Augusto Daniel Knupp, Lima-Costa Maria Fernanda, Macinko James, Peixoto Sérgio Viana
Fundação Oswaldo Cruz, Instituto René Rachou, Belo Horizonte, MG, Brasil.
Universidade da Califórnia, Escola de Saúde Pública, Los Angeles, CA, Estados Unidos.
Epidemiol Serv Saude. 2019;28(1):e2018128. doi: 10.5123/S1679-49742019000100017. Epub 2019 Apr 8.
to analyze factors associated with the perception of quality of primary health care (PHC) services by older adults.
this was a cross-sectional survey with 893 older adults aged 60 years and over living in the Metropolitan Region of Belo Horizonte, MG, Brazil; the study's outcomes were the indicators of the essential attributes of PHC, while explanatory variables included sociodemographic conditions, use of health services and health conditions; Poisson regression with robust variance was used.
older adults aged 80 years and over, women and those with higher education levels gave better evaluations for access and longitudinality, while evaluation was worst among those who reported greater use of health services and chronic health conditions, especially for the PHC attributes of coordination of care and family and community orientation.
poorer health conditions and higher use of services are associated with a more negative perception of PHC attributes among the elderly.
分析与老年人对初级卫生保健（PHC）服务质量认知相关的因素。
这是一项横断面调查，研究对象为893名年龄在60岁及以上、居住在巴西米纳斯吉拉斯州贝洛奥里藏特大都市区的老年人；研究结果是初级卫生保健基本属性的指标，而解释变量包括社会人口学状况、卫生服务利用情况和健康状况；采用稳健方差的泊松回归分析。
80岁及以上的老年人、女性以及受过高等教育的人对可及性和连续性的评价更高，而报告卫生服务利用较多和患有慢性健康状况的人评价最差，尤其是在初级卫生保健的护理协调以及家庭和社区导向属性方面。
较差的健康状况和较高的服务利用率与老年人对初级卫生保健属性的负面认知相关。
