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用户对巴西统一卫生系统公共口腔卫生服务的满意度。

User satisfaction with public oral health services in the Brazilian Unified Health System.

机构信息

School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Department of Dental Clinic, Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

出版信息

BMC Oral Health. 2019 Jun 25;19(1):126. doi: 10.1186/s12903-019-0803-8.

Abstract

BACKGROUND

User satisfaction represents a patient-centered measure that should be used to assess the quality of oral health services. This study investigated the differences in user satisfaction with public oral health services according to the sociodemographic user profile and the quality of oral health services in primary health care in Brazil.

METHODS

Secondary data from a national program obtained through interviews with users were analyzed. Satisfaction was based on the Swan' model relating to perceptions regarding the service performance, assessment of overall satisfaction and the intention to avoid the service in the future. The exploratory variables were demographic characteristics of the users and the quality of the primary service from the user's viewpoint, considering the dimensions: access; receptivity of spontaneous demand; integral health care; bonding, accountability, and coordination of care.

RESULTS

A total of 37,262 users participated, and 65.51% reported satisfaction with the oral health service, that was higher among those > 20 years old and beneficiaries of the Family Grant Program and lower among users with a higher level of schooling and those who reported being employed. Users who rated oral health service positively were more satisfied.

CONCLUSIONS

Socioeconomically disadvantaged user was more satisfied with oral health services and the satisfaction increased with age. The improvement in the quality of oral health services in primary care can result in greater satisfaction.

摘要

背景

用户满意度是一个以患者为中心的衡量标准,应用于评估口腔卫生服务的质量。本研究调查了巴西初级卫生保健中,根据用户的社会人口统计学特征和口腔卫生服务质量,公共口腔卫生服务的用户满意度的差异。

方法

通过对用户进行访谈,利用全国性计划的二级数据进行分析。满意度基于 Swan 模型,涉及对服务绩效的看法、对整体满意度的评估以及未来避免使用该服务的意愿。探索性变量包括用户的人口统计学特征以及从用户角度出发的初级服务质量,考虑的维度包括:可及性;自发性需求的接受度;综合医疗保健;粘合度、责任和医疗保健协调。

结果

共有 37262 名用户参与,其中 65.51%报告对口腔卫生服务满意,20 岁以上、家庭补助计划受益人和对口腔健康服务评价积极的用户满意度更高,而受教育程度较高和有工作的用户满意度较低。

结论

社会经济地位较低的用户对口腔卫生服务更满意,满意度随着年龄的增长而增加。初级保健中口腔卫生服务质量的提高可以带来更高的满意度。

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