Suppr超能文献

[更多医生计划:根据医疗服务类型对初级保健质量进行特征描述]

[More Doctors Program: characterizing the quality of primary care by the type of medical provision].

作者信息

Sales Mozart Julio Tabosa, Goes Paulo Savio Angeiras de, Carvalho Aline Priscila Rego de, Silva Caio Cesar Arruda da, Silva Junior José Roberto da, Silva Filho Carlos Nobre E, Silva Fernando Antonio Menezes da, Vidal Suely Arruda

机构信息

Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brasil.

Faculdade Pernambucana de Saúde, Recife, Brasil.

出版信息

Cad Saude Publica. 2024 Nov 22;40(10):e00115623. doi: 10.1590/0102-311XPT115623. eCollection 2024.

Abstract

This study characterized the quality of primary care based on the responses of professionals and users, focusing on the type of physician - whether or not they were included in the More Doctors Program (PMM, acronym in Portuguese). A cross-sectional study was conducted applying the Quality and Strengthening of Primary Care Questionnaire to 149 physicians and 795 users in basic health units in Pernambuco State, Brazil, from February to November 2018. The present study used the concept of PMM provision which foresees the allocation of medical professionals to an areas of social vulnerability. Physicians were divided into three subgroups: non-PMM Brazilians, PMM Brazilians, and PMM Cubans. Mean scores were generated from the perspective of professionals and users through bivariate and multivariate analysis of the physicians' subgroups with sociodemographic, educational and primary care attributes, considering a significance level of 5%. Cuban physicians in the PMM had the highest average scores, especially in the attribute family and community orientation (7.19), followed by the subgroup PMM Brazilians (4.74). Multivariate analysis showed significance for Cuban physicians, females, and professionals with medical residency. Among users, there was a greater association with the quality of primary care in the subgroup of Cuban physicians, except for longitudinality. Results indicate the effectiveness of PMM Cuban physicians in primary care, emphasizing the need to focus on user centrality. The findings reinforce the importance of using accurate and comprehensive assessment instruments in public health management.

摘要

本研究根据专业人员和用户的反馈对初级保健质量进行了特征描述,重点关注医生类型——他们是否被纳入“更多医生计划”(葡萄牙语缩写为PMM)。2018年2月至11月,在巴西伯南布哥州的基层卫生单位对149名医生和795名用户进行了一项横断面研究,应用了初级保健质量与强化调查问卷。本研究采用了PMM提供的概念,该概念预见将医疗专业人员分配到社会脆弱地区。医生被分为三个亚组:非PMM巴西人、PMM巴西人以及PMM古巴人。通过对医生亚组与社会人口学、教育和初级保健属性进行双变量和多变量分析,从专业人员和用户的角度得出平均得分,显著性水平为5%。PMM中的古巴医生平均得分最高,尤其是在家庭和社区导向属性方面(7.19),其次是PMM巴西人亚组(4.74)。多变量分析显示古巴医生、女性以及有医学住院医师经历的专业人员具有显著性。在用户中,除了连续性外,古巴医生亚组与初级保健质量的关联更大。结果表明PMM古巴医生在初级保健方面的有效性,强调需要关注以用户为中心。研究结果强化了在公共卫生管理中使用准确和全面评估工具的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55b5/11654118/06ea754f6356/1678-4464-csp-40-10-PT115623-gf1.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验