Rodrigues Maria Aparecida Pinheiro, Facchini Luiz Augusto, Piccini Roberto Xavier, Tomasi Elaine, Thumé Elaine, Silveira Denise Silva, Paniz Vera Maria Vieira, Siqueira Fernando Vinholes
Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2008 Oct;24(10):2267-78. doi: 10.1590/s0102-311x2008001000008.
This study evaluated the use of outpatient services by senior citizens (N = 4,003) drawing on data from the baseline study that evaluated the Project for Expansion and Consolidation of the Family Health Strategy (PROESF) in 41 cities in South and Northeast Brazil. Use of outpatient services was greater and more appropriate to the needs of the elderly in the South than in the Northeast. Primary care facilities in both regions met the demand by lower-income elderly, but those requiring more care were treated at other levels. The results highlight the need to increase the supply of outpatient services and ensure access by the elderly, particularly for individuals with functional impairments in the Northeast. In addition to promoting equity, primary care in both regions should adopt targeted approaches for the health needs of senior citizens.
本研究利用对巴西南部和东北部41个城市家庭健康战略扩展与巩固项目（PROESF）进行评估的基线研究数据，对4003名老年人的门诊服务使用情况进行了评估。与东北部相比，南部老年人的门诊服务使用量更大，且更符合老年人的需求。两个地区的初级保健机构满足了低收入老年人的需求，但那些需要更多护理的老年人则在其他层面接受治疗。研究结果凸显了增加门诊服务供应并确保老年人能够获得服务的必要性，特别是东北地区有功能障碍的个体。除了促进公平外，两个地区的初级保健都应针对老年人的健康需求采取有针对性的方法。
