Isabel Pasarín M, Rocha Kátia B, Rodríguez-Sanz Maica, Berra Silvina, Borrell Carme
Agència de Salut Pública de Barcelona, Barcelona, España.
Med Clin (Barc). 2011 Dec;137 Suppl 2:49-54. doi: 10.1016/S0025-7753(11)70029-X.
Evaluation of Primary Care (PC) must include different perspectives. The objective of the study was to know the assessment of the PC in Catalonia and detecting whether or not a pattern of social inequality exists, through user's experience. A cross-sectional study was conducted, in a representative sample (n = 13,292) of the Catalonia population (aged 15), who identify a reference professional. It was studied an index of experience with PC by personal variables and variables about the reference professional. Negative binomial regression models (bivariate and multivariate) were adjusted to obtain the prevalence ratios and confidence intervals of 95%. The index gained an average of 71 (scale 0-100). A rating above 70 was associated with higher age, greater number of visits in the last year, more time with the same professional and living in an area of lower population density. Items with lower scores: telephone attention and availability of mental health services. We concluded that factors associated with a better experience are associated with more frequent visits to professionals. We did not detect social inequalities.
对初级保健(PC)的评估必须包含不同的视角。本研究的目的是通过用户体验了解加泰罗尼亚地区对初级保健的评估情况,并检测是否存在社会不平等模式。我们进行了一项横断面研究,以加泰罗尼亚地区有指定参考医生的15岁及以上人群为代表性样本(n = 13292)。通过个人变量和关于参考医生的变量研究了初级保健体验指数。采用负二项回归模型(双变量和多变量)进行调整,以获得患病率比值和95%置信区间。该指数的平均得分为71(满分0 - 100)。得分高于70分与年龄较大、过去一年就诊次数较多、与同一位医生相处时间较长以及居住在人口密度较低地区有关。得分较低的项目包括电话问诊服务和心理健康服务的可及性。我们得出结论,与更好体验相关的因素与更频繁地就诊于医生有关。我们未检测到社会不平等现象。