Continuity of primary care in the brazilian amazon: A cross-sectional population-based study
Background: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas. Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in househol...
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doaj-a52ad5b609fc49a6901e9fd2f3f7a5ab2021-06-15T04:41:57ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132021-01-01121575710.4103/ijpvm.IJPVM_440_19Continuity of primary care in the brazilian amazon: A cross-sectional population-based studyTais Freire GalvaoGustavo Magno Baldin TigumanBruno Pereira NunesAndrea Tenorio Correia da SilvaMarcus Tolentino SilvaBackground: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas. Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in households selected with probabilistic sampling. City and neighborhood variables were collected from databanks. Prevalence ratios (PR) of the continuity of care (defined as using a primary care service and having been previously registered in the Family Health Strategy program) and 95% confidence intervals (CIs) were calculated with multilevel Poisson regression analysis. Results: A total of 20.6% (95%CI 19.4-21.9%) of the participants reported continuity of primary care. Women (PR = 1.38; 95%CI 1.18-1.61), nonwhite individuals (PR = 1.13; 95%CI 1.05-1.21), and poorer people (PR = 1.55; 95%CI 1.19-2.02) had higher levels of continuity, whereas health insurance holders had lower levels of continuity (PR = 0.46; 95%CI 0.34-0.62). Individuals with continuity of care had more physician consultations (PR = 1.06; 95%CI 1.02-1.10), dentist consultations (PR = 1.16; 95%CI 1.05-1.28), fewer depressive (PR = 0.59; 95%CI 0.44-0.79) and anxiety symptoms (PR = 0.64; 95%CI 0.48-0.85), and a higher quality of life (β = 0.033; 95%CI 0.011-0.054) than those without continuity. Conclusions: Continuity of care was attained by two-tenths of the population and the level of continuity was high among socioeconomically disadvantaged people. Good outcomes and health services usage increased with continuity of care.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=57;epage=57;aulast=Galvaobrazilcontinuity of patient carecross-sectional studieshealth servicesprimary health care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tais Freire Galvao Gustavo Magno Baldin Tiguman Bruno Pereira Nunes Andrea Tenorio Correia da Silva Marcus Tolentino Silva |
spellingShingle |
Tais Freire Galvao Gustavo Magno Baldin Tiguman Bruno Pereira Nunes Andrea Tenorio Correia da Silva Marcus Tolentino Silva Continuity of primary care in the brazilian amazon: A cross-sectional population-based study International Journal of Preventive Medicine brazil continuity of patient care cross-sectional studies health services primary health care |
author_facet |
Tais Freire Galvao Gustavo Magno Baldin Tiguman Bruno Pereira Nunes Andrea Tenorio Correia da Silva Marcus Tolentino Silva |
author_sort |
Tais Freire Galvao |
title |
Continuity of primary care in the brazilian amazon: A cross-sectional population-based study |
title_short |
Continuity of primary care in the brazilian amazon: A cross-sectional population-based study |
title_full |
Continuity of primary care in the brazilian amazon: A cross-sectional population-based study |
title_fullStr |
Continuity of primary care in the brazilian amazon: A cross-sectional population-based study |
title_full_unstemmed |
Continuity of primary care in the brazilian amazon: A cross-sectional population-based study |
title_sort |
continuity of primary care in the brazilian amazon: a cross-sectional population-based study |
publisher |
Wolters Kluwer Medknow Publications |
series |
International Journal of Preventive Medicine |
issn |
2008-7802 2008-8213 |
publishDate |
2021-01-01 |
description |
Background: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas. Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in households selected with probabilistic sampling. City and neighborhood variables were collected from databanks. Prevalence ratios (PR) of the continuity of care (defined as using a primary care service and having been previously registered in the Family Health Strategy program) and 95% confidence intervals (CIs) were calculated with multilevel Poisson regression analysis. Results: A total of 20.6% (95%CI 19.4-21.9%) of the participants reported continuity of primary care. Women (PR = 1.38; 95%CI 1.18-1.61), nonwhite individuals (PR = 1.13; 95%CI 1.05-1.21), and poorer people (PR = 1.55; 95%CI 1.19-2.02) had higher levels of continuity, whereas health insurance holders had lower levels of continuity (PR = 0.46; 95%CI 0.34-0.62). Individuals with continuity of care had more physician consultations (PR = 1.06; 95%CI 1.02-1.10), dentist consultations (PR = 1.16; 95%CI 1.05-1.28), fewer depressive (PR = 0.59; 95%CI 0.44-0.79) and anxiety symptoms (PR = 0.64; 95%CI 0.48-0.85), and a higher quality of life (β = 0.033; 95%CI 0.011-0.054) than those without continuity. Conclusions: Continuity of care was attained by two-tenths of the population and the level of continuity was high among socioeconomically disadvantaged people. Good outcomes and health services usage increased with continuity of care. |
topic |
brazil continuity of patient care cross-sectional studies health services primary health care |
url |
http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=57;epage=57;aulast=Galvao |
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