School of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
BMC Health Serv Res. 2022 Jul 29;22(1):972. doi: 10.1186/s12913-022-08363-x.
The objective of the present study was to analyse the quality of adults and older adults health care in Primary Health Care (PHC) services in the State of Mato Grosso do Sul, 2018.
A quantitative survey was carried out in which the municipalities participating in the study included the four macro-regions following the Director Regional Plan (DRP). In this study, the quality of care was verified using the validated version of the PCAT-Br for adult and older adults users over 18 years of age and professionals. The professional's and users' views were compared between PHC attributes in the State of Mato Grosso do Sul. We performed the paired student t-test. STATA v.14.2 software (College Station, TX, USA) was used for the analyses. Sensitivity analysis was done to compare socio-demographic characteristics.
Eight hundred twenty-five users and 424 professionals participated in the study. According to users, the Accessibility attribute had the worst performance in all macro-regions (mean score PCAT = 3.58). There were significant differences between the perception of users and professionals (PCAT = 5.32 for users and PCAT = 7.11 for professionals) in all attributes evaluated.
There was a difference in users' and professionals' perceptions between PHC attributes. Therefore, it is necessary to strengthen PHC care networks in the State, mainly considering the users' perspectives.
本研究旨在分析 2018 年南马托格罗索州初级卫生保健(PHC)服务中成年人和老年人的医疗保健质量。
进行了一项定量调查,参与研究的城市包括按照区域主任计划(DRP)划分的四个大区。在这项研究中,使用成人和 18 岁以上老年人以及专业人员的 PCAT-Br 经过验证的版本来验证护理质量。比较了南马托格罗索州 PHC 属性中专业人员和用户的观点。我们进行了配对学生 t 检验。使用 STATA v.14.2 软件(美国德克萨斯州大学城)进行分析。进行敏感性分析以比较社会人口统计学特征。
825 名用户和 424 名专业人员参加了这项研究。根据用户的说法,所有大区的可及性属性表现最差(PCAT 平均得分为 3.58)。在所有评估的属性中,用户和专业人员的看法存在显著差异(用户的 PCAT 为 5.32,专业人员的 PCAT 为 7.11)。
用户和专业人员对 PHC 属性的看法存在差异。因此,有必要加强该州的 PHC 保健网络,特别是要考虑到用户的观点。