Paskulin Lisiane Manganelli Girardi, Valer Daiany Borghetti, Vianna Lucila Amaral Carneiro
Departamento de Assistência e Orientação Profissional, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS 90620-110.
Cien Saude Colet. 2011 Jun;16(6):2935-44. doi: 10.1590/s1413-81232011000600031.
A cross-sectional study was carried out in the second semester of 2004 by means of a household survey with 292 elderly people in a Southern Brazilian city, selected by probabilistic sampling. The objectives were: to describe the use and geographic access of the elderly to primary healthcare (PHC) in Porto Alegre (RS), and to analyze the association between variables of interest to the study and access to PHC. Descriptive and bivariate analysis was used. The primary health care services were used by 49.7% of the respondents, motivated by their location, quality and "free service." The factors negatively associated with the use of PHC services were "level of education" and "perception of good health" and the variable related positively was "self-diagnosed chronic condition". The elderly exposed to frailty related with economic and health conditions were more likely to use PHC, showing signs of equity in the health system. On the other hand, it is necessary to broaden the coverage to the elderly that do not have access, as well as implement healthcare strategies to meet the heterogenous demands of this age group.
2004年下半年，在巴西南部一座城市开展了一项横断面研究，通过对292名老年人进行家庭调查，采用概率抽样法选取样本。研究目的如下：描述阿雷格里港（南里奥格兰德州）老年人对初级卫生保健（PHC）的利用情况和地理可及性，并分析研究关注变量与初级卫生保健可及性之间的关联。采用了描述性和双变量分析方法。49.7%的受访者使用了初级卫生保健服务，其动机是服务地点、质量以及“免费服务”。与初级卫生保健服务使用呈负相关的因素是“教育水平”和“自我感觉健康状况良好”，呈正相关的变量是“自我诊断的慢性病”。因经济和健康状况而面临身体虚弱的老年人更有可能使用初级卫生保健服务，这显示出卫生系统中的公平迹象。另一方面，有必要扩大对无法获得服务的老年人的覆盖范围，并实施医疗保健策略，以满足该年龄组的多样化需求。
