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巴西初级卫生保健可及性方面的建筑与通信障碍:基于2012年首次全国初级卫生保健中心普查的分析

Architectural and communications barriers to access to primary health care in Brazil: an analysis based on the first national census of primary health care centers, 2012.

作者信息

Santos Mara Lisiane de Moraes Dos, Fernandes Janainny Magalhães, Vicente Daniela Pereira, Simionatto Jaqueline, Sanches Vinicius Santos, Souza Albert Schiaveto de, Christofoletti Gustavo, Merey Leila Foester

机构信息

Centro de Ciências Biológicas e da Saúde, Universidade Federal do Mato Grosso do Sul, Campo Grande, MS, Brazil.

Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Epidemiol Serv Saude. 2020;29(2):e2018258. doi: 10.5123/s1679-49742020000200022. Epub 2020 May 11.

DOI:10.5123/s1679-49742020000200022
PMID:32401909
Abstract

OBJECTIVE

to analyze the results of the National Census of Primary Health Care Centers with regard to architectural and communication barriers in Primary Health Care throughout Brazil.

METHODS

this was a cross-sectional study based on data from the first National Census of Primary Health Care Centers conducted between May and October 2012.

RESULTS

the Northern region had the lowest rates of adequacy; although the Southeast region had the best rates when compared to the country's other regions, they were nevertheless unsatisfactory, since for many items adequacy was still below 50%; the items relating to accessibility by people with disabilities (5.7 to 34.2%) and/or the illiterate (0.1 to 27.4%) had very low scores.

CONCLUSION

the majority of services evaluated had architectural and communication barriers, hindering access to health services by disabled, illiterate or elderly people; the importance of allocating resources to reduce iniquities and improve access is stressed.

摘要

目的

分析全国初级卫生保健中心普查结果,了解巴西全国初级卫生保健中的建筑和沟通障碍情况。

方法

这是一项横断面研究,基于2012年5月至10月进行的首次全国初级卫生保健中心普查数据。

结果

北部地区的达标率最低;尽管东南部地区与该国其他地区相比达标率最高,但仍不尽人意,因为许多项目的达标率仍低于50%;与残疾人(5.7%至34.2%)和/或文盲(0.1%至27.4%)可达性相关的项目得分非常低。

结论

大多数评估服务存在建筑和沟通障碍,阻碍了残疾人、文盲或老年人获得医疗服务;强调了分配资源以减少不公平现象和改善医疗服务可及性的重要性。

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Access of older people to primary health care in low and middle-income countries: A systematic scoping review.老年人在中低收入国家获得初级卫生保健的情况:系统范围审查。
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