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从用户角度评估初级卫生保健的相关因素:2015 年电话调查 Vigitel 的结果。

Factors associated with the evaluation of Primary Health Care from the user's perspective: results of the telephone survey Vigitel, 2015.

机构信息

Departamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Av. Prof. Alfredo Balena 190/438, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.

Faculdade de Medicina, Universidade de Brasília. Brasília DF Brasil.

出版信息

Cien Saude Colet. 2021 Mar;26(3):961-974. doi: 10.1590/1413-81232021263.45722020. Epub 2020 Dec 13.

Abstract

This paper aims to evaluate the performance of PHC from the perspective of users and its association with sociodemographic characteristics, self-reported health conditions, and behavioral risk factors for Chronic Noncommunicable Diseases. This is a population-based cross-sectional study with data from the 2015 VIGITEL Telephone Survey. The Primary Care Assessment Tool short version was adopted. The study population covers adults over 18 years of age who used PHC services in Belo Horizonte in the last 12 months (n = 872). The multiple logistic regression model was performed to estimate the odds ratio. We observed that adults without a health insurance plan are 3.21 (95% CI 2.08-4.96) more likely than those with a health insurance plan to evaluate PHC with a high score (≥ 6.6), and adults with low schooling (95% CI 1.48-5.32), people with diabetes (95% CI 1.05-3.24), obese (95% CI 1.20-3.24), and older adults (95% CI 1.00-1.41) were 2.81, 1.84, 1.97, and 1.19 more likely to report a high score for PHC quality than the others, respectively. The use of the PCATool short version in a telephone survey showed a new possibility for PHC performance assessment and can become useful in managing health services.

摘要

本研究旨在从用户角度评估初级卫生保健(PHC)的绩效,并探讨其与社会人口特征、自我报告的健康状况以及慢性非传染性疾病行为风险因素的关联。这是一项基于人群的横断面研究,数据来自 2015 年 VIGITEL 电话调查。采用初级保健评估工具短版本。研究人群包括过去 12 个月内在贝洛奥里藏特使用初级卫生保健服务的 18 岁及以上成年人(n=872)。采用多因素逻辑回归模型估计比值比。结果显示,与有医疗保险计划的成年人相比,没有医疗保险计划的成年人对 PHC 的评价得分为高(≥6.6)的可能性高 3.21 倍(95%CI:2.08-4.96),受教育程度较低的成年人(95%CI:1.48-5.32)、患有糖尿病的成年人(95%CI:1.05-3.24)、肥胖的成年人(95%CI:1.20-3.24)和老年人(95%CI:1.00-1.41)对 PHC 质量的评分较高的可能性分别为 2.81、1.84、1.97 和 1.19 倍。在电话调查中使用 PCATool 短版本为评估 PHC 绩效提供了新的可能性,并且可能对管理卫生服务有用。

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