An assessment of primary care attributes from the perspective of female healthcare users

Lima, Eliane de Fátima Almeida; Sousa, Ana Inês; Primo, Cândida Caniçali; Leite, Francielie Marabotti Costa; Lima, Rita de Cassia Duarte; Maciel, Ethel Leonor Nóia

doi:10.1590/0104-1169.0496.2587

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 23 (3) • May-Jun 2015 • https://doi.org/10.1590/0104-1169.0496.2587 copy

An assessment of primary care attributes from the perspective of female healthcare users¹ 1 Paper extracted from doctoral dissertation "Avaliação da qualidade da estratégia saúde da família", presented to Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

this study sought to assess the quality of the Family Health Strategy (FHS) and investigated the association between primary care attributes (PCAs) and the sociodemographic characteristics of users.

METHOD:

a total of 215 female FHS users were interviewed for this descriptive and cross-sectional study. The Primary Care Assessment Tool (PCATool), Adult Edition was used, and the results were analyzed using Fisher's exact tests, Pearson's chi-square tests and logistic regressions.

RESULTS:

the lowest average score corresponded to the dimension "accessibility" (1.80), and the highest score corresponded to "access" (8.76). The results corresponding to the attributes "longitudinality", "coordination", "comprehensiveness", and "orientation" were not significant. No association was found between the participants' sociodemographic characteristics and the essential, derivative, and general attributes (p>0.05).

CONCLUSION:

several attributes must be improved across all the investigated services from the perspective of female FHS users.

Primary Health Care; Family Healthcare; Healthcare Services Evaluation; Nursing

Variables/categories		N	%
Marital status
	Married	127	59.1
	Single	50	23.3
	Other	38	17.7
Children
	Yes	191	88.8
	No	24	11.2
Educational level
	Incomplete elementary school	64	29.7
	Complete elementary school	32	14.9
	Incomplete secondary school	24	11.1
	Complete secondary school	79	36.8
	Incomplete higher education	12	5.6
	Complete higher education	4	1.8
Economic class
	A	1	0.5
	B	23	10.7
	C	154	71.6
	D	35	16.3
	E	2	0.9

Dimensions	N	Minimum	Maximum	Mean	Standard deviation
Strength of affiliation	215	0.00	10.00	6.95	2.72
Access	215	3.33	10.00	8.76	1.67
Accessibility	215	0.00	6.11	1.80	1.45
Longitudinality	215	0.00	9.29	5.13	2.32
Coordination: Integration of care	92	1.00	4.00	2.77	0.74
Coordination: Information systems	215	0.00	10.00	5.68	2.49
Comprehensiveness: Services available	215	1.36	9.24	5.05	1.65
Comprehensiveness: Services received	215	0.51	12.05	3.94	2.16
Family centeredness	215	0.00	10.00	4.67	3.16
Community orientation	215	0.60	10.00	4.47	2.41

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Eliane de Fátima Almeida Lima Universidade Federal do Espirito Santo Centro de Ciências da Saúde. Departamento de Enfermagem Av. Marechal Campos, 1468 Bairro: Maruípe CEP: 29040-090, Vitória, ES, Brasil E-mail: elianelima66@gmail.com