Multidimensional evaluation of Social Social in Health

Validation of the adapted scales of the 'Graffar', 'family APGAR' and the 'Economic vulnerability' for Social Workers in health


Start and End of the Project
2018 - ongoing

Principal Investigator
Professor Maria Irene Carvalho and Professor Helena Teles


Research Team

 Maria Irene Carvalho CAPP/ISCSP, Universidade de Lisboa
 Helena Teles ISCSP, Universidade de Lisboa
 Olga Ávila Associação de Profissionais de Serviço Social – Grupo de Trabalho da Saúde
 Amandine Pereira Hospital de Magalhães Lemos
 Clara Morais ARS Alentejo - Equipa Coordenadora Regional dos CCI
 Luís Frederico Centro Hospitalar do Porto – Hospital de Santo António
 Luísa Pires Centro Hospitalar do Porto
 Manuela Paiva Instituto Português de Oncologia de Lisboa
 Maria Gonçalves ACES Lisboa Ocidental e Oeiras – URAP/Serviço Social
 Patrícia Silva Centro Hospitalar de Lisboa Central – Hospital de Dona Estefânia
 Paula Torgal  Centro Hospitalar Universitário Cova da Beira



 Associação de Profissionais de Serviço Social – Grupo de Trabalho da Saúde Portugal



In healthcare, social workers are increasingly challenged to respond to key quality processes and to incorporate their knowledge and information into an integrated and holistic approach to health, including through access to information and communication platforms, such as SClínico. This program is an evolutionary system that has grown to become a single application, common to all healthcare providers and patient-centered.

Currently SClínico is not accessible to social workers who work in health organizations, but it is being developed by a Health Work Group of the Association of Social Service Professionals, in articulation with the Minister of Health , the profile design of the Social Worker in SClínico, destined and common to the three levels of care: primary, hospital and continuous integrated.

In the Social diagnosis, indicators are used that characterize the socio-familial context of the individual, as well as the extent and limit of their problems and social support needs. In this context, the use of scales can become an essential tool as an element of evaluation, explanation and comparison of phenomena and, ultimately, for the very design, dinamization, execution and evaluation of social health policies.

Therefore, the said Health Working Group of APSS - Association of Social Work Professionals, intends to test the significance of the application of three scales by social workers in the health area, in the sense that they are integrated in the SClínico in the future.

Two of these scales, "Graffar" and "APGAR familiar", although already validated internationally, now present a version adapted by the Social Service team of the Cova da Beira University Hospital Center. The "Economic Vulnerability" scale was also created and used by the same Social Service team of the Cova da Beira University Hospital Center.
Its validation is essential for its integration into the SClínico computer platform, allowing its widespread use by social workers in the health area, as tools for social diagnosis in health.
The objective of this study is to test and validate the aforementioned scales for the Portuguese reality and for the activity of the Social Work of the health area, with a view to its future integration in the SClínico IT platform, allowing its widespread use by all social workers of the Health area.

In methodological terms, we have chosen a type of quantitative and evaluative study, with the collection of sociodemographic data and quality of life relative to Social Service users to which it is applied, collected by means of the questionnaire technique.

The study is sensitive personal information, but will be introduced in two IT platforms specifically created for this purpose, totally anonymized and treated in this way, not allowing the identification of the person to whom it belongs. For the purpose of collecting and processing the data, a document will be made where informed consent will be requested to the participants. The study intends to validate the scales and introduce these indicators in the SClínico program in the sense of being used by the professionals of the Social Work in Health.