TY - JOUR
T1 - Factors associated with service user embracement by Primary Health Care teams in Brazil, 2012
T2 - A cross-sectional study
AU - do Amaral Giordani, Jessye Melgarejo
AU - do Amaral Júnior, Orlando Luiz
AU - Hugo, Fernando Neves
AU - Hilgert, Juliana Balbinot
N1 - Publisher Copyright:
© 2020, Ministry of Health. All rights reserved.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Cross-Sectional Studies
KW - Multilevel Analysis
KW - Primary Health Care
KW - Social Inequity
KW - User Embracement
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U2 - 10.1590/S1679-49742020000500017
DO - 10.1590/S1679-49742020000500017
M3 - Article
C2 - 33146321
AN - SCOPUS:85095595637
SN - 1679-4974
VL - 29
JO - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
JF - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
IS - 5
M1 - e2019468
ER -