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家庭照顾者对残疾人士初级医疗保健服务质量的看法:一项横断面研究。

Family caregivers' perceptions of the quality of primary healthcare services for people with disabilities: a cross-sectional study.

机构信息

Universidade Federal do Tocantins, Postgraduate Program in Teaching in Science and Health - Palmas (TO), Brazil.

Universidade Federal de São Carlos, Department of Physical Therapy, Postgraduate Program in Physical Therapy - São Carlos (SP), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2024 Sep 16;70(9):e20240778. doi: 10.1590/1806-9282.20240778. eCollection 2024.

Abstract

BACKGROUND

How do caregivers of people with disabilities perceive the quality of health services in primary healthcare?

OBJECTIVE

The objective of this study was to show the quality of health services for people with disabilities in primary healthcare, based on the perceptions of family caregivers.

METHODS

This is a cross-sectional study. During data collection, 49 family caregivers who use the center were interviewed. The assessment instruments used were the Socio-Economic and Demographic Questionnaire and the PCATool-Brasil (Primary Care Assessment Tool), in the reduced adult and child versions, to assess the level of essential and derived characteristics of primary healthcare.

RESULTS

Women were the main caregivers (40; 82%), and the main disability was mental (28; 58%). The highest scores were observed in affiliation (100%), utilization (73.4%), and information system (83.7%). The lowest scores were found in longitudinal (26.5%), integration of care, available services, services provided (28.6%), and derived scores (28.6-22.4%) related to family guidance and community guidance. The population showed a low orientation toward primary healthcare, with a high total score (22.4%). The economic situation showed a positive association (p=0.017).

CONCLUSION

According to the characteristics of primary healthcare, care is fragmented and disjointed and does not meet the needs of people with disabilities and their caregivers.

摘要

背景

残疾人的照顾者如何看待基层医疗保健中的医疗服务质量?

目的

本研究旨在展示基层医疗保健中残疾人的医疗服务质量,基于家庭照顾者的看法。

方法

这是一项横断面研究。在数据收集过程中,对 49 名使用该中心的家庭照顾者进行了访谈。使用的评估工具包括社会经济和人口统计问卷以及 PCATool-Brasil(初级保健评估工具),分为成人和儿童简化版,以评估初级保健的基本和衍生特征的水平。

结果

女性是主要照顾者(40 名;82%),主要残疾是精神残疾(28 名;58%)。在归属(100%)、利用(73.4%)和信息系统(83.7%)方面得分最高。在纵向(26.5%)、整合护理、提供的服务、提供的服务(28.6%)以及与家庭指导和社区指导相关的衍生分数(28.6-22.4%)方面得分最低。该人群表现出对初级保健的低定向,总得分较高(22.4%)。经济状况呈正相关(p=0.017)。

结论

根据初级保健的特点,护理是零散和不连贯的,不能满足残疾人和他们的照顾者的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92fd/11415061/d72fab9db689/1806-9282-ramb-70-09-e20240778-gf01.jpg

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