Factors associated with service user embracement by Primary Health Care teams in Brazil, 2012: a cross-sectional study.

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-11-02 eCollection Date: 2020-01-01 DOI:10.1590/S1679-49742020000500017

Jessye Melgarejo do Amaral Giordani, Orlando Luiz do Amaral Júnior, Fernando Neves Hugo, Juliana Balbinot Hilgert

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引用次数: 3

Abstract

Objective: To evaluate prevalence and factors associated with service user embracement by Primary Health Care teams in Brazil.

Methods: This is a cross-sectional study that included teams that took part in the 2012 National Program for Primary Health Care Access and Quality Improvement (PMAQ-AB) (Cycle I). The outcome used was 'user embracement by the health team'. The independent variables were macro-region, municipal profile, Gini index and Family Health Strategy population coverage, team meetings, study of spontaneous demand, consideration of user opinions and existence of continuing education. Multilevel Poisson regression analysis was performed.

Results: The sample consisted of 13,751 teams. User embracement prevalence was 78.3% (95%CI 77.6;79.1). In the hierarchical analysis, the highest prevalence of user embracement was found among Southern region teams (PR=1.37 - 95%CI 1.27;1.48) taking the Northeast region as a reference.

Conclusion: There is an uneven distribution of Primary Care teams practicing user embracement in Brazil, possibly associated with regional inequalities.

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2012年巴西初级卫生保健团队接受服务的相关因素:横断面研究。

目的:评估巴西初级卫生保健团队服务用户拥抱的流行率和相关因素。方法:这是一项横断面研究，包括参加2012年国家初级卫生保健获取和质量改进计划(PMAQ-AB)(周期I)的团队。使用的结果是“卫生团队对用户的拥抱”。自变量为宏观区域、城市概况、基尼指数和家庭健康战略人口覆盖率、团队会议、自发需求研究、用户意见考虑和是否存在继续教育。采用多水平泊松回归分析。结果:样本包括13751个团队。用户拥抱率为78.3% (95%CI 77.6;79.1)。在层次分析中，以东北地区为参照，南部地区团队的用户拥抱率最高(PR=1.37 - 95%CI 1.27;1.48)。结论:在巴西，初级保健团队实践用户拥抱的分布不均衡，可能与地区不平等有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

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