Uso dos serviços da atenção primária à saúde por indivíduos adultos em áreas rurais e urbanas do Brasil: uma análise dos dados da Pesquisa Nacional de Saúde 2019

• Ano de defesa: 2023
• Autor(a) principal: Araújo, Renato da Cunha
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Amazonas; Brasil; UEA; Programa de Pós-Graduação em Saúde Coletiva - PPGSC
• Palavras-chave em Português: Acesso aos serviços de saúde; Inquéritos epidemiológicos; Atenção primária à saúde; Access to health services
• Link de acesso: https://ri.uea.edu.br/handle/riuea/2038

The considerable differences between urban and rural areas, which reflect different stages of socioeconomic development, contribute to unequal access to basic goods and services by the most vulnerable populations. National health surveys play a fundamental role in the formulation of public policies at the three levels of government, by highlighting living and health conditions, as well as the use of services in different territorial areas, in addition to enabling the reconstruction of a historical series. The objective of the study was to characterize the use of Primary Health Care services by adult individuals residing in rural and urban areas of Brazil. Secondary data from the public domain of the 2019 National Health Survey were analyzed. Adult residents (age ≥18 years) selected from households, corresponding to the third stage of selection of the survey, were adopted as the study population. The variables analyzed included home visits in primary health care and the last medical visit. The PCATool score, short adult version, was also calculated to assess primary care attributes. A total of 88,531 adult residents were included in the survey. The study's findings showed that adult individuals residing in rural areas in Brazil used less medical services, despite the greater reported coverage of primary care. They also showed that the motivation for using the services in rural areas was more related to the disease and in urban areas to routine appointments. In addition, the North region had the worst indicators related to the use of services. The presence and extension of PHC attributes in the services offered in Brazil and its regions was still incipient, both in rural and urban areas of the country. The inequities identified in the use of health services in Brazil highlight the need for public policies and actions that expand access and reorganize the care model of health services in primary care, and that are capable of mitigating such inequities