Universidade Federal de Pernambuco. Programa de Pós-Graduação em Gerontologia. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Saúde Coletiva. Recife, PE, Brasil.
Rev Saude Publica. 2022 May 6;56:34. doi: 10.11606/s1518-8787.2022056003759. eCollection 2022.
Evaluate the satisfaction of caregivers and older adults who use the home care service provided by the Better at Home Program (Programa Melhor em Casa) and its associated factors.
This is a cross-sectional study with data from the national survey on the Better at Home Program, conducted by the SUS General Ombudsman. We interviewed 5,595 caregivers and 950 older adults. We combined four questions related to satisfaction to formulate the dependent variable by means of latent class analysis and used 13 questions as independent variables.
93.7% of the older adults and 90.2% of the caregivers were satisfied with the service. In the multiple analysis, the variables showing association with satisfaction were: also being accompanied by a family health team (older adults: OR = 4.22; p = 0.014), shorter time between referral and the first visit (older adults: OR = 10.20; p = 0.006), (caregiver: OR = 5.84; p < 0.001), taking examinations with medical requirement (older adults: OR = 5.74; p = 0.037), (caregiver: OR = 7.41; p < 0.001), consultation with specialist (caregiver: OR = 6.02; p < 0.001), visits out of the schedule when necessary (older adults: OR = 8.09; p = 0.014), (caregiver: OR = 1.81; p = 0.015) and understanding the orientations provided by the program team (caregiver: OR = 10.61; p < 0.001).
The majority of the older adults and caregivers showed satisfaction with the program, with a distinction in the aspects associated with this satisfaction, in which only the characteristics directly related to the program influenced the satisfaction, while the same did not occur with the socioeconomic and demographic characteristics.
评估使用家庭护理服务的护理人员和老年人对家庭护理服务的满意度及其相关因素。
这是一项横断面研究,数据来自 SUS 总监察员开展的 Better at Home 方案全国调查。我们对 5595 名护理人员和 950 名老年人进行了访谈。我们将四个与满意度相关的问题结合起来,通过潜在类别分析形成因变量,并使用 13 个问题作为自变量。
93.7%的老年人和 90.2%的护理人员对服务满意。在多因素分析中,与满意度相关的变量有:还由家庭健康团队陪同(老年人:比值比=4.22;p=0.014)、转介与首次就诊之间的时间更短(老年人:比值比=10.20;p=0.006)、(护理人员:比值比=5.84;p<0.001)、进行有医疗需求的检查(老年人:比值比=5.74;p=0.037)、(护理人员:比值比=7.41;p<0.001)、咨询专家(护理人员:比值比=6.02;p<0.001)、必要时进行非计划访视(老年人:比值比=8.09;p=0.014)、(护理人员:比值比=1.81;p=0.015)和理解方案团队提供的指导(护理人员:比值比=10.61;p<0.001)。
大多数老年人和护理人员对该方案表示满意,但在与满意度相关的方面存在差异,其中只有与方案直接相关的特征会影响满意度,而社会经济和人口统计学特征则不会。