Associated factors with user embracement by the Primary Health Care teams in Brazil, 2012: a cross-sectional study

• Autor(a) principal: Giordani, Jessye Melgarejo do Amaral
• Data de Publicação: 2020
• Outros Autores: Amaral, Orlando Luiz do Amaral Júnior, Hugo, Fernando Neves, Hilgert, Juliana Balbinot
• Tipo de documento: preprint
• Idioma: por
• Título da fonte: SciELO Preprints
• Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/1033
• topic: Acolhimento; Atenção Primária à Saúde; Análise Multinível; Estudos Transversais; Iniquidade Social; User Embracement; Primary Health Care; Multilevel Analysis; Crosssectional studies; Social Inequity

Objective. Evaluate the prevalence and factors associated with user embracement by primary health care teams in Brazil. Methods. This is a cross-sectional study that included teams that joined PMAQ-AB 2012 (Cycle I). The outcome used was the user embracement by the health team. The independent variables were macroregion, municipal profile, Gini index and Family Health Strategy population coverage, team meeting, study of spontaneous demand, consideration of user opinion and existence of permanent education. Multilevel Poisson regression analysis was performed to obtain the results. Results. The sample consisted of 13,751 teams. The prevalence of user embracement was 78.3% (95%CI 77.6;79.1). In the hierarchical analysis, the highest prevalence of user embracement was among the teams from the southern region (PR=1.37 – 95%CI 1.27;1.48) compared to the northeast region. Conclusion. There is an uneven distribution of primary care teams that do user embracement in Brazil, possibly associated with regional inequalities.