Determinantes e efeitos da continuidade na atenção à saúde: estudo de base populacional em Pelotas, RS.

• Ano de defesa: 2006
• Autor(a) principal: Rosa Filho, Luiz Artur
• Orientador(a): Fassa, Anaclaudia Gastal
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Pelotas
• Programa de Pós-Graduação: Programa de Pós-Graduação em Epidemiologia
• Departamento: Medicina
• País: BR
• Palavras-chave em Português: Continuidade na atenção à saúde; Atenção básica em saúde; Epidemiologia; Relação médico-paciente; Estudo de base populacional
• Palavras-chave em Inglês: Continuity of patient care; Primary health care; Epidemiology; Physicianpatient relations; Population-based study
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA
• Link de acesso: https://guaiaca.ufpel.edu.br/handle/123456789/1973

Aims: To study the prevalence of Interpersonal Continuity of Care (CIAS) and its socioeconomic and demographic determinants, as well as, those related to the health care and the persons health needs. Methods: It was developed a population-based cross-sectional study involving 3133 individuals of the urban area of Pelotas, RS. The studied sample included adults with 20 years or more and were selected in multiple steps. The multivariate analysis was performed trough Poisson regression. In the first level were the socioeconomic and demographic variables and in the proximal level were the health care and persons health needs. Results: The prevalence of CIAS was of 43,7% IC95% (42,0-45,5). Females, individuals with higher age, higher incomes, those who had consulted in the last year, those with chronic disease and the ones who had not consulted in the public health system had presented higher prevalence of CIAS. When analyzing those who had consulted in the Public Primary Health Care Services (UBS), females, older individuals and Family Health Program had higher prevalence of CIAS. Conclusion: The CIAS is more prevalent in the elderly and those with chronic illness. However, other vulnerable groups, as those with low income and users of the public health system, had low prevalence of CIAS, showing important iniquity in health. The Family Health Program seem to have positive impact in CIAS.