新冠疫情卫生紧急情况：人类发展指数对初级保健重组的影响。
The COVID-19 health emergency: the influence of the Human Development Index on the reorganization of primary care.
作者信息
Corrêa Ana Paula de Vechi, Ribeiro Ana Cristina, Cano Rodrigo das Neves, Magno Gustavo Diego, Álvarez-Nieto Carmen, Uehara Silvia Carla da Silva André
机构信息
Nursing Department of Universidade Federal de São Carlos - UFSCar, São Carlos, Brazil.
Nursing Department of Universidad de Jaén, Jaén, Spain.
出版信息
Front Public Health. 2024 Nov 28;12:1440344. doi: 10.3389/fpubh.2024.1440344. eCollection 2024.
OBJECTIVE
This study aimed to analyze and compare the organization and care offered by Primary Health Care (PHC) to people with suspected and/or diagnosed COVID-19 in Brazilian municipalities, considering the Human Development Index (HDI).
METHODS
This is an analytical cross-sectional study carried out with managers of PHC services in Brazilian municipalities. The data were collected using a self-administered questionnaire via Google Forms between April and September 2022 and were analyzed using prevalence ratios, using a Poisson regression model with a random effect and a 5% significance level.
RESULTS
The results indicated that municipalities with a low HDI were the most adherent to measures to reorganize PHC services during the health emergency phase of the pandemic when compared to municipalities with a medium, high, or very high HDI.
CONCLUSION
This may be related to the better organization and structure of this level of care in the municipalities analyzed, pointing to the need for management that considers the population's living conditions when dealing with public health emergencies.
目的
本研究旨在分析和比较巴西各市初级卫生保健（PHC）为疑似和/或确诊 COVID-19 的人群提供的组织和护理情况，并考虑人类发展指数（HDI）。
方法
这是一项对巴西各市初级卫生保健服务管理人员进行的分析性横断面研究。数据于 2022 年 4 月至 9 月通过谷歌表单使用自填式问卷收集，并使用患病率比进行分析，采用具有随机效应和 5% 显著性水平的泊松回归模型。
结果
结果表明，与人类发展指数中等、高或非常高的市相比，人类发展指数低的市在大流行的卫生紧急阶段最遵守重组初级卫生保健服务的措施。
结论
这可能与所分析市这一级护理的更好组织和结构有关，表明在应对突发公共卫生事件时需要考虑民众生活条件的管理方式。
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