"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score (Coordination - Information Systems) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0122"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.4 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0123"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.3 ± 2.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0124"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.8 ± 2.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0125"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.000<a class="elsevierStyleCrossRef" href="#tb2fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0126"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score (Completeness - Available Services) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0127"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.1 ± 2.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0128"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.7 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0129"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.9 ± 2.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0130"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.195 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0131"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score (Completeness - Services Provided) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0132"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.4 ± 3.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0133"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.5 ± 3.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0134"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.9 ± 3.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0135"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.043<a class="elsevierStyleCrossRef" href="#tb2fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0136"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score (Family Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0137"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.8 ± 3.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0138"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.0 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0139"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.9 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0140"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.679 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0141"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score (Community Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0142"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.2 ± 4.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0143"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.9 ± 4.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0144"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.0 ± 4.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0145"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.606 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0146"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0147"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.1 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0148"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.5 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0149"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.8 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0150"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.008<a class="elsevierStyleCrossRef" href="#tb2fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0151"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0152"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.0 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0153"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.6 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0154"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.8 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0155"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.054 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3711568.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tb2fn1" "etiqueta" => "a" "nota" => "p < 0.05." ] ] ] "descripcion" => array:1 [ "en" => "Evaluation of PCA Tool scores on a scale of 0 to 10 points between the groups < and ≥ 3-years." ] ] 2 => array:8 [ "identificador" => "tbl0003" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0003" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0156"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0157"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">< 3-years PHCU/FHS (n = 87) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0158"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">≥ 3-years PHCU/FHS (n = 68) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0159"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Total (n = 155) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0160"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0161"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score (Affiliation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0162"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.9 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0163"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.8 ± 3.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0164"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.4 ± 3.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0165"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.040<a class="elsevierStyleCrossRef" href="#tb3fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0166"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score (Access- utilization) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0167"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.9 ± 2.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0168"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.9 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0169"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.9 ± 2.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0170"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.984 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0171"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score (Access- accessibility) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0172"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.3 ± 2.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0173"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.7 ± 2.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0174"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.1 ± 2.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0175"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.141 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0176"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score (Longitudinality) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0177"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.6 ± 1.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0178"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.3 ± 1.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0179"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.5 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0180"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.234 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0181"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score (Coordination - Care Integration) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0182"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">8.6 ± 2.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0183"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">9.0 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0184"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">8.8 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0185"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.587 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0186"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score (Coordination - Information Systems) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0187"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.9 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0188"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.3 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0189"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.6 ± 1.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0190"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.029<a class="elsevierStyleCrossRef" href="#tb3fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0191"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score (Completeness- Available Services) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0192"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.1 ± 1.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0193"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.1 ± 1.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0194"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.1 ± 1.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0195"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.960 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0196"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score (Completeness - Services Provided) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0197"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.1 ± 3.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0198"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.8 ± 3.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0199"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.9 ± 3.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0200"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.604 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0201"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score (Family Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0202"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.0 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0203"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.9 ± 2.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0204"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.4 ± 3.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0205"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.101 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0206"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score (Community Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0207"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">9.5 ± 3.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0208"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">9.9 ± 3.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0209"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">9.7 ± 3.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0210"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.438 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0211"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0212"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.3 ± 1.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0213"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.9 ± 1.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0214"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.1 ± 1.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0215"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.106 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0216"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0217"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.3 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0218"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.2 ± 1.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0219"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.3 ± 1.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0220"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.607 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3711565.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tb3fn1" "etiqueta" => "a" "nota" => "p < 0.05." ] ] ] "descripcion" => array:1 [ "en" => "The assessment of PCA Tool scores on a scale of 0 to 10 points between the groups < 3-years and ≥ 3-years by interview location – PHCU/FHS." ] ] 3 => array:8 [ "identificador" => "tbl0004" "etiqueta" => "Table 4" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0004" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0221"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0222"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">< 3-years AMA(n = 66) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0223"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">≥ 3-years AMA(n = 90) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0224"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Total(n = 156) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0225"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0226"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score (Affiliation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0227"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.9 ± 2.0 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0228"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">1.5 ± 2.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0229"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">1.2 ± 2.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0230"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.086 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0231"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score (Access- utilization) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0232"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.4 ± 3.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0233"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">7.0 ± 2.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0234"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.8 ± 2.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0235"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.215 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0236"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score (Access- accessibility) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0237"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.2 ± 2.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0238"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.0 ± 2.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0239"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.1 ± 2.1 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0240"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.621 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0241"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score (Longitudinality) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0242"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.5 ± 1.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0243"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 1.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0244"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.4 ± 1.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0245"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.288 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0246"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score (Coordination - Care Integration) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0247"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.4 ± 4.2 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0248"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.4 ± 3.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0249"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.4 ± 3.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0250"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.998 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0251"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score (Coordination - Information Systems) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0252"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.6 ± 2.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0253"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.5 ± 2.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0254"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.0 ± 2.7 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0255"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.014<a class="elsevierStyleCrossRef" href="#tb4fn1">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0256"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score (Completeness- Available Services) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0257"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.6 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0258"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.5 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0259"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.6 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0260"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.860 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0261"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score (Completeness - Services Provided) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0262"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3.1 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0263"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">2.8 ± 3.4 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0264"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">2.9 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0265"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.505 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0266"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score (Family Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0267"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3.2 ± 2.9 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0268"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3.6 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0269"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3.4 ± 2.8 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0270"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.461 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0271"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score (Community Orientation) \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0272"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0273"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.4 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0274"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.4 ± 3.3 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0275"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.853 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0276"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0277"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.5 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0278"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.4 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0279"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.4 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0280"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.791 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0281"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0282"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 1.6 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0283"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0284"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">4.3 ± 1.5 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0285"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.990 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3711566.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tb4fn1" "etiqueta" => "a" "nota" => "p < 0.05." ] ] ] "descripcion" => array:1 [ "en" => "The assessment of PCA Tool scores on a scale of 0 to 10 points between the groups < 3-years and ≥ 3-years by interview location – AMA." ] ] 4 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 5" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0005" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "The model was adjusted for the caregiver's age (equal to or greater than 30-years), child and caregiver's gender, and the caregiver's educational level (using the completion of high school as the cutoff point)." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0286"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0287"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0288"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">PHCU/FHS \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0289"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black">AMA \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0290"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="top">Essential Score</td><a name="en0291"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Crude \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0292"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.420 (−0.911 to 0.071) p = 0.095 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0293"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.064 (−0.537 to 0.409) p = 0.791 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0295"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Adjusted \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0296"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.400 (−0.919 to 0.120) p = 0.134 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0297"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.024 (−0.507 to 0.458) p = 0.921 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0298"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="top">Overall Score</td><a name="en0299"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Crude \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0300"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.143 (−0.676 to 0.390) p = 0.599 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0301"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.003 (−0.487 to 0.494) p = 0.990 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0303"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Adjusted \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0304"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">−0.151 (−0.715 to 0.413) p = 0.600 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0305"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.061 (−0.438 to 0.561) p = 0.810 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab3711567.png" ] ] ] ] "descripcion" => array:1 [ "en" => "Beta coefficient for essential and overall scores of the PCA Tool, associated with children aged ≥ 3-years." ] ] 5 => array:6 [ "identificador" => "ecom0001" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0006" "detalle" => "Image, application " "rol" => "short" ] ] "Ecomponente" => array:2 [ "fichero" => "mmc1.docx" "ficheroTamanyo" => 14640 ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec1" "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib0001" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Secretaria De Atenção à Saúde. Departamento de Ações Programáticas Estratégicas Política Nacional de Atenção Integral à Saúde da Criança: Orientações Para Implementação" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Saúde Ministério da" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2018" "editorial" => "Ministério da Saúde" "editorialLocalizacion" => "Brasília" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0002" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atenção Integral à Saúde Da criança: Políticas e Indicadores De Saúde" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "V.C. Macedo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2016" "editorial" => "Universitária da UFPE" "editorialLocalizacion" => "Recife" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0003" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Brasil. Ministério da Saúde. Sistema de Informações sobre Nascidos Vivos (Sinasc) e Sistema de Informações sobre Mortalidade (SIM). Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis. Available in: <a target="_blank" href="https://svs.aids.gov.br/daent/cgiae/sinasc">https://svs.aids.gov.br/daent/cgiae/sinasc</a>. Accessed in november/2023." ] ] ] 3 => array:3 [ "identificador" => "bib0004" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Changes in infant and neonatal mortality and associated factors in eight cohorts from three Brazilian cities" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.A. Carvalho" 1 => "A.A.M. da Silva" 2 => "C. Victora" 3 => "M. Goldani" 4 => "H. Bettiol" 5 => "E.B.A.F. Thomaz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/s41598-020-59910-7" "Revista" => array:7 [ "tituloSerie" => "Sci Rep" "fecha" => "2020" "volumen" => "10" "numero" => "1" "paginaInicial" => "3249" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32094364" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0167527321013218" "estado" => "S300" "issn" => "01675273" ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0005" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aspectos Metodológicos: Descrição geral Do Estudo 1: ENANI 2019. – Documento eletrônico" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Universidade Federal do Rio de Janeiro" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "2021" "paginaInicial" => "108" "editorial" => "Universidade Federal do Rio de Janeiro" "editorialLocalizacion" => "Rio de Janeiro" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0006" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High risk cohort study for psychiatric disorders in childhood: rationale, design, methods and preliminary results" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.A. Salum" 1 => "A. Gadelha" 2 => "P.M. Pan" 3 => "T.S. Moriyama" 4 => "A.S. Graeff-Martins" 5 => "A.C. Tamanaha" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/mpr.1459" "Revista" => array:7 [ "tituloSerie" => "Int J Methods Psychiatr Res" "fecha" => "2015" "volumen" => "24" "numero" => "1" "paginaInicial" => "58" "paginaFinal" => "73" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25469819" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0007" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Metabolic Syndrome and importance of associated variables in children and adolescents in Guabiruba – SC, Brazil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N. Rosini" 1 => "S.A.Z.O. Moura" 2 => "R.D. Rosini" 3 => "M.J. Machado" 4 => "E.L. da Silva" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5935/abc.20150040" "Revista" => array:7 [ "tituloSerie" => "Arq Bras Cardiol" "fecha" => "2015" "volumen" => "105" "numero" => "1" "paginaInicial" => "37" "paginaFinal" => "44" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25993484" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0008" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.L. Pinto" 1 => "R.C.R. Silva" 2 => "S.E. Priore" 3 => "A.M.O. Assis" 4 => "E.J. Pinto" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "fecha" => "2011" "paginaInicial" => "1065" "paginaFinal" => "1076" "editorial" => "Brasil. Cad. Saúde Pública" "editorialLocalizacion" => "Salvador, Bahia" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0009" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação da implementação do Programa Saúde na Escola, do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica: 2012, 2014 e 2018" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L.S. Wachs" 1 => "L.A. Facchini" 2 => "E. Thumé" 3 => "E. Tomasi" 4 => "M.E.G. Fassa" 5 => "A.G. Fassa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Cad Saúde Pública" "fecha" => "2022" "volumen" => "38" "numero" => "6" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0010" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. Starfield" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Brasília: UNESCO/Ministério da Saúde" "fecha" => "2002" "paginaInicial" => "726" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0011" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of the quality of Primary Health Care in Fortaleza, Brazil, from the perspective of adult service users in 2019" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L.B. Costa" 1 => "M.V. Mota" 2 => "M.M.A. Porto" 3 => "C.S.G.V. Fernandes" 4 => "E.T. Santos" 5 => "J.P.M. Oliveira" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1413-81232021266.39722020" "Revista" => array:7 [ "tituloSerie" => "Cien Saude Colet" "fecha" => "2021" "volumen" => "26" "numero" => "6" "paginaInicial" => "2083" "paginaFinal" => "2096" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34231721" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0012" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Secretaria de Atenção Primária à Saúde" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Saúde. Ministério da" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Departamento de Saúde da Família. Manual do Instrumento de Avaliação da Atenção Primária à Saúde: PCA Tool–Brasil –2020" "fecha" => "2020" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0013" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Performance of primary health care according to PCATool instrument: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.L. Prates" 1 => "J.C. Machado" 2 => "L.S.D. Silva" 3 => "P.S. Avelar" 4 => "L.L. Prates" 5 => "E.T. Mendonça" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1413-81232017226.14282016" "Revista" => array:8 [ "tituloSerie" => "Cien Saude Colet" "fecha" => "2017" "volumen" => "22" "numero" => "6" "paginaInicial" => "1881" "paginaFinal" => "1893" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28614508" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0002914916314722" "estado" => "S300" "issn" => "00029149" ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0014" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The quality of care: how can it be assessed?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Donabedian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jama.260.12.1743" "Revista" => array:7 [ "tituloSerie" => "JAMA" "fecha" => "1988" "volumen" => "260" "numero" => "12" "paginaInicial" => "1743" "paginaFinal" => "1748" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3045356" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0015" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validação do instrumento de avaliação da atenção primária à saúde: pCATool–Brasil adultos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Harzheim" 1 => "M.M.C. Oliveira" 2 => "M.R. Agostinho" 3 => "L. Hauser" 4 => "A.T. Stein" 5 => "M.R. Gonçalves" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Bras Med Fam Comunidade" "fecha" => "2013" "volumen" => "8" "numero" => "29" "paginaInicial" => "274" "paginaFinal" => "284" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0016" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary health care assessment from the users’ perspectives: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W.K.A.S. Paula" 1 => "I.C. Samico" 2 => "M.F.C. Caminha" 3 => "M. Batista Filho" 4 => "S.L. Silva" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esc Enferm USP" "fecha" => "2016" "volumen" => "50" "numero" => "2" "paginaInicial" => "331" "paginaFinal" => "340" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0017" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Following the legacy of professors Barbara Starfield and Leiyu Shi in Brazil as health policy: the National Health Survey (PNS), led by the Brazilian National Institute of Geography and Statistics (IBGE) and the Primary Care Assessment Tool (PCAT)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Harzheim" 1 => "L. Felipe Pinto" 2 => "O.P. D'Avila" 3 => "L Hauser" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12939-019-1083-2" "Revista" => array:6 [ "tituloSerie" => "Int J Equity Health" "fecha" => "2019" "volumen" => "18" "numero" => "1" "paginaInicial" => "176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31730005" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0018" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development of the Korean primary care assessment tool - measuring user experience: tests of data quality and measurement performance" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.H.O. Lee" 1 => "Y.J. Choi" 2 => "N.J. Sung" 3 => "S.Y. Kim" 4 => "S.H. Chung" 5 => "J. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/intqhc/mzp007" "Revista" => array:7 [ "tituloSerie" => "Int J Qual Health Care" "fecha" => "2009" "volumen" => "21" "numero" => "2" "paginaInicial" => "103" "paginaFinal" => "111" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19286829" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0019" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Properties of a short questionnaire for assessing primary care experiences for children in a population survey" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Berra" 1 => "K.B. Rocha" 2 => "M. Rodríguez-Sanz" 3 => "I. Pasarín" 4 => "L. Rajmil" 5 => "C. Borrell" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1471-2458-11-285" "Revista" => array:5 [ "tituloSerie" => "BMC Public Health" "fecha" => "2011" "volumen" => "11" "paginaInicial" => "285" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21554717" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0020" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pesquisa Nacional por Amostra de Domicílios Contínua" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "IBGE Instituto Brasileiro de Geografia e Estatística" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Ministério do Planejamento e Orçamento do Instituto Brasileiro de Geografia e Estatística. Diretoria de Pesquisas" "fecha" => "2023" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0021" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "SMUL. Secretaria Municipal de Urbanismo e Licenciamento da Prefeitura de São Paulo. Available in: <a target="_blank" href="https://www.prefeitura.sp.gov.br/cidade/secretarias/licenciamento/desenvolvimento_urbano/dados_estatisticos/info_cidade/index.php/">https://www.prefeitura.sp.gov.br/cidade/secretarias/licenciamento/desenvolvimento_urbano/dados_estatisticos/info_cidade/index.php/</a>. 2020." ] ] ] 21 => array:3 [ "identificador" => "bib0022" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação Dos Atributos Da Atenção Primária à Saúde Em Dois Modelos Coexistentes Na Região Oeste Da Cidade De São Paulo, Utilizando o Primary Care Assessment Tool [tese]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D. Avigo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2019" "paginaInicial" => "102" "editorial" => "São Paulo: Faculdade de Medicina da Universidade de São Paulo" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0023" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Almeida C., Macinko J. Validação de uma metodologia de avaliação rápida das características organizacionais e do desempenho dos serviços de atenção básica do Sistema Único de Saúde (SUS) em nível local. Brasília: organização Panamericana da Saúde/Ministério da Saúde; 2006." ] ] ] 23 => array:3 [ "identificador" => "bib0024" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critérios de Estratificação e Comparação de Classificadores Socioeconômicos no Brasil" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "ABEP – Associação Brasileira de Empresas de Pesquisa" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "São Paulo: ABEP" "fecha" => "2008" ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0025" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Empowering Mobile Users: create Your Own Mobile Application for Data Collection in the Cloud" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.F. Conceição" 1 => "J.V. Sánchez" 2 => "A.H. Mamamni-Aliaga" 3 => "B.G. Santos" 4 => "M.F. Mendonça" 5 => "D. Vieira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Mobi CASE" "fecha" => "2013" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0026" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "The R Project for statistical computing. Available from: <a target="_blank" href="https://www.rproject.org/">https://www.rproject.org/</a>. 2023." ] ] ] 26 => array:3 [ "identificador" => "bib0027" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Departamento de Atenção Básica. Saúde da criança: crescimento e desenvolvimento /Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Saúde. Secretaria de Atenção à Saúde" "etal" => false "autores" => array:1 [ 0 => "Ministério da" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "– Brasília: Ministério da Saúde" "fecha" => "2012" "paginaInicial" => "272" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0028" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of primary child health care in Brazil: a systematic review of methods and results" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.S. Silva" 1 => "D.R.F. Fernandes" 2 => "C.R.L. Alves" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1413-81232020258.27512018" "Revista" => array:7 [ "tituloSerie" => "Cien Saude Colet" "fecha" => "2020" "volumen" => "25" "numero" => "8" "paginaInicial" => "3185" "paginaFinal" => "3200" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32785553" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0029" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "World Health Organization and knowledge translation in maternal, newborn, child and adolescent health and nutrition" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "STAGE (Strategic Technical Advisory Group of Experts)" "etal" => true "autores" => array:6 [ 0 => "T. Duke" 1 => "F.S. AlBuhairan" 2 => "K. Agarwal" 3 => "N.K. Arora" 4 => "S. Arulkumaran" 5 => "Z.A. Bhutta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/archdischild-2021-323102" "Revista" => array:7 [ "tituloSerie" => "Arch Dis Child" "fecha" => "2022" "volumen" => "107" "numero" => "7" "paginaInicial" => "644" "paginaFinal" => "649" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34969670" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0030" "etiqueta" => "30" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação da atenção à saúde da criança no contexto da Saúde da Família no município de Teixeiras, Minas Gerais (MG, Brasil)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G.D. Costa" 1 => "R.M. Cotta" 2 => "J.R. Reis" 3 => "L. Ferreira Mde" 4 => "R.S. Reis" 5 => "C. Franceschini Sdo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/s1413-81232011000800022" "Revista" => array:7 [ "tituloSerie" => "Cien Saude Colet" "fecha" => "2011" "volumen" => "16" "numero" => "7" "paginaInicial" => "3229" "paginaFinal" => "3240" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21808910" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0031" "etiqueta" => "31" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Registros em saúde: avaliação da qualidade do prontuário do paciente na atenção básica, Rio de Janeiro, Brasil [Health records: evaluation of patient health charts in primary care, Rio de Janeiro, Brazil]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.M. Vasconcellos" 1 => "E.B. Gribel" 2 => "I.H. Moraes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Cad Saude Publica" "fecha" => "2008" "volumen" => "24" "numero" => "Suppl" ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0032" "etiqueta" => "32" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A Construção dos Prontuários como Expressão da Prática dos Profissionais de Saúde" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.M.O. Mesquita" 1 => "S.F. Deslandes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Saúde Soc São Paulo" "fecha" => "2010" "volumen" => "19" "numero" => "3" "paginaInicial" => "664" "paginaFinal" => "673" ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0033" "etiqueta" => "33" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação dos usuários crianças e adultos quanto ao grau de orientação para Atenção Primária à Saúde na cidade do Rio de Janeiro" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Harzheim" 1 => "L.F. Pinto" 2 => "L. Hauser" 3 => "D. Soranz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Brasil. Ciênc Saúde Colet." "fecha" => "2016" "volumen" => "21" "numero" => "5" "paginaInicial" => "1399" "paginaFinal" => "1408" ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib0034" "etiqueta" => "34" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação dos atributos da Atenção Primária à Saúde num município do interior do Estado de São Paulo – Brasil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L.A. Fracolli" 1 => "M.J. Muramatsu" 2 => "M.F.P. Gomes" 3 => "F.R.Z. Nabão" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "O Mundo da Saúde" "fecha" => "2015" "volumen" => "39" "numero" => "1" "paginaInicial" => "54" "paginaFinal" => "61" ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib0035" "etiqueta" => "35" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atenção primária à criança com diabetes mellitus tipo 1: perspectiva de cuidadores" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.C.B. Wolkers" 1 => "J.C.B. Macedo" 2 => "C.M. Rodrigues" 3 => "M.C.C. Furtado" 4 => "D.F. de Mello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Paul Enferm" "fecha" => "2017" "volumen" => "30" "numero" => "5" "paginaInicial" => "451" "paginaFinal" => "457" ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib0036" "etiqueta" => "36" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acesso de primeiro contato na Atenção Primária à Saúde para crianças de 0 a 9 anos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.M.O. Morais" 1 => "F.R.R. Morais" 2 => "C.M.C. Santiago" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Online Pesquisa Cuid Fundam" "fecha" => "2017" "volumen" => "9" "numero" => "3" "paginaInicial" => "848" "paginaFinal" => "856" ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib0037" "etiqueta" => "37" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação da assistência à criança na Estratégia de Saúde da Família" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.S. Silva" 1 => "L.A. Fracolli" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Bras Enf" "fecha" => "2016" "volumen" => "69" "numero" => "1" "paginaInicial" => "47" "paginaFinal" => "53" ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib0038" "etiqueta" => "38" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A Atenção Primária à Saúde e seus atributos: a situação das crianças menores de dois anos segundo suas cuidadoras" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Mesquita Filho" 1 => "B.S. Luz" 2 => "C.S. Araújo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/1413-81232014197.17322013" "Revista" => array:7 [ "tituloSerie" => "Cien Saude Colet" "fecha" => "2014" "volumen" => "19" "numero" => "7" "paginaInicial" => "2033" "paginaFinal" => "2046" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25014283" "web" => "Medline" ] ] ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib0039" "etiqueta" => "39" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Avaliação da presença e extensão dos atributos de atenção primária em dois modelos coexistentes na rede básica de saúde do Município de São Paulo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Brunelli" 1 => "G.D.F. Gusso" 2 => "I.S. Santos" 3 => "I.J.M. Benseñor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Bras Med Fam Comunidade" "fecha" => "2016" "volumen" => "11" "numero" => "38" "paginaInicial" => "1" "paginaFinal" => "12" ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib0040" "etiqueta" => "40" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Disease Control Priorities" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.A.P. Bundy" 1 => "N. de Silva" 2 => "S. Horton" 3 => "D.T. Jamison" 4 => "G.C. Patton" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Libro" => array:5 [ "edicion" => "Third Edition" "fecha" => "2017" "paginaInicial" => "481p" "editorial" => "World Bank" "editorialLocalizacion" => "Washington, DC" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "http://hdl.handle.net/10986/28876" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack786234" "titulo" => "Acknowledgments" "texto" => "This work was supported by the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) [Grant numbers: 13/03704–9]." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000309/v123_202411010523/en/main.assets" "Apartado" => array:4 [ "identificador" => "94924" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/18075932/000000790000000C/v123_202411010523/S1807593224000309/v123_202411010523/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000309?idApp=UINPBA00004N"]

Statistics

Original articles

Luciana Harumi Miranda Omori, Deoclecio Avigo, Itamar de Souza Santos, Gustavo Diniz Ferreira Gusso, Maria Teresa Bechere Fernandes

Corresponding author

maria.teresa@fm.usp.br

Corresponding author.

Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil

Read

640

Times
was read the article

280

Total PDF

360

Total HTML

Share statistics

 array:22 [
  "pii" => "S1807593224000309"
  "issn" => "18075932"
  "doi" => "10.1016/j.clinsp.2024.100353"
  "estado" => "S250"
  "fechaPublicacion" => "2024-01-01"
  "aid" => "100353"
  "copyright" => "HCFMUSP"
  "copyrightAnyo" => "2024"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:17 [
    "pii" => "S1807593224000267"
    "issn" => "18075932"
    "doi" => "10.1016/j.clinsp.2024.100349"
    "estado" => "S250"
    "fechaPublicacion" => "2024-01-01"
    "aid" => "100349"
    "copyright" => "HCFMUSP"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
      "titulo" => "Prognostic model on pregnancy outcomes for women with recurrent spontaneous abortions treated with cyclosporin A&#58; A single-institution experience"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "en"
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0001"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2010
              "Ancho" => 2000
              "Tamanyo" => 89830
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "alt0001"
              "detalle" => "Fig&#46; "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">The area under the receiver operating characteristic curve for predicting pregnancy success&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ze-Ming Zhang, Na Zhang, Xiao-Fei Wang"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ze-Ming"
              "apellidos" => "Zhang"
            ]
            1 => array:2 [
              "nombre" => "Na"
              "apellidos" => "Zhang"
            ]
            2 => array:2 [
              "nombre" => "Xiao-Fei"
              "apellidos" => "Wang"
            ]
          ]
        ]
      ]
      "resumen" => array:1 [
        0 => array:3 [
          "titulo" => "Highlights"
          "clase" => "author-highlights"
          "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara004" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">The prognostic model for pregnancy outcomes was constructed&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">The prognostic factors included age&#44; ANA&#44; and anti-&#946;2 glycoprotein I antibody levels&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">The prognostic models showed higher value for predicting pregnancy success&#46;</p></li></ul></p></span>"
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000267?idApp=UINPBA00004N"
    "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000267/v123_202411010523/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "S1807593224000292"
    "issn" => "18075932"
    "doi" => "10.1016/j.clinsp.2024.100352"
    "estado" => "S250"
    "fechaPublicacion" => "2024-01-01"
    "aid" => "100352"
    "copyright" => "HCFMUSP"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
      "titulo" => "Patients who received sleeve gastrectomy have lower plasma osteopontin levels than those who did not"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "en"
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0001"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 3380
              "Ancho" => 2917
              "Tamanyo" => 329915
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "alt0004"
              "detalle" => "Fig "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="fspara0005" class="elsevierStyleSimplePara elsevierViewall">HGF and OPN levels of Group 1 and Group 2&#46; HGF&#44; Hepatocyte Growth Factor&#59; OPN&#44; Osteopontin&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Do&#287;an &#214;zt&#252;rk, Arzu Or Koca, M&#252;ge Keskin, B&#252;lent &#214;zt&#252;rk, Esra F&#305;rat O&#287;uz, Turan Turhan, Hakan Bulu&#351;"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Do&#287;an"
              "apellidos" => "&#214;zt&#252;rk"
            ]
            1 => array:2 [
              "nombre" => "Arzu Or"
              "apellidos" => "Koca"
            ]
            2 => array:2 [
              "nombre" => "M&#252;ge"
              "apellidos" => "Keskin"
            ]
            3 => array:2 [
              "nombre" => "B&#252;lent"
              "apellidos" => "&#214;zt&#252;rk"
            ]
            4 => array:2 [
              "nombre" => "Esra F&#305;rat"
              "apellidos" => "O&#287;uz"
            ]
            5 => array:2 [
              "nombre" => "Turan"
              "apellidos" => "Turhan"
            ]
            6 => array:2 [
              "nombre" => "Hakan"
              "apellidos" => "Bulu&#351;"
            ]
          ]
        ]
      ]
      "resumen" => array:1 [
        0 => array:3 [
          "titulo" => "Highlights"
          "clase" => "author-highlights"
          "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="abspara0005" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">Obesity causes higher plasma OPN levels and higher expression of OPN in adipose tissue&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">OPN and HGF are promising biomarkers that can be used to detect problems related to obesity&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">Patients in the early post-SG period had lower plasma OPN and similar plasma HGF compared to nonsurgical patients&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0004"><span class="elsevierStyleLabel">&#8226;</span><p id="para0004" class="elsevierStylePara elsevierViewall">After bariatric surgery&#44; despite down-regulation of local OPN expression in adipose tissue&#44; a significant increase in circulating OPN concentrations occurs</p></li></ul></p></span>"
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000292?idApp=UINPBA00004N"
    "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000292/v123_202411010523/en/main.assets"
  ]
  "en" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
    "titulo" => "Comparative analysis of primary health care attributes between children under and over 3 years of age using the primary care assessment tool"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Luciana Harumi Miranda Omori, Deoclecio Avigo, Itamar de Souza Santos, Gustavo Diniz Ferreira Gusso, Maria Teresa Bechere Fernandes"
        "autores" => array:5 [
          0 => array:2 [
            "nombre" => "Luciana Harumi Miranda"
            "apellidos" => "Omori"
          ]
          1 => array:2 [
            "nombre" => "Deoclecio"
            "apellidos" => "Avigo"
          ]
          2 => array:2 [
            "nombre" => "Itamar de Souza"
            "apellidos" => "Santos"
          ]
          3 => array:2 [
            "nombre" => "Gustavo Diniz Ferreira"
            "apellidos" => "Gusso"
          ]
          4 => array:4 [
            "nombre" => "Maria Teresa Bechere"
            "apellidos" => "Fernandes"
            "email" => array:1 [
              0 => "maria.teresa@fm.usp.br"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0001"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Faculdade de Medicina da Universidade de S&#227;o Paulo &#40;FMUSP&#41;&#44; S&#227;o Paulo&#44; SP&#44; Brazil"
            "identificador" => "aff0001"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0001"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0008">Introduction</span><p id="para0008" class="elsevierStylePara elsevierViewall">Child health is a priority area in population care&#46; For their proper development&#44; in addition to knowledge about the characteristics of morbidity and mortality indicators&#44; it is necessary to understand their biological&#44; demographic&#44; and socioeconomic aspects&#46; The set of actions currently in Brazil has a strong emphasis on children in early childhood &#40;especially in the first two years of life&#41;&#44; with the National Policy for Comprehensive Child Health Care &#40;NPCCHC&#41; standing out among them&#46; &#91;<a class="elsevierStyleCrossRef" href="#bib0001">1</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0002">2</a>&#93;</p><p id="para0009" class="elsevierStylePara elsevierViewall">The relevance of early childhood for a child&#39;s proper development is well known&#44; and efforts aiming for better health during this period are justified&#46; Despite being a country with heterogeneous realities&#44; the primary indicator reflecting the improvement in the quality of child healthcare resulting from the strengthening of Primary Health Care &#40;PHC&#41; in Brazil is the infant mortality rate&#46; This rate has shown a significant decrease in recent decades&#44; dropping from 29 in 2000 to 12 per 1000 live births in 2021&#46; &#91;<a class="elsevierStyleCrossRef" href="#bib0003">3</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0004">4</a>&#93;</p><p id="para0010" class="elsevierStylePara elsevierViewall">However&#44; the increase in non-communicable chronic diseases is a reality not only for adults but is also increasingly affecting the pediatric age group&#44; from preschoolers to adolescents&#46; This is due to the increase in obesity and its comorbidities&#44; behavioral problems&#44; and mental health issues &#40;which also impact academic performance&#41;&#46; &#91;<a class="elsevierStyleCrossRef" href="#bib0005">5</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0006">6</a>&#93;</p><p id="para0011" class="elsevierStylePara elsevierViewall">The percentage of Brazilian preschoolers with excess weight &#40;obesity and overweight&#41; is 10&#37;&#46; <a class="elsevierStyleCrossRef" href="#bib0005">&#91;5&#93;</a> For Brazilian children and adolescents&#44; there is a prevalence of 12&#37;&#8210;14&#37; for Metabolic Syndrome &#40;METS&#41;&#44; <a class="elsevierStyleCrossRef" href="#bib0007">&#91;7&#93;</a> 14&#37; for high blood pressure&#44; <a class="elsevierStyleCrossRef" href="#bib0008">&#91;8&#93;</a> and 20&#37; for mental health disorders&#46; <a class="elsevierStyleCrossRef" href="#bib0006">&#91;6&#93;</a> Strategic Axis IV of the NPCCHC&#44; <a class="elsevierStyleCrossRef" href="#bib0001">&#91;1&#93;</a> focuses on Comprehensive Care for Children with Prevalent Childhood Illnesses and Chronic Diseases&#44; and outlines actions for some of these issues&#46; However&#44; in the practice of Primary Health Care Units &#40;PHCUs&#41;&#44; these issues often go unnoticed by the healthcare team&#46; Additionally&#44; the families of these children typically have little knowledge about these conditions during this phase of life&#46;</p><p id="para0012" class="elsevierStylePara elsevierViewall">Another point to highlight&#44; as envisioned in the NPCCHC&#44; is the intersectoral actions&#44; especially relevant for promoting health and preventing the previously mentioned morbidities&#46; One noteworthy intersectoral program is the &#8220;Health in Schools&#8221; program&#44; established in 2007 through Decree 6286 as a federal program&#46; This program aims to create agreements between PHCUs and schools&#44; collaborating on various aspects of primary healthcare&#46; Despite being considered a potent program&#44; it is predominantly used for curative actions rather than preventive actions&#46; <a class="elsevierStyleCrossRef" href="#bib0009">&#91;9&#93;</a></p><p id="para0013" class="elsevierStylePara elsevierViewall">In Brazil&#44; the construction of PHC began in the 1920s&#44; and expanded in 1988 with the promulgation of the Federal Constitution in Brazil and the establishment of the Unified Health System &#40;UHS&#41;&#46; It was organized from the 1990s into family health programs that became known as the Family Health Strategy &#40;FHS&#41; from 2006 onwards&#46; The Ministry of Health&#44; in addition to organizing UHS&#44; oversees its operation&#46; In Primary Care&#44; guiding principles are based on the attributes described by Starfield <a class="elsevierStyleCrossRef" href="#bib0010">&#91;10&#93;</a> and its assessment can be conducted by Primary Care Assessment Tool-Brazil &#40;PCA Tool&#41;&#46; <a class="elsevierStyleCrossRefs" href="#bib0011">&#91;11&#8211;13&#93;</a></p><p id="para0014" class="elsevierStylePara elsevierViewall">The PCA Tool was developed by Starfield and colleagues&#44; based on Donabedian&#39;s model for assessing service quality &#40;structure&#44; process&#44; and outcomes&#41;&#46; <a class="elsevierStyleCrossRef" href="#bib0014">&#91;14&#93;</a> It filled a gap in the scientific literature since there were few studies evaluating the performance of PHC until then&#46; This instrument is in the public domain and has been adopted by the World Health Organization &#40;WHO&#41;&#46; Moreover&#44; it has been adapted and validated in different countries such as Brazil&#44; <a class="elsevierStyleCrossRefs" href="#bib0015">&#91;15&#8211;17&#93;</a> South Korea&#44; <a class="elsevierStyleCrossRef" href="#bib0018">&#91;18&#93;</a> and Spain&#46; <a class="elsevierStyleCrossRef" href="#bib0019">&#91;19&#93;</a></p><p id="para0015" class="elsevierStylePara elsevierViewall">Despite the significant advances related to child health&#44; various studies show that the evaluation of its action in PHC is deficient&#46; <a class="elsevierStyleCrossRef" href="#bib0020">&#91;20&#93;</a> There is a shortage of government programs and public health measures for this new epidemiological scenario of child health&#44; which raises concerns in society about the health of children aged three years or older&#46;</p><p id="para0016" class="elsevierStylePara elsevierViewall">Therefore&#44; this study aims to analyze whether there is a difference in the evaluation of PHC attributes among caregivers responsible for children in different age groups&#44; emphasizing the importance of a detailed look from the age of three onwards&#46;</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0009">Materials and methods</span><p id="para0017" class="elsevierStylePara elsevierViewall">The present study had a cross-sectional design and followed the STROBE Statement&#46; It was conducted in PHCUs and Ambulatory Medical Assistance &#40;AMA&#41; facilities in the Western Region of the city of S&#227;o Paulo&#44; under the responsibility of the Technical Health Supervision of Butant&#227;&#46; The Butant&#227; Regional Municipality is one of the 32 regional municipalities in the city of S&#227;o Paulo&#44; responsible for an area of 56&#46;1 km<span class="elsevierStyleSup">2</span> and inhabited by approximately 428 thousand people&#44; with a population density of 7633 inhabitants&#47;km<span class="elsevierStyleSup">2</span>&#44; and a Human Development Index &#40;HDI&#41; of 0&#46;885&#44; the eighth highest in the city&#46; <a class="elsevierStyleCrossRef" href="#bib0021">&#91;21&#93;</a></p><p id="para0018" class="elsevierStylePara elsevierViewall">PHCUs are responsible for a coverage area established by the municipal health technical supervision&#44; with the responsibility of providing longitudinal care to the residents in their territory through the FHS program&#46; On the other hand&#44; AMAs serve users regardless of their address&#44; providing open access for acute demands and serving as a reference for spontaneous demand for a group of PHCUs near their territory&#46;</p><p id="para0019" class="elsevierStylePara elsevierViewall">Data collection took place between 2014 and 2015 in the following Primary Health Care Units&#58; Jardim Boa Vista&#44; Jardim D&#39;Abril&#44; and Vila Dalva&#44; and in the Ambulatory Medical Assistance services&#58; AMA Paulo VI&#44; AMA Vila Nova Jaguar&#233;&#44; and AMA Vila S&#244;nia&#46; This research assessed users of health services&#44; PHCUs&#44; and AMAs using the PCA Tool-Brazil instrument&#46;</p><p id="para0020" class="elsevierStylePara elsevierViewall">The data analyzed in this study belong to the project &#8220;Evaluation of Primary Health Care Units&#44; Family Health Teams&#44; and Ambulatory Medical Assistance using the Primary Care Assessment Tool&#8221;&#46; The research was submitted and approved by the Ethics and Research Committees of the City of S&#227;o Paulo and the School of Medicine of USP&#46; CAAE&#58; 32&#44;815&#44;414&#46;3&#46;0000&#46;0065&#46;</p><span id="sec0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0010">Population and sample</span><p id="para0021" class="elsevierStylePara elsevierViewall">The study targeted the users of the health units mentioned earlier&#46; Interviewers &#40;trained scholarship holders&#41; conducted the research at the entrance of each of these health services&#44; inviting the caregiver accompanying the child who was leaving the service &#40;not necessarily medical care&#41; of the evaluated PHCUs&#47;FHS and AMAs&#46; All children could participate in the study&#44; regardless of their health condition&#46;</p><p id="para0022" class="elsevierStylePara elsevierViewall">This study used data related to children aged 0 to 12 years&#46; A total of 311 interviews were conducted&#44; and 158 &#40;50&#46;8&#37;&#41; of these children were aged three or older&#46;</p><p id="para0023" class="elsevierStylePara elsevierViewall">It states that in the original study&#44; adult participants <a class="elsevierStyleCrossRef" href="#bib0022">&#91;22&#93;</a> were included&#44; while in the current study&#44; only data related to children were used&#46; To validate the sample&#44; a &#8220;sample power calculation&#8221; was performed&#44; considering the total number of evaluated children &#40;311&#41;&#44; with a 5&#37; alpha error&#44; a score difference between age groups of 0&#46;15&#44; and a standard deviation of 0&#46;38&#46; <a class="elsevierStyleCrossRef" href="#bib0023">&#91;23&#93;</a> Therefore&#44; the statistical power for this sample was determined to be 80&#37;&#46;</p></span><span id="sec0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0011">Exclusion criteria</span><p id="para0024" class="elsevierStylePara elsevierViewall">Users who had never been attended to at the health unit where they were being interviewed or who were accompanied by minors under the age of 18 were excluded&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0012">Instruments</span><p id="para0025" class="elsevierStylePara elsevierViewall">The instrument used was the PCA Tool-Brazil child version&#44; published by the Ministry of Health in 2010&#46; The calculation of the assessment scores followed the PCA Tool Manual&#46; <a class="elsevierStyleCrossRef" href="#bib0011">&#91;11&#93;</a></p><p id="para0026" class="elsevierStylePara elsevierViewall">The socio-demographic data collected included the gender and age of the interviewer and the child&#44; the interviewer&#39;s level of education&#44; and economy class&#44; according to the socioeconomic questionnaire of the Brazil Economy Classification Standard&#47;2008&#46; <a class="elsevierStyleCrossRef" href="#bib0024">&#91;24&#93;</a> According to the Brazilian system&#44; education is categorized into 5 levels&#58; 1&#41; Incomplete elementary school &#40;less than five years of education&#41;&#44; 2&#41; Complete elementary school &#40;five complete years of education&#41;&#44; 3&#41; Complete middle school &#40;nine years of education&#41;&#44; 4&#41; Complete high school &#40;twelve years of education&#41;&#44; and 5&#41; Bachelor&#39;s degree&#46;</p></span><span id="sec0006" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0013">Calculation of pca tool scores</span><p id="para0027" class="elsevierStylePara elsevierViewall">The PCA Tool was created by Starfield&#44; Shi&#44; and colleagues <a class="elsevierStyleCrossRef" href="#bib0013">&#91;13&#93;</a> as an assessment tool for the structures and processes of PHC&#44; measuring its attributes from the perspective of healthcare professionals and users&#46; <a class="elsevierStyleCrossRef" href="#bib0025">&#91;25&#93;</a> It was validated in Brazil in 2006 by Harzheim and colleagues&#46; <a class="elsevierStyleCrossRefs" href="#bib0015">&#91;15&#8211;17&#93;</a> The child version questionnaire assesses 55 items distributed into 10 components &#40;A&#8210;J&#41; related to the attributes of PHC&#46;</p><p id="para0028" class="elsevierStylePara elsevierViewall">A&#46; Affiliation&#58; identification of the user with the service and identification of a service or professional &#40;doctor&#47;nurse&#41; as the reference for the patient&#39;s healthcare&#46;</p><p id="para0029" class="elsevierStylePara elsevierViewall">B&#46; First Contact - Utilization&#58; the extent of access for utilization &#40;appointments&#44; referrals to&#47;from specialists&#44; acute complaints&#41;&#46;</p><p id="para0030" class="elsevierStylePara elsevierViewall">C&#46; First Contact - Accessibility&#58; service structure&#44; including location and hours&#46;</p><p id="para0031" class="elsevierStylePara elsevierViewall">D&#46; Longitudinality&#58; temporal continuity of healthcare services&#44; including an interpersonal relationship that expresses mutual trust between users and professionals&#46;</p><p id="para0032" class="elsevierStylePara elsevierViewall">E&#46; Coordination - Care Integration&#58; coordination between different services and actions &#40;referral&#47;counter-referral&#41;&#46;</p><p id="para0033" class="elsevierStylePara elsevierViewall">F&#46; Coordination - Information Systems&#58; medical record keeping and access to this information by the caregiver&#46;</p><p id="para0034" class="elsevierStylePara elsevierViewall">G&#46; Completeness - Available Services&#58; services present in the unit or offered by it&#46;</p><p id="para0035" class="elsevierStylePara elsevierViewall">H&#46; Completeness - Services Provided&#58; services received or offered &#40;including preventive and health promotion guidance&#41;&#46;</p><p id="para0036" class="elsevierStylePara elsevierViewall">I&#46; Family Orientation&#58; recognition of family factors in determining an individual&#39;s health and disease treatment&#44; considering the family as the subject of care&#46;</p><p id="para0037" class="elsevierStylePara elsevierViewall">J&#46; Community Orientation&#58; recognition of environmental and community factors in determining health and disease treatment &#40;including home visits and invitations to participate in Health Councils&#41;&#46;</p><p id="para0038" class="elsevierStylePara elsevierViewall">The calculation of scores followed the recommendations of the PCA Tool-Brazil Application Manual <a class="elsevierStyleCrossRef" href="#bib0011">&#91;11&#93;</a> and is described in detail in Deoclecio Avigo&#39;s Doctoral Thesis &#8211; &#8220;Evaluation of the attributes of primary healthcare in two coexisting models in the western region of the city of S&#227;o Paulo&#44; using the Primary Care Assessment Tool&#8221;&#46; <a class="elsevierStyleCrossRef" href="#bib0022">&#91;22&#93;</a></p></span><span id="sec0007" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0014">Statistical analysis</span><p id="para0039" class="elsevierStylePara elsevierViewall">A global analysis of pediatric data was conducted according to the child&#39;s age group&#46; Categorical variables were presented as counts and proportions&#46; Comparison between groups with ages under and over three years was performed using the Chi-Square test for categorical variables&#46; Quantitative variables were expressed as means and standard deviations&#44; and comparisons between groups were made using analysis of variance &#40;ANOVA&#41;&#46;</p><p id="para0040" class="elsevierStylePara elsevierViewall">The subsequent step involved comparing scores between AMAs for children under and over three years of age&#44; as well as between PHCUs&#47;FHS for the same pediatric age groups&#44; using analysis of variance &#40;ANOVA&#41;&#46;</p><p id="para0041" class="elsevierStylePara elsevierViewall">Subsequently&#44; a linear regression model was developed to identify a relationship between the overall and essential scores and the type of healthcare unit &#40;AMA or PHCU&#47;FHS&#41;&#44; considering the age cutoff of three years for children&#46; Adjustment variables for the model included the age of the caregiver &#40;equal or over thirty years&#41;&#44; the sex of the child and the caregiver&#44; as well as the caregiver&#39;s education &#40;with the cutoff point being the completion of high school&#41;&#46;</p><p id="para0042" class="elsevierStylePara elsevierViewall">For statistical analysis&#44; the R software &#40;R Project for Statistical Computing&#41; <a class="elsevierStyleCrossRef" href="#bib0026">&#91;26&#93;</a> was used&#44; with a significance level set at 0&#46;05&#46;</p></span></span><span id="sec0008" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0015">Results</span><p id="para0043" class="elsevierStylePara elsevierViewall">A total of 311 interviews were conducted&#44; with 153 interviews involving children under the age of three and 158 involving children aged three or older&#46; The interviews were conducted at three AMAs &#40;Jaguar&#233;&#44; Paulo VI&#44; and Vila S&#244;nia&#41; and three PHCUs&#47;FHS &#40;Jardim D&#39;Abril&#44; Vila Dalva&#44; and Jardim Boa Vista&#41;&#59; at each of the specified locations&#44; caregivers of 52 children were interviewed&#44; with the exception of PHCU&#47;FHS Jardim Boa Vista&#44; where 51 assessments were conducted&#46; <a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> presents information about the sociodemographic data of the children and their caregivers&#44; organized according to age groups&#46;</p><elsevierMultimedia ident="tbl0001"></elsevierMultimedia><p id="para0044" class="elsevierStylePara elsevierViewall">The results from <a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> indicate a balanced representation of both sexes among the children in this study&#46; Caregivers&#44; for the most part&#44; are female and with a mean age of 31 years&#46; The majority of caregivers have a satisfactory level of education&#46; However&#44; it is important to note that 22&#37; of them have only completed Elementary School&#46; Caregivers of younger children have higher levels of education compared to caregivers of children older than three years of age&#46; Additionally&#44; they are also younger than their counterparts as well&#46;</p><p id="para0045" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a> shows the comparison of PCA Tool scores between age groups&#46; It is observed that the scores evaluating affiliation&#44; longitudinality&#44; coordination&#44; and completeness have higher scores in the group of children under three years of age&#44; in both types of healthcare services&#44; with statistically significant differences&#46; These values influence the scores of the essential and overall scores&#46; However&#44; it is important to note that these scores do not reach the ideal cutoff point&#44; which is greater or equal to 6&#46;6&#46;</p><elsevierMultimedia ident="tbl0002"></elsevierMultimedia><p id="para0046" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRefs" href="#tbl0003">Tables 3 and 4</a> present the assessment of scores between the age groups studied&#44; considering the type of healthcare service&#44; AMA or PHCU&#47;FHS&#46; When analyzing these tables&#44; it is noticeable that&#44; for both services&#44; the score &#8220;Coordination - Information Systems&#8221; exhibits a statistically significant difference between the different age groups&#46; This suggests that younger children have a greater number of health-related records&#44; possibly due to more frequent visits to healthcare services&#46;</p><elsevierMultimedia ident="tbl0003"></elsevierMultimedia><elsevierMultimedia ident="tbl0004"></elsevierMultimedia><p id="para0047" class="elsevierStylePara elsevierViewall">In <a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>&#44; the affiliation attribute also showed a significantly higher score in the group of children under three years old&#46;</p><p id="para0048" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 5</a> presents the construction of a linear regression model to assess the relationship between essential and overall scores and the type of healthcare unit&#44; considering the age group of the children&#46; The model was adjusted for the age of the caregiver &#40;equal to or greater than 30 years&#41;&#44; the sex of the child and the caregiver&#44; and the caregiver&#39;s education level &#40;using completion of high school as the cutoff point&#41;&#46; It is noteworthy that the essential score for PHCU&#47;FHS shows a tendency to have lower values in the assessments of children over three years of age&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0009" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0016">Discussion</span><p id="para0049" class="elsevierStylePara elsevierViewall">This study is the first to comparatively assess the attributes of PHC using the PCA Tool instrument across pediatric age groups&#44; considering the age of three as the cutoff point &#40;children under three years old and those three years and older&#41;&#46; This cutoff point ensured a balanced distribution of age groups in the samples of children in AMAs and PHCUs&#44; as well as allowed an evaluation of early and late childhood&#46; During this period&#44; children exhibit significant gains in both growth and development and access health services very frequently&#46; <a class="elsevierStyleCrossRef" href="#bib0027">&#91;27&#93;</a></p><p id="para0050" class="elsevierStylePara elsevierViewall">Comparative results between age groups show higher essential and overall scores in the assessment of children under three years old&#44; with the essential score significantly better for this phase of life &#40;6&#46;1 compared to 5&#46;5&#44; as shown in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>&#41;&#46; This indicates that services offered for early childhood are positively recognized by the population&#44; although this score does not reach the ideal value of 6&#46;6&#44; according to the literature&#46; &#91;<a class="elsevierStyleCrossRef" href="#bib0013">13</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0020">20</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0028">28</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0029">29</a>&#93; The authors also observed that the scores that showed statistically significant differences in both groups &#40;under three years old and three years and older&#41; were the following&#58; affiliation &#40;4&#46;9 vs&#46; 3&#46;8&#41;&#44; continuity of care &#40;5&#46;7 vs&#46; 5&#46;2&#41;&#44; coordination - information system &#40;7&#46;4 vs&#46; 6&#46;3&#41;&#44; and completeness - services provided &#40;5&#46;4 vs&#46; 4&#46;5&#41;&#46;</p><p id="para0051" class="elsevierStylePara elsevierViewall">Although it did not reach the ideal score&#44; continuity of care was higher in younger children&#44; indicating that the follow-up proposed by the Ministry of Health&#44; with scheduled appointments&#44; is being implemented and recognized as important by the population&#46; From the age of three&#44; the lower score for this attribute reflects that child health follow-up becomes primarily on-demand&#44; meaning that care focuses on acute illnesses and is less effective in promoting health&#46; It is remarkable that the increase in non-communicable chronic diseases occurs insidiously and is noticed late by caregivers&#44; making it difficult to provide guidance on lifestyle habits and the management of comorbidities&#46; Other studies in the literature&#44; regardless of age group analysis&#44; have also found that healthcare units perform poorly in terms of preventing illnesses and promoting health&#46; <a class="elsevierStyleCrossRef" href="#bib0030">&#91;30&#93;</a></p><p id="para0052" class="elsevierStylePara elsevierViewall">Similarly&#44; to the previous discussion&#44; the same analysis can be applied to the attribute completeness - services provided&#44; which assesses the services offered or received&#46; In this context&#44; issues such as healthy eating&#44; hygiene&#44; sleep&#44; accident prevention&#44; as well as child behavior and development&#44; are more comprehensively addressed in scheduled and frequent appointments&#46;</p><p id="para0053" class="elsevierStylePara elsevierViewall">The attribute coordination - information system obtained a score above the ideal for children under three years of age in this study&#46; This may indicate that in the evaluated units&#44; where Family Medicine residency programs are in place&#44; clinical records are an integral part of the training of these professionals&#46; Ensuring adequate information is crucial for the safety of childcare&#44; and several studies &#91;<a class="elsevierStyleCrossRef" href="#bib0031">31</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0032">32</a>&#93; have shown that recording patient information plays a crucial role both in the appointment itself and in understanding the individual&#39;s health progress&#46;</p><p id="para0054" class="elsevierStylePara elsevierViewall">In the group of children under 3 years old&#44; in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>&#44; the affiliation attribute obtained a higher score&#46; However&#44; a more accurate understanding can be gained from <a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>&#44; as the high scores observed in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a> result from the evaluation of this attribute in the PHCU&#47;FHS&#44; not in the AMA&#46; The degree of affiliation reflects the perception of this health service&#47;professional as fundamental in promoting user care&#46;</p><p id="para0055" class="elsevierStylePara elsevierViewall">Of the four most recent studies <a class="elsevierStyleCrossRefs" href="#bib0033">&#91;33&#8211;36&#93;</a> that assessed affiliation&#44; three of them presented scores above 6&#46;6&#46; <a class="elsevierStyleCrossRefs" href="#bib0033">&#91;33&#8211;35&#93;</a> One of these studies was conducted with caregivers of children with Type 1 Diabetes Mellitus&#44; <a class="elsevierStyleCrossRef" href="#bib0035">&#91;35&#93;</a> a chronic condition that presupposes a strong bond between the user and the responsible professional&#46; The most methodologically well-designed study&#44; more accurately representing the assessment of children&#39;s health&#44; was conducted in the city of Rio de Janeiro&#44; where the children&#39;s experience with FHS services was well evaluated&#44; achieving a score of 7&#46;59&#46; <a class="elsevierStyleCrossRef" href="#bib0033">&#91;33&#93;</a></p><p id="para0056" class="elsevierStylePara elsevierViewall">In <a class="elsevierStyleCrossRefs" href="#tbl0003">Tables 3 and 4</a>&#44; when considering both age group and type of service &#40;PHCU&#47;FHS&#41;&#44; it is noted that the attribute coordination - information system obtained a higher score in the group of children under three years old&#46; Based on these data&#44; the authors may speculate that the medical record is recognized by the child&#39;s guardian as an effective tool for both acute demands and longitudinal follow-up&#44; especially during early childhood&#46; This is supported by Silva et al&#46;&#8217;s results&#46; <a class="elsevierStyleCrossRef" href="#bib0037">&#91;37&#93;</a> In their study&#44; when assessing the perception of caregivers of children up to two years of age who exclusively attended PHCUs&#47;FHS&#44; they found a high score for this attribute&#46;</p><p id="para0057" class="elsevierStylePara elsevierViewall">In the analysis of attributes between age groups in relation to the location of care &#40;PHCU&#47;FHS&#41;&#44; several high scores can be observed&#46; Although there is no statistical difference between the groups&#44; the highest values are related to coordination - care integration &#40;8&#46;6 vs&#46; 9&#46;0&#41; and community orientation &#40;9&#46;5 vs&#46; 9&#46;9&#41;&#46; The result of the community orientation attribute stands out&#44; as it does not coincide with what was found in other studies&#46; &#91;<a class="elsevierStyleCrossRef" href="#bib0037">37</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0038">38</a>&#93; It is inferred from this result that the work of the Family Health Strategy in the development of collective health has been extremely satisfactory for both age groups and can play an important role in preventing non-communicable chronic diseases for preschool and school-age children&#46;</p><p id="para0058" class="elsevierStylePara elsevierViewall">Given the proposal to create AMAs <a class="elsevierStyleCrossRef" href="#bib0039">&#91;39&#93;</a> with the aim of increasing access to PHC&#44; this study revealed that the attribute access - utilization performed satisfactorily in both age groups&#44; exceeding the ideal value when assessed in the group of children aged three and older &#40;7&#46;0&#44; as shown in <a class="elsevierStyleCrossRef" href="#tbl0004">Table 4</a>&#41;&#46; However&#44; when analyzing the accessibility aspect of access&#44; which indicates service structure&#44; location&#44; and hours&#44; this score was insufficient in both groups&#44; confirming findings from a previous study&#46; <a class="elsevierStyleCrossRef" href="#bib0039">&#91;39&#93;</a></p><p id="para0059" class="elsevierStylePara elsevierViewall">The other attributes received insufficient evaluations in both age groups&#44; with a maximum of 6&#46;6 for the coordination-information system parameter in the group of children under three years old&#46; These results demonstrate concerns regarding the effectiveness and quality of the service provided&#46;</p><p id="para0060" class="elsevierStylePara elsevierViewall">Regarding the sociodemographic profile of the studied population&#44; it is observed that children under three years of age were predominantly cared for by young women with higher education compared to the other group &#40;<a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a>&#41;&#46; This can lead to different perspectives and perceptions regarding the studied attributes&#46;</p><p id="para0061" class="elsevierStylePara elsevierViewall">In linear regression models&#44; the authors observed a non-significant trend towards better overall and essential scores in the evaluations of the group of children under three years old attending PHCUs&#47;FHS&#46; Although no statistical significance was observed&#44; this result may reflect that strategies for early childhood are positively recognized by the population&#44; according to the PCATool domains&#44; especially when it comes to PHCUs&#47;FHS&#46;</p><p id="para0062" class="elsevierStylePara elsevierViewall">Current literature points to other opportunities for implementing nutritional and developmental programs for preschoolers&#44; school-age children&#44; and adolescents&#46; <a class="elsevierStyleCrossRef" href="#bib0040">&#91;40&#93;</a> From this perspective&#44; healthcare units have failed to recognize and manage health issues related to nutritional problems&#44; such as overweight&#44; as well as deficits and childhood developmental disorders&#46; This situation is exacerbated by the lack of population awareness regarding these conditions&#44; making it imperative to adopt a new approach in terms of public policies for children beyond early childhood&#46;</p><p id="para0063" class="elsevierStylePara elsevierViewall">One limitation of this research is that the results represent a privileged area of health access and&#44; above all&#44; rely on highly qualified professionals&#46; This is because all the healthcare units studied have residency programs in Family Medicine at the University of S&#227;o Paulo&#46; This bias may have positively influenced the essential and overall scores related to PHCUs&#47;FHS &#40;<a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>&#41;&#44; which does not correlate with the national reality&#46; AMA is a service exclusive to the city of S&#227;o Paulo and is less studied compared to more traditional PHC services&#46; Although the AMA is classified as part of Primary Health Care and&#44; therefore&#44; was evaluated by the PCA Tool&#44; specific aspects of this strategy may require evaluation by other instruments&#46;</p><p id="para0064" class="elsevierStylePara elsevierViewall">Other limitations are related to the lower scores observed in various attributes evaluated in the AMA service&#44; impacting the averages presented in <a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>&#46; Additionally&#44; the data were collected within UBSs and AMAs&#44; which could introduce bias in the scores of items related to access &#40;B and C&#41;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0017">Conclusion</span><p id="para0065" class="elsevierStylePara elsevierViewall">The attributes of PHC&#44; with a focus on affiliation&#44; continuity of care&#44; coordination&#44; and completeness&#44; received more favorable assessments in the group of children under three years of age when considering all services&#44; including AMAs and PHCUs&#47;FHS&#46; When analyzing the services separately&#44; it was observed that the coordination-information system attribute scored higher in the group of children under three years old&#46; Additionally&#44; in the PHCU&#47;FHS service&#44; the affiliation attribute also recorded higher scores in the same group of children&#46;</p><p id="para0066" class="elsevierStylePara elsevierViewall">The linear regression analysis indicated a trend of lower essential scores when evaluating children over three years of age&#46;</p><p id="para0067" class="elsevierStylePara elsevierViewall">This study suggests the system of care for children aged three years or older may need priority improvement in response to new health demands&#46;</p></span><span id="sec0010a" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0017a">CRediT authorship contribution statement</span><p id="para0067a" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Luciana Harumi Miranda Omori&#58;</span> Conceptualization&#44; Resources&#44; Visualization&#44; Writing &#8211; original draft&#46; <span class="elsevierStyleBold">Deoclecio Avigo&#58;</span> Software&#44; Investigation&#44; Resources&#44; Visualization&#46; <span class="elsevierStyleBold">Itamar de Souza Santos&#58;</span> Conceptualization&#44; Methodology&#44; Software&#44; Formal analysis&#46; <span class="elsevierStyleBold">Gustavo Diniz Ferreira Gusso&#58;</span> Conceptualization&#44; Methodology&#44; Funding acquisition&#46; <span class="elsevierStyleBold">Maria Teresa Bechere Fernandes&#58;</span> Conceptualization&#44; Formal analysis&#44; Writing &#8211; review &#38; editing&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres2290911"
          "titulo" => "Highlights"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abss0001"
            ]
          ]
        ]
        1 => array:3 [
          "identificador" => "xres2290910"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abss0002"
              "titulo" => "Introduction"
            ]
            1 => array:2 [
              "identificador" => "abss0003"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abss0004"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abss0005"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        2 => array:2 [
          "identificador" => "xpalclavsec1903304"
          "titulo" => "Keywords"
        ]
        3 => array:2 [
          "identificador" => "sec0001"
          "titulo" => "Introduction"
        ]
        4 => array:3 [
          "identificador" => "sec0002"
          "titulo" => "Materials and methods"
          "secciones" => array:5 [
            0 => array:2 [
              "identificador" => "sec0003"
              "titulo" => "Population and sample"
            ]
            1 => array:2 [
              "identificador" => "sec0004"
              "titulo" => "Exclusion criteria"
            ]
            2 => array:2 [
              "identificador" => "sec0005"
              "titulo" => "Instruments"
            ]
            3 => array:2 [
              "identificador" => "sec0006"
              "titulo" => "Calculation of pca tool scores"
            ]
            4 => array:2 [
              "identificador" => "sec0007"
              "titulo" => "Statistical analysis"
            ]
          ]
        ]
        5 => array:2 [
          "identificador" => "sec0008"
          "titulo" => "Results"
        ]
        6 => array:2 [
          "identificador" => "sec0009"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conclusion"
        ]
        8 => array:2 [
          "identificador" => "sec0010a"
          "titulo" => "CRediT authorship contribution statement"
        ]
        9 => array:2 [
          "identificador" => "xack786234"
          "titulo" => "Acknowledgments"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-09-16"
    "fechaAceptado" => "2024-03-18"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1903304"
          "palabras" => array:3 [
            0 => "Primary health care"
            1 => "Pca tool"
            2 => "Child Health"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "highlights" => array:2 [
      "titulo" => "Highlights"
      "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara007" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">Government programs primarily focus on early childhood&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">Primary Care services tend to be better for children under three years old&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">New programs are needed to provide follow-up care for children beyond early childhood&#46;</p></li></ul></p></span>"
    ]
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Introduction</span><p id="spara008" class="elsevierStyleSimplePara elsevierViewall">Child health actions in Brazil have their primary focus on early childhood&#46; A new epidemiological profile is emerging for children after the first one thousand days&#58; an increase in non-communicable chronic diseases&#46; This research aimed to analyze the attributes of Primary Health Care comparatively among different age groups&#44; using three years of age as the cutoff point&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Methods</span><p id="spara009" class="elsevierStyleSimplePara elsevierViewall">The study design was cross-sectional and conducted in three Primary Health Care Units and three Ambulatory Medical Assistance facilities in the Western Region of S&#227;o Paulo&#46; The PCA Tool Brazil was used as the assessment instrument&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0005">Results</span><p id="spara010" class="elsevierStyleSimplePara elsevierViewall">A total of 311 interviews were conducted with caregivers of children aged 0 to 12 years&#59; 153 children were under three years old&#44; and 158 were three years or older&#46; The attributes that showed statistically significant differences between age groups &#40;&#60; 3 years and &#62; 3 years&#41; were affiliation &#40;4&#46;9 &#215; 3&#46;8&#41;&#44; longitudinality &#40;5&#46;7 &#215; 5&#46;2&#41;&#44; information system &#40;7&#46;4 &#215; 6&#46;3&#41;&#44; and services provided &#40;5&#46;4 &#215; 4&#46;5&#41;&#46; Through linear regression analysis&#44; it was observed that there was a trend for better overall and essential scores in the evaluations of the group of children under three years old who attended Primary Health Care Units&#46;</p></span> <span id="abss0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0006">Conclusion</span><p id="spara011" class="elsevierStyleSimplePara elsevierViewall">The comparative analysis of Primary Health Care attributes among pediatric age groups revealed a trend towards higher scores&#44; according to caregivers&#39; perceptions&#44; for children under three years old&#46; This study suggests the need for the implementation of programs that can better address the healthcare needs of children beyond early childhood&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abss0002"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abss0003"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abss0004"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abss0005"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="para0068a" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="ecom0001"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix"
            "titulo" => "Supplementary materials"
            "identificador" => "sec0012"
          ]
        ]
      ]
    ]
    "multimedia" => array:6 [
      0 => array:8 [
        "identificador" => "tbl0001"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0001"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0001"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0002"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&#60; 3-years&#40;<span class="elsevierStyleItalic">n</span> &#61; 153&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0003"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&#8805; 3-years&#40;<span class="elsevierStyleItalic">n</span> &#61; 158&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0004"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">Total&#40;<span class="elsevierStyleItalic">n</span> &#61; 311&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0005"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><a name="en0001a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0007"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean &#177; SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0008"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean &#177; SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0009"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Mean &#177; SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0005a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0011"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top"><span class="elsevierStyleBold">Child&#39;s Information</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0012"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0013"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0014"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0015"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0016"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0017"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">84 &#40;54&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0018"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">87 &#40;55&#46;1&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0019"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">171 &#40;55&#46;0&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0020"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0021"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top"><span class="elsevierStyleBold">Caregiver&#39;s Information</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0022"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0023"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0024"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0025"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0026"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Age&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0027"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">28&#46;8 &#177; 7&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0028"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">33&#46;1 &#177; 9&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0029"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">31&#46;0 &#177; 9&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0030"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;000<a class="elsevierStyleCrossRef" href="#tb1fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0031"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Female&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0032"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">142 &#40;92&#46;8&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0033"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">149 &#40;94&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0034"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">291 &#40;93&#46;6&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0035"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;760&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0036"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top"><span class="elsevierStyleBold">Economy Class</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0037"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0038"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0039"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0040"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;769&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0041"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A or B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0042"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">27 &#40;17&#46;6&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0043"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">33 &#40;20&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0044"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">60 &#40;19&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0045"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0046"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0047"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">112 &#40;73&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0048"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">111 &#40;70&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0049"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">223 &#40;71&#46;7&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0050"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0051"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D or E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0052"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">14 &#40;9&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0053"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">14 &#40;8&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0054"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">28 &#40;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0055"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0056"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top"><span class="elsevierStyleBold">Education level</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0057"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0058"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0059"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0060"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;004<a class="elsevierStyleCrossRef" href="#tb1fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0061"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Incomplete elementary school&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0062"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6 &#40;3&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0063"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4 &#40;2&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0064"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">10 &#40;3&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0065"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0066"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete elementary school&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0067"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">16 &#40;10&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0068"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">43 &#40;27&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0069"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">59 &#40;19&#46;0&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0070"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0071"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete middle school&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0072"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">49 &#40;32&#46;0&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0073"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">43 &#40;27&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0074"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">92 &#40;29&#46;6&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0075"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0076"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Complete high school&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0077"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">77 &#40;50&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0078"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">61 &#40;38&#46;6&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0079"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">138 &#40;44&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0080"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0081"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Bachelor&#39;s degree&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0082"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5 &#40;3&#46;3&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0083"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7 &#40;4&#46;4&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0084"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">12 &#40;3&#46;9&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0085"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3711569.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tb1fn1"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="notep0001"><span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">General characteristics of the studied sample according to the child&#39;s age range&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0002"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0002"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0086az"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0087"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&#60; 3-years &#40;<span class="elsevierStyleItalic">n</span> &#61; 153&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0088"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&#8805; 3-years &#40;<span class="elsevierStyleItalic">n</span> &#61; 158&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0089"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">Total &#40;<span class="elsevierStyleItalic">n</span> &#61; 311&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0090"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><a name="en0086a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0092"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean&#177;SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0093"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean&#177;SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0094"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">mean&#177;SD&#47; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0090a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0096"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score &#40;Affiliation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0097"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;9 &#177; 4&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0098"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">3&#46;8 &#177; 3&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0099"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 4&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0100"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;021<a class="elsevierStyleCrossRef" href="#tb2fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0101"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score &#40;Access - utilization&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0102"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;2 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0103"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;4 &#177; 2&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0104"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;3 &#177; 2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0105"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;655&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0106"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score &#40;Access - accessibility&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0107"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;8 &#177; 2&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0108"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;3 &#177; 2&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0109"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;6 &#177; 2&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0110"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;058&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0111"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score &#40;Longitudinality&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0112"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;7 &#177; 1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0113"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;2 &#177; 1&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0114"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;4 &#177; 1&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0115"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;006<a class="elsevierStyleCrossRef" href="#tb2fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0116"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score &#40;Coordination - Care Integration&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0117"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;5 &#177; 3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0118"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;4 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0119"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;4 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0120"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;886&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0121"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score &#40;Coordination - Information Systems&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0122"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;4 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0123"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;3 &#177; 2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0124"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;8 &#177; 2&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0125"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;000<a class="elsevierStyleCrossRef" href="#tb2fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0126"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score &#40;Completeness - Available Services&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0127"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;1 &#177; 2&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0128"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;7 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0129"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;9 &#177; 2&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0130"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;195&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0131"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score &#40;Completeness - Services Provided&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0132"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;4 &#177; 3&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0133"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;5 &#177; 3&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0134"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;9 &#177; 3&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0135"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;043<a class="elsevierStyleCrossRef" href="#tb2fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0136"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score &#40;Family Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0137"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;8 &#177; 3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0138"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;0 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0139"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;9 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0140"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;679&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0141"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score &#40;Community Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0142"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;2 &#177; 4&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0143"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;9 &#177; 4&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0144"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;0 &#177; 4&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0145"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0146"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0147"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;1 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0148"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;5 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0149"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;8 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0150"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;008<a class="elsevierStyleCrossRef" href="#tb2fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0151"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0152"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;0 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0153"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;6 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0154"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;8 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0155"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;054&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3711568.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tb2fn1"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="notep0002"><span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall">Evaluation of PCA Tool scores on a scale of 0 to 10 points between the groups &#60; and &#8805; 3-years&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0003"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0003"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0156"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0157"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#60; 3-years PHCU&#47;FHS &#40;<span class="elsevierStyleItalic">n</span> &#61; 87&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0158"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#8805; 3-years PHCU&#47;FHS &#40;<span class="elsevierStyleItalic">n</span> &#61; 68&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0159"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Total &#40;<span class="elsevierStyleItalic">n</span> &#61; 155&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0160"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0161"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score &#40;Affiliation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0162"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;9 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0163"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;8 &#177; 3&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0164"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;4 &#177; 3&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0165"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;040<a class="elsevierStyleCrossRef" href="#tb3fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0166"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score &#40;Access- utilization&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0167"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;9 &#177; 2&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0168"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;9 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0169"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;9 &#177; 2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0170"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;984&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0171"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score &#40;Access- accessibility&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0172"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;3 &#177; 2&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0173"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;7 &#177; 2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0174"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;1 &#177; 2&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0175"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0176"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score &#40;Longitudinality&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0177"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;6 &#177; 1&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0178"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;3 &#177; 1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0179"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;5 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0180"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;234&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0181"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score &#40;Coordination - Care Integration&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0182"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">8&#46;6 &#177; 2&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0183"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9&#46;0 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0184"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">8&#46;8 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0185"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;587&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0186"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score &#40;Coordination - Information Systems&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0187"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;9 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0188"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;3 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0189"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;6 &#177; 1&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0190"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;029<a class="elsevierStyleCrossRef" href="#tb3fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0191"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score &#40;Completeness- Available Services&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0192"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;1 &#177; 1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0193"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;1 &#177; 1&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0194"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;1 &#177; 1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0195"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;960&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0196"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score &#40;Completeness - Services Provided&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0197"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;1 &#177; 3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0198"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;8 &#177; 3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0199"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;9 &#177; 3&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0200"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;604&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0201"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score &#40;Family Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0202"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;0 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0203"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;9 &#177; 2&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0204"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;4 &#177; 3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0205"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;101&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0206"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score &#40;Community Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0207"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9&#46;5 &#177; 3&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0208"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9&#46;9 &#177; 3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0209"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9&#46;7 &#177; 3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0210"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;438&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0211"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0212"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;3 &#177; 1&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0213"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;9 &#177; 1&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0214"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;1 &#177; 1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0215"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0216"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0217"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;3 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0218"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;2 &#177; 1&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0219"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;3 &#177; 1&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0220"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;607&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3711565.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tb3fn1"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="notep0003"><span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara003" class="elsevierStyleSimplePara elsevierViewall">The assessment of PCA Tool scores on a scale of 0 to 10 points between the groups &#60; 3-years and &#8805; 3-years by interview location &#8211; PHCU&#47;FHS&#46;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0004"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0004"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0221"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0222"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#60; 3-years AMA&#40;<span class="elsevierStyleItalic">n</span> &#61; 66&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0223"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#8805; 3-years AMA&#40;<span class="elsevierStyleItalic">n</span> &#61; 90&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0224"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Total&#40;<span class="elsevierStyleItalic">n</span> &#61; 156&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0225"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0226"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">A Score &#40;Affiliation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0227"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;9 &#177; 2&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0228"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;5 &#177; 2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0229"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;2 &#177; 2&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0230"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;086&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0231"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">B Score &#40;Access- utilization&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0232"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;4 &#177; 3&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0233"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">7&#46;0 &#177; 2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0234"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;8 &#177; 2&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0235"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;215&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0236"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">C Score &#40;Access- accessibility&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0237"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;2 &#177; 2&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0238"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;0 &#177; 2&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0239"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;1 &#177; 2&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0240"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;621&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0241"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">D Score &#40;Longitudinality&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0242"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;5 &#177; 1&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0243"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 1&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0244"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;4 &#177; 1&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0245"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;288&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0246"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">E Score &#40;Coordination - Care Integration&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0247"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;4 &#177; 4&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0248"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;4 &#177; 3&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0249"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;4 &#177; 3&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0250"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;998&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0251"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">F Score &#40;Coordination - Information Systems&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0252"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;6 &#177; 2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0253"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">5&#46;5 &#177; 2&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0254"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">6&#46;0 &#177; 2&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0255"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;014<a class="elsevierStyleCrossRef" href="#tb4fn1"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0256"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">G Score &#40;Completeness- Available Services&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0257"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;6 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0258"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;5 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0259"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;6 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0260"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;860&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0261"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">H Score &#40;Completeness - Services Provided&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0262"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">3&#46;1 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0263"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2&#46;8 &#177; 3&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0264"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2&#46;9 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0265"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;505&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0266"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">I Score &#40;Family Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0267"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">3&#46;2 &#177; 2&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0268"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">3&#46;6 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0269"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">3&#46;4 &#177; 2&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0270"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;461&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0271"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">J Score &#40;Community Orientation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0272"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0273"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;4 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0274"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;4 &#177; 3&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0275"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;853&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0276"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Essential Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0277"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;5 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0278"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;4 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0279"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;4 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0280"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;791&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0281"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Overall Score&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0282"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 1&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0283"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0284"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;3 &#177; 1&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0285"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;990&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3711566.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tb4fn1"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="notep0004"><span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara004" class="elsevierStyleSimplePara elsevierViewall">The assessment of PCA Tool scores on a scale of 0 to 10 points between the groups &#60; 3-years and &#8805; 3-years by interview location &#8211; AMA&#46;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0005"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spara006" class="elsevierStyleSimplePara elsevierViewall">The model was adjusted for the caregiver&#39;s age &#40;equal to or greater than 30-years&#41;&#44; child and caregiver&#39;s gender&#44; and the caregiver&#39;s educational level &#40;using the completion of high school as the cutoff point&#41;&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0286"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0287"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0288"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">PHCU&#47;FHS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0289"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">AMA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0290"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="top"><span class="elsevierStyleBold">Essential Score</span></td><a name="en0291"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Crude&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0292"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;420 &#40;&#8722;0&#46;911 to 0&#46;071&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;095&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0293"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;064 &#40;&#8722;0&#46;537 to 0&#46;409&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;791&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0295"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Adjusted&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0296"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;400 &#40;&#8722;0&#46;919 to 0&#46;120&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;134&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0297"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;024 &#40;&#8722;0&#46;507 to 0&#46;458&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;921&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0298"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="top"><span class="elsevierStyleBold">Overall Score</span></td><a name="en0299"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Crude&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0300"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;143 &#40;&#8722;0&#46;676 to 0&#46;390&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;599&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0301"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;003 &#40;&#8722;0&#46;487 to 0&#46;494&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;990&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0303"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Adjusted&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0304"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8722;0&#46;151 &#40;&#8722;0&#46;715 to 0&#46;413&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;600&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0305"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;061 &#40;&#8722;0&#46;438 to 0&#46;561&#41; <span class="elsevierStyleItalic">p</span> &#61; 0&#46;810&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3711567.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara005" class="elsevierStyleSimplePara elsevierViewall">Beta coefficient for essential and overall scores of the PCA Tool&#44; associated with children aged &#8805; 3-years&#46;</p>"
        ]
      ]
      5 => array:6 [
        "identificador" => "ecom0001"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0006"
            "detalle" => "Image&#44; application "
            "rol" => "short"
          ]
        ]
        "Ecomponente" => array:2 [
          "fichero" => "mmc1.docx"
          "ficheroTamanyo" => 14640
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "cebibsec1"
          "bibliografiaReferencia" => array:40 [
            0 => array:3 [
              "identificador" => "bib0001"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Secretaria De Aten&#231;&#227;o &#224; Sa&#250;de&#46; Departamento de A&#231;&#245;es Program&#225;ticas Estrat&#233;gicas Pol&#237;tica Nacional de Aten&#231;&#227;o Integral &#224; Sa&#250;de da Crian&#231;a&#58; Orienta&#231;&#245;es Para Implementa&#231;&#227;o"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Sa&#250;de Minist&#233;rio da"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2018"
                        "editorial" => "Minist&#233;rio da Sa&#250;de"
                        "editorialLocalizacion" => "Bras&#237;lia"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0002"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aten&#231;&#227;o Integral &#224; Sa&#250;de Da crian&#231;a&#58; Pol&#237;ticas e Indicadores De Sa&#250;de"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "V&#46;C&#46; Macedo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2016"
                        "editorial" => "Universit&#225;ria da UFPE"
                        "editorialLocalizacion" => "Recife"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0003"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Brasil&#46; Minist&#233;rio da Sa&#250;de&#46; Sistema de Informa&#231;&#245;es sobre Nascidos Vivos &#40;Sinasc&#41; e Sistema de Informa&#231;&#245;es sobre Mortalidade &#40;SIM&#41;&#46; An&#225;lise Epidemiol&#243;gica e Vigil&#226;ncia de Doen&#231;as N&#227;o Transmiss&#237;veis&#46; Available in&#58; <a target="_blank" href="https://svs.aids.gov.br/daent/cgiae/sinasc">https&#58;&#47;&#47;svs&#46;aids&#46;gov&#46;br&#47;daent&#47;cgiae&#47;sinasc</a>&#46; Accessed in november&#47;2023&#46;"
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0004"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changes in infant and neonatal mortality and associated factors in eight cohorts from three Brazilian cities"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;A&#46; Carvalho"
                            1 => "A&#46;A&#46;M&#46; da Silva"
                            2 => "C&#46; Victora"
                            3 => "M&#46; Goldani"
                            4 => "H&#46; Bettiol"
                            5 => "E&#46;B&#46;A&#46;F&#46; Thomaz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/s41598-020-59910-7"
                      "Revista" => array:7 [
                        "tituloSerie" => "Sci Rep"
                        "fecha" => "2020"
                        "volumen" => "10"
                        "numero" => "1"
                        "paginaInicial" => "3249"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32094364"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0167527321013218"
                          "estado" => "S300"
                          "issn" => "01675273"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aspectos Metodol&#243;gicos&#58; Descri&#231;&#227;o geral Do Estudo 1&#58; ENANI 2019&#46; &#8211; Documento eletr&#244;nico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Universidade Federal do Rio de Janeiro"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "fecha" => "2021"
                        "paginaInicial" => "108"
                        "editorial" => "Universidade Federal do Rio de Janeiro"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0006"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "High risk cohort study for psychiatric disorders in childhood&#58; rationale&#44; design&#44; methods and preliminary results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46;A&#46; Salum"
                            1 => "A&#46; Gadelha"
                            2 => "P&#46;M&#46; Pan"
                            3 => "T&#46;S&#46; Moriyama"
                            4 => "A&#46;S&#46; Graeff-Martins"
                            5 => "A&#46;C&#46; Tamanaha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/mpr.1459"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Methods Psychiatr Res"
                        "fecha" => "2015"
                        "volumen" => "24"
                        "numero" => "1"
                        "paginaInicial" => "58"
                        "paginaFinal" => "73"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25469819"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0007"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metabolic Syndrome and importance of associated variables in children and adolescents in Guabiruba &#8211; SC&#44; Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46; Rosini"
                            1 => "S&#46;A&#46;Z&#46;O&#46; Moura"
                            2 => "R&#46;D&#46; Rosini"
                            3 => "M&#46;J&#46; Machado"
                            4 => "E&#46;L&#46; da Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5935/abc.20150040"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2015"
                        "volumen" => "105"
                        "numero" => "1"
                        "paginaInicial" => "37"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25993484"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0008"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;L&#46; Pinto"
                            1 => "R&#46;C&#46;R&#46; Silva"
                            2 => "S&#46;E&#46; Priore"
                            3 => "A&#46;M&#46;O&#46; Assis"
                            4 => "E&#46;J&#46; Pinto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "fecha" => "2011"
                        "paginaInicial" => "1065"
                        "paginaFinal" => "1076"
                        "editorial" => "Brasil&#46; Cad&#46; Sa&#250;de P&#250;blica"
                        "editorialLocalizacion" => "Salvador&#44; Bahia"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0009"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o da implementa&#231;&#227;o do Programa Sa&#250;de na Escola&#44; do Programa de Melhoria do Acesso e da Qualidade da Aten&#231;&#227;o B&#225;sica&#58; 2012&#44; 2014 e 2018"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46;S&#46; Wachs"
                            1 => "L&#46;A&#46; Facchini"
                            2 => "E&#46; Thum&#233;"
                            3 => "E&#46; Tomasi"
                            4 => "M&#46;E&#46;G&#46; Fassa"
                            5 => "A&#46;G&#46; Fassa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Cad Sa&#250;de P&#250;blica"
                        "fecha" => "2022"
                        "volumen" => "38"
                        "numero" => "6"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aten&#231;&#227;o prim&#225;ria&#58; equil&#237;brio entre necessidades de sa&#250;de&#44; servi&#231;os e tecnologia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Starfield"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Bras&#237;lia&#58; UNESCO&#47;Minist&#233;rio da Sa&#250;de"
                        "fecha" => "2002"
                        "paginaInicial" => "726"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0011"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of the quality of Primary Health Care in Fortaleza&#44; Brazil&#44; from the perspective of adult service users in 2019"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;B&#46; Costa"
                            1 => "M&#46;V&#46; Mota"
                            2 => "M&#46;M&#46;A&#46; Porto"
                            3 => "C&#46;S&#46;G&#46;V&#46; Fernandes"
                            4 => "E&#46;T&#46; Santos"
                            5 => "J&#46;P&#46;M&#46; Oliveira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/1413-81232021266.39722020"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cien Saude Colet"
                        "fecha" => "2021"
                        "volumen" => "26"
                        "numero" => "6"
                        "paginaInicial" => "2083"
                        "paginaFinal" => "2096"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34231721"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0012"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Secretaria de Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Sa&#250;de&#46; Minist&#233;rio da"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Departamento de Sa&#250;de da Fam&#237;lia&#46; Manual do Instrumento de Avalia&#231;&#227;o da Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de&#58; PCA Tool&#8211;Brasil &#8211;2020"
                        "fecha" => "2020"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0013"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Performance of primary health care according to PCATool instrument&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;L&#46; Prates"
                            1 => "J&#46;C&#46; Machado"
                            2 => "L&#46;S&#46;D&#46; Silva"
                            3 => "P&#46;S&#46; Avelar"
                            4 => "L&#46;L&#46; Prates"
                            5 => "E&#46;T&#46; Mendon&#231;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/1413-81232017226.14282016"
                      "Revista" => array:8 [
                        "tituloSerie" => "Cien Saude Colet"
                        "fecha" => "2017"
                        "volumen" => "22"
                        "numero" => "6"
                        "paginaInicial" => "1881"
                        "paginaFinal" => "1893"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28614508"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002914916314722"
                          "estado" => "S300"
                          "issn" => "00029149"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0014"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The quality of care&#58; how can it be assessed&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Donabedian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.260.12.1743"
                      "Revista" => array:7 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1988"
                        "volumen" => "260"
                        "numero" => "12"
                        "paginaInicial" => "1743"
                        "paginaFinal" => "1748"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3045356"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Valida&#231;&#227;o do instrumento de avalia&#231;&#227;o da aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de&#58; pCATool&#8211;Brasil adultos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Harzheim"
                            1 => "M&#46;M&#46;C&#46; Oliveira"
                            2 => "M&#46;R&#46; Agostinho"
                            3 => "L&#46; Hauser"
                            4 => "A&#46;T&#46; Stein"
                            5 => "M&#46;R&#46; Gon&#231;alves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Bras Med Fam Comunidade"
                        "fecha" => "2013"
                        "volumen" => "8"
                        "numero" => "29"
                        "paginaInicial" => "274"
                        "paginaFinal" => "284"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0016"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary health care assessment from the users&#8217; perspectives&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;K&#46;A&#46;S&#46; Paula"
                            1 => "I&#46;C&#46; Samico"
                            2 => "M&#46;F&#46;C&#46; Caminha"
                            3 => "M&#46; Batista Filho"
                            4 => "S&#46;L&#46; Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esc Enferm USP"
                        "fecha" => "2016"
                        "volumen" => "50"
                        "numero" => "2"
                        "paginaInicial" => "331"
                        "paginaFinal" => "340"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0017"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Following the legacy of professors Barbara Starfield and Leiyu Shi in Brazil as health policy&#58; the National Health Survey &#40;PNS&#41;&#44; led by the Brazilian National Institute of Geography and Statistics &#40;IBGE&#41; and the Primary Care Assessment Tool &#40;PCAT&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Harzheim"
                            1 => "L&#46; Felipe Pinto"
                            2 => "O&#46;P&#46; D&#39;Avila"
                            3 => "L Hauser"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s12939-019-1083-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Equity Health"
                        "fecha" => "2019"
                        "volumen" => "18"
                        "numero" => "1"
                        "paginaInicial" => "176"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31730005"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0018"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of the Korean primary care assessment tool - measuring user experience&#58; tests of data quality and measurement performance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;H&#46;O&#46; Lee"
                            1 => "Y&#46;J&#46; Choi"
                            2 => "N&#46;J&#46; Sung"
                            3 => "S&#46;Y&#46; Kim"
                            4 => "S&#46;H&#46; Chung"
                            5 => "J&#46; Kim"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/intqhc/mzp007"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Qual Health Care"
                        "fecha" => "2009"
                        "volumen" => "21"
                        "numero" => "2"
                        "paginaInicial" => "103"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19286829"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0019"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Properties of a short questionnaire for assessing primary care experiences for children in a population survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Berra"
                            1 => "K&#46;B&#46; Rocha"
                            2 => "M&#46; Rodr&#237;guez-Sanz"
                            3 => "I&#46; Pasar&#237;n"
                            4 => "L&#46; Rajmil"
                            5 => "C&#46; Borrell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1471-2458-11-285"
                      "Revista" => array:5 [
                        "tituloSerie" => "BMC Public Health"
                        "fecha" => "2011"
                        "volumen" => "11"
                        "paginaInicial" => "285"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21554717"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pesquisa Nacional por Amostra de Domic&#237;lios Cont&#237;nua"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "IBGE Instituto Brasileiro de Geografia e Estat&#237;stica"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Minist&#233;rio do Planejamento e Or&#231;amento do Instituto Brasileiro de Geografia e Estat&#237;stica&#46; Diretoria de Pesquisas"
                        "fecha" => "2023"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0021"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "SMUL&#46; Secretaria Municipal de Urbanismo e Licenciamento da Prefeitura de S&#227;o Paulo&#46; Available in&#58; <a target="_blank" href="https://www.prefeitura.sp.gov.br/cidade/secretarias/licenciamento/desenvolvimento_urbano/dados_estatisticos/info_cidade/index.php/">https&#58;&#47;&#47;www&#46;prefeitura&#46;sp&#46;gov&#46;br&#47;cidade&#47;secretarias&#47;licenciamento&#47;desenvolvimento&#95;urbano&#47;dados&#95;estatisticos&#47;info&#95;cidade&#47;index&#46;php&#47;</a>&#46; 2020&#46;"
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0022"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o Dos Atributos Da Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de Em Dois Modelos Coexistentes Na Regi&#227;o Oeste Da Cidade De S&#227;o Paulo&#44; Utilizando o Primary Care Assessment Tool &#91;tese&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46; Avigo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2019"
                        "paginaInicial" => "102"
                        "editorial" => "S&#227;o Paulo&#58; Faculdade de Medicina da Universidade de S&#227;o Paulo"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0023"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Almeida C&#46;&#44; Macinko J&#46; Valida&#231;&#227;o de uma metodologia de avalia&#231;&#227;o r&#225;pida das caracter&#237;sticas organizacionais e do desempenho dos servi&#231;os de aten&#231;&#227;o b&#225;sica do Sistema &#218;nico de Sa&#250;de &#40;SUS&#41; em n&#237;vel local&#46; Bras&#237;lia&#58; organiza&#231;&#227;o Panamericana da Sa&#250;de&#47;Minist&#233;rio da Sa&#250;de&#59; 2006&#46;"
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0024"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Crit&#233;rios de Estratifica&#231;&#227;o e Compara&#231;&#227;o de Classificadores Socioecon&#244;micos no Brasil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "ABEP &#8211; Associa&#231;&#227;o Brasileira de Empresas de Pesquisa"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "S&#227;o Paulo&#58; ABEP"
                        "fecha" => "2008"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Empowering Mobile Users&#58; create Your Own Mobile Application for Data Collection in the Cloud"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;F&#46; Concei&#231;&#227;o"
                            1 => "J&#46;V&#46; S&#225;nchez"
                            2 => "A&#46;H&#46; Mamamni-Aliaga"
                            3 => "B&#46;G&#46; Santos"
                            4 => "M&#46;F&#46; Mendon&#231;a"
                            5 => "D&#46; Vieira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Mobi CASE"
                        "fecha" => "2013"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0026"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "The R Project for statistical computing&#46; Available from&#58; <a target="_blank" href="https://www.rproject.org/">https&#58;&#47;&#47;www&#46;rproject&#46;org&#47;</a>&#46; 2023&#46;"
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0027"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Departamento de Aten&#231;&#227;o B&#225;sica&#46; Sa&#250;de da crian&#231;a&#58; crescimento e desenvolvimento &#47;Minist&#233;rio da Sa&#250;de&#46; Secretaria de Aten&#231;&#227;o &#224; Sa&#250;de&#46; Departamento de Aten&#231;&#227;o B&#225;sica"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Sa&#250;de&#46; Secretaria de Aten&#231;&#227;o &#224; Sa&#250;de"
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Minist&#233;rio da"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "&#8211; Bras&#237;lia&#58; Minist&#233;rio da Sa&#250;de"
                        "fecha" => "2012"
                        "paginaInicial" => "272"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0028"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of primary child health care in Brazil&#58; a systematic review of methods and results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;S&#46; Silva"
                            1 => "D&#46;R&#46;F&#46; Fernandes"
                            2 => "C&#46;R&#46;L&#46; Alves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/1413-81232020258.27512018"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cien Saude Colet"
                        "fecha" => "2020"
                        "volumen" => "25"
                        "numero" => "8"
                        "paginaInicial" => "3185"
                        "paginaFinal" => "3200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32785553"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0029"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "World Health Organization and knowledge translation in maternal&#44; newborn&#44; child and adolescent health and nutrition"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "STAGE &#40;Strategic Technical Advisory Group of Experts&#41;"
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Duke"
                            1 => "F&#46;S&#46; AlBuhairan"
                            2 => "K&#46; Agarwal"
                            3 => "N&#46;K&#46; Arora"
                            4 => "S&#46; Arulkumaran"
                            5 => "Z&#46;A&#46; Bhutta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/archdischild-2021-323102"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "2022"
                        "volumen" => "107"
                        "numero" => "7"
                        "paginaInicial" => "644"
                        "paginaFinal" => "649"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34969670"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o da aten&#231;&#227;o &#224; sa&#250;de da crian&#231;a no contexto da Sa&#250;de da Fam&#237;lia no munic&#237;pio de Teixeiras&#44; Minas Gerais &#40;MG&#44; Brasil&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;D&#46; Costa"
                            1 => "R&#46;M&#46; Cotta"
                            2 => "J&#46;R&#46; Reis"
                            3 => "L&#46; Ferreira Mde"
                            4 => "R&#46;S&#46; Reis"
                            5 => "C&#46; Franceschini Sdo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s1413-81232011000800022"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cien Saude Colet"
                        "fecha" => "2011"
                        "volumen" => "16"
                        "numero" => "7"
                        "paginaInicial" => "3229"
                        "paginaFinal" => "3240"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21808910"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0031"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Registros em sa&#250;de&#58; avalia&#231;&#227;o da qualidade do prontu&#225;rio do paciente na aten&#231;&#227;o b&#225;sica&#44; Rio de Janeiro&#44; Brasil &#91;Health records&#58; evaluation of patient health charts in primary care&#44; Rio de Janeiro&#44; Brazil&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;M&#46; Vasconcellos"
                            1 => "E&#46;B&#46; Gribel"
                            2 => "I&#46;H&#46; Moraes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Cad Saude Publica"
                        "fecha" => "2008"
                        "volumen" => "24"
                        "numero" => "Suppl"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0032"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A Constru&#231;&#227;o dos Prontu&#225;rios como Express&#227;o da Pr&#225;tica dos Profissionais de Sa&#250;de"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;M&#46;O&#46; Mesquita"
                            1 => "S&#46;F&#46; Deslandes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sa&#250;de Soc S&#227;o Paulo"
                        "fecha" => "2010"
                        "volumen" => "19"
                        "numero" => "3"
                        "paginaInicial" => "664"
                        "paginaFinal" => "673"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0033"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o dos usu&#225;rios crian&#231;as e adultos quanto ao grau de orienta&#231;&#227;o para Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de na cidade do Rio de Janeiro"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Harzheim"
                            1 => "L&#46;F&#46; Pinto"
                            2 => "L&#46; Hauser"
                            3 => "D&#46; Soranz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brasil&#46; Ci&#234;nc Sa&#250;de Colet&#46;"
                        "fecha" => "2016"
                        "volumen" => "21"
                        "numero" => "5"
                        "paginaInicial" => "1399"
                        "paginaFinal" => "1408"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0034"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o dos atributos da Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de num munic&#237;pio do interior do Estado de S&#227;o Paulo &#8211; Brasil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;A&#46; Fracolli"
                            1 => "M&#46;J&#46; Muramatsu"
                            2 => "M&#46;F&#46;P&#46; Gomes"
                            3 => "F&#46;R&#46;Z&#46; Nab&#227;o"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "O Mundo da Sa&#250;de"
                        "fecha" => "2015"
                        "volumen" => "39"
                        "numero" => "1"
                        "paginaInicial" => "54"
                        "paginaFinal" => "61"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aten&#231;&#227;o prim&#225;ria &#224; crian&#231;a com diabetes mellitus tipo 1&#58; perspectiva de cuidadores"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46;C&#46;B&#46; Wolkers"
                            1 => "J&#46;C&#46;B&#46; Macedo"
                            2 => "C&#46;M&#46; Rodrigues"
                            3 => "M&#46;C&#46;C&#46; Furtado"
                            4 => "D&#46;F&#46; de Mello"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Paul Enferm"
                        "fecha" => "2017"
                        "volumen" => "30"
                        "numero" => "5"
                        "paginaInicial" => "451"
                        "paginaFinal" => "457"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0036"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acesso de primeiro contato na Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de para crian&#231;as de 0 a 9 anos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46;O&#46; Morais"
                            1 => "F&#46;R&#46;R&#46; Morais"
                            2 => "C&#46;M&#46;C&#46; Santiago"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Online Pesquisa Cuid Fundam"
                        "fecha" => "2017"
                        "volumen" => "9"
                        "numero" => "3"
                        "paginaInicial" => "848"
                        "paginaFinal" => "856"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0037"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o da assist&#234;ncia &#224; crian&#231;a na Estrat&#233;gia de Sa&#250;de da Fam&#237;lia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;S&#46; Silva"
                            1 => "L&#46;A&#46; Fracolli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Bras Enf"
                        "fecha" => "2016"
                        "volumen" => "69"
                        "numero" => "1"
                        "paginaInicial" => "47"
                        "paginaFinal" => "53"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0038"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A Aten&#231;&#227;o Prim&#225;ria &#224; Sa&#250;de e seus atributos&#58; a situa&#231;&#227;o das crian&#231;as menores de dois anos segundo suas cuidadoras"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Mesquita Filho"
                            1 => "B&#46;S&#46; Luz"
                            2 => "C&#46;S&#46; Ara&#250;jo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/1413-81232014197.17322013"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cien Saude Colet"
                        "fecha" => "2014"
                        "volumen" => "19"
                        "numero" => "7"
                        "paginaInicial" => "2033"
                        "paginaFinal" => "2046"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25014283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0039"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Avalia&#231;&#227;o da presen&#231;a e extens&#227;o dos atributos de aten&#231;&#227;o prim&#225;ria em dois modelos coexistentes na rede b&#225;sica de sa&#250;de do Munic&#237;pio de S&#227;o Paulo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46; Brunelli"
                            1 => "G&#46;D&#46;F&#46; Gusso"
                            2 => "I&#46;S&#46; Santos"
                            3 => "I&#46;J&#46;M&#46; Bense&#241;or"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Bras Med Fam Comunidade"
                        "fecha" => "2016"
                        "volumen" => "11"
                        "numero" => "38"
                        "paginaInicial" => "1"
                        "paginaFinal" => "12"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disease Control Priorities"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;A&#46;P&#46; Bundy"
                            1 => "N&#46; de Silva"
                            2 => "S&#46; Horton"
                            3 => "D&#46;T&#46; Jamison"
                            4 => "G&#46;C&#46; Patton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "edicion" => "Third Edition"
                        "fecha" => "2017"
                        "paginaInicial" => "481p"
                        "editorial" => "World Bank"
                        "editorialLocalizacion" => "Washington&#44; DC"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "http&#58;&#47;&#47;hdl&#46;handle&#46;net&#47;10986&#47;28876"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack786234"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="para0069" class="elsevierStylePara elsevierViewall">This work was supported by the <span class="elsevierStyleGrantSponsor" id="gs0001">Funda&#231;&#227;o de Amparo &#224; Pesquisa do Estado de S&#227;o Paulo &#40;FAPESP&#41;</span> &#91;Grant numbers&#58; <span class="elsevierStyleGrantNumber" refid="gs0001">13&#47;03704&#8211;9</span>&#93;&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/18075932/000000790000000C/v123_202411010523/S1807593224000309/v123_202411010523/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "94924"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/18075932/000000790000000C/v123_202411010523/S1807593224000309/v123_202411010523/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593224000309?idApp=UINPBA00004N"
]

Article information

ISSN: 18075932
Original language: English

DOI:10.1016/j.clinsp.2024.100353

The statistics are updated each day

Year/Month	Html	Pdf	Total

2024 November	7	1	8
2024 October	41	27	68
2024 September	46	29	75
2024 August	40	43	83
2024 July	52	19	71
2024 June	35	45	80
2024 May	35	44	79
2024 April	104	72	176

Indexed in:

Follow us:

Statistics

Indexed in:

Follow us:

Statistics

Subscribe to our newsletter