Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000105005 |
Resumo: | The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman’s office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities. The outcome variable was dissatisfaction with public emergency health services in Brazil. Multilevel logistic regression was performed and 7,027 individuals from 61 municipalities answered the survey. The prevalence of perceived dissatisfaction was 48.1% (95%CI: 46.9-49.3). Variables that remained significantly associated with the outcome are: age up to 20 years, 16 or more years of education, lives in the Central region, non-resolved demands, longer waiting times, and accessing emergency in a primary care service. Prevalence of a perceived dissatisfaction is predominantly associated with care’s waiting time and the length needed to resolve the demand. |
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Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012Emergency Medical ServicesPatient SatisfactionHealth EvaluationUnified Health SystemThe Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman’s office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities. The outcome variable was dissatisfaction with public emergency health services in Brazil. Multilevel logistic regression was performed and 7,027 individuals from 61 municipalities answered the survey. The prevalence of perceived dissatisfaction was 48.1% (95%CI: 46.9-49.3). Variables that remained significantly associated with the outcome are: age up to 20 years, 16 or more years of education, lives in the Central region, non-resolved demands, longer waiting times, and accessing emergency in a primary care service. Prevalence of a perceived dissatisfaction is predominantly associated with care’s waiting time and the length needed to resolve the demand.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000105005Cadernos de Saúde Pública v.34 n.1 2018reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00175416info:eu-repo/semantics/openAccessRech,Rafaela SoaresHugo,Fernando NevesGiordani,Jessye Melgarejo do AmaralPassero,Lúcia GimenesHilgert,Juliana Balbinoteng2018-03-14T00:00:00Zoai:scielo:S0102-311X2018000105005Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2018-03-14T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
title |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
spellingShingle |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 Rech,Rafaela Soares Emergency Medical Services Patient Satisfaction Health Evaluation Unified Health System |
title_short |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
title_full |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
title_fullStr |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
title_full_unstemmed |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
title_sort |
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012 |
author |
Rech,Rafaela Soares |
author_facet |
Rech,Rafaela Soares Hugo,Fernando Neves Giordani,Jessye Melgarejo do Amaral Passero,Lúcia Gimenes Hilgert,Juliana Balbinot |
author_role |
author |
author2 |
Hugo,Fernando Neves Giordani,Jessye Melgarejo do Amaral Passero,Lúcia Gimenes Hilgert,Juliana Balbinot |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rech,Rafaela Soares Hugo,Fernando Neves Giordani,Jessye Melgarejo do Amaral Passero,Lúcia Gimenes Hilgert,Juliana Balbinot |
dc.subject.por.fl_str_mv |
Emergency Medical Services Patient Satisfaction Health Evaluation Unified Health System |
topic |
Emergency Medical Services Patient Satisfaction Health Evaluation Unified Health System |
description |
The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman’s office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities. The outcome variable was dissatisfaction with public emergency health services in Brazil. Multilevel logistic regression was performed and 7,027 individuals from 61 municipalities answered the survey. The prevalence of perceived dissatisfaction was 48.1% (95%CI: 46.9-49.3). Variables that remained significantly associated with the outcome are: age up to 20 years, 16 or more years of education, lives in the Central region, non-resolved demands, longer waiting times, and accessing emergency in a primary care service. Prevalence of a perceived dissatisfaction is predominantly associated with care’s waiting time and the length needed to resolve the demand. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000105005 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000105005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311x00175416 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.34 n.1 2018 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115738428243968 |