2012 年巴西初级卫生保健团队中与服务使用者接受度相关的因素：一项横断面研究。
Factors associated with service user embracement by Primary Health Care teams in Brazil, 2012: a cross-sectional study.
机构信息
Universidade Federal de Santa Maria, Programa de Pós-Graduação em Ciências Odontológicas, Santa Maria, RS, Brasil.
Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Porto Alegre, RS, Brasil.
出版信息
Epidemiol Serv Saude. 2020 Nov 2;29(5):e2019468. doi: 10.1590/S1679-49742020000500017. eCollection 2020.
OBJECTIVE
To evaluate prevalence and factors associated with service user embracement by Primary Health Care teams in Brazil.
METHODS
This is a cross-sectional study that included teams that took part in the 2012 National Program for Primary Health Care Access and Quality Improvement (PMAQ-AB) (Cycle I). The outcome used was 'user embracement by the health team'. The independent variables were macro-region, municipal profile, Gini index and Family Health Strategy population coverage, team meetings, study of spontaneous demand, consideration of user opinions and existence of continuing education. Multilevel Poisson regression analysis was performed.
RESULTS
The sample consisted of 13,751 teams. User embracement prevalence was 78.3% (95%CI 77.6;79.1). In the hierarchical analysis, the highest prevalence of user embracement was found among Southern region teams (PR=1.37 - 95%CI 1.27;1.48) taking the Northeast region as a reference.
CONCLUSION
There is an uneven distribution of Primary Care teams practicing user embracement in Brazil, possibly associated with regional inequalities.
目的
评估巴西初级卫生保健团队中服务使用者受接纳的情况及其相关因素。
方法
这是一项横断面研究，纳入了参与 2012 年国家初级卫生保健获取和质量改进计划（PMAQ-AB）（第一周期）的团队。本研究的结局指标是“卫生团队对使用者的接纳程度”。自变量包括大区、城市特征、基尼指数和家庭健康战略人口覆盖率、团队会议、自发性需求研究、使用者意见的考虑以及继续教育的存在。采用多水平泊松回归分析。
结果
样本由 13751 个团队组成。使用者受接纳程度的总体流行率为 78.3%（95%CI 77.6;79.1）。在分层分析中，与以东北部地区为参照相比，南部地区团队（PR=1.37；95%CI 1.27;1.48）的使用者受接纳程度最高。
结论
巴西初级保健团队实践中使用者受接纳程度存在不均衡分布，这可能与地区差异有关。
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