Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012
Autor(a) principal: | |
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Data de Publicação: | 2016 |
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=S0102-311X2016001005004 |
Resumo: | Abstract: User satisfaction is known to be related to quality of healthcare. The aim of this study was to evaluate the influence of contextual and individual factors associated with user dissatisfaction with the Brazilian Unified National Health System (SUS). This was a cross-sectional multilevel study. Data were collected via telephone by the ombudsman's office of the SUS. Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information on the municipalities. The outcome variable was dissatisfaction with the SUS. Hierarchical multilevel logistic regression was used, and 18,673 individuals were contacted. Prevalence of dissatisfaction was 63.4% (95%CI: 62.7-64.1). Unmet demand (OR = 3.66), waiting time > 4 hours (OR = 2.82), and number of Primary Healthcare Units (OR = 0.89) were associated statistically with dissatisfaction. Characteristics of the health teams' work process showed a strong association with dissatisfaction. |
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Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012Multilevel AnalysisConsumer BehaviorHealth ServicesAbstract: User satisfaction is known to be related to quality of healthcare. The aim of this study was to evaluate the influence of contextual and individual factors associated with user dissatisfaction with the Brazilian Unified National Health System (SUS). This was a cross-sectional multilevel study. Data were collected via telephone by the ombudsman's office of the SUS. Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information on the municipalities. The outcome variable was dissatisfaction with the SUS. Hierarchical multilevel logistic regression was used, and 18,673 individuals were contacted. Prevalence of dissatisfaction was 63.4% (95%CI: 62.7-64.1). Unmet demand (OR = 3.66), waiting time > 4 hours (OR = 2.82), and number of Primary Healthcare Units (OR = 0.89) were associated statistically with dissatisfaction. Characteristics of the health teams' work process showed a strong association with dissatisfaction.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2016-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016001005004Cadernos de Saúde Pública v.32 n.10 2016reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311X00065015info:eu-repo/semantics/openAccessPassero,Lúcia GimenesGiordani,Jessye Melgarejo do AmaralHugo,Fernando NevesTorman,Vanessa Bielefeldt LeottiCamey,Suzi AlvesHilgert,Juliana Balbinoteng2016-10-18T00:00:00Zoai:scielo:S0102-311X2016001005004Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2016-10-18T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
title |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
spellingShingle |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 Passero,Lúcia Gimenes Multilevel Analysis Consumer Behavior Health Services |
title_short |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
title_full |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
title_fullStr |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
title_full_unstemmed |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
title_sort |
Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012 |
author |
Passero,Lúcia Gimenes |
author_facet |
Passero,Lúcia Gimenes Giordani,Jessye Melgarejo do Amaral Hugo,Fernando Neves Torman,Vanessa Bielefeldt Leotti Camey,Suzi Alves Hilgert,Juliana Balbinot |
author_role |
author |
author2 |
Giordani,Jessye Melgarejo do Amaral Hugo,Fernando Neves Torman,Vanessa Bielefeldt Leotti Camey,Suzi Alves Hilgert,Juliana Balbinot |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Passero,Lúcia Gimenes Giordani,Jessye Melgarejo do Amaral Hugo,Fernando Neves Torman,Vanessa Bielefeldt Leotti Camey,Suzi Alves Hilgert,Juliana Balbinot |
dc.subject.por.fl_str_mv |
Multilevel Analysis Consumer Behavior Health Services |
topic |
Multilevel Analysis Consumer Behavior Health Services |
description |
Abstract: User satisfaction is known to be related to quality of healthcare. The aim of this study was to evaluate the influence of contextual and individual factors associated with user dissatisfaction with the Brazilian Unified National Health System (SUS). This was a cross-sectional multilevel study. Data were collected via telephone by the ombudsman's office of the SUS. Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information on the municipalities. The outcome variable was dissatisfaction with the SUS. Hierarchical multilevel logistic regression was used, and 18,673 individuals were contacted. Prevalence of dissatisfaction was 63.4% (95%CI: 62.7-64.1). Unmet demand (OR = 3.66), waiting time > 4 hours (OR = 2.82), and number of Primary Healthcare Units (OR = 0.89) were associated statistically with dissatisfaction. Characteristics of the health teams' work process showed a strong association with dissatisfaction. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
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=S0102-311X2016001005004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016001005004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311X00065015 |
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.32 n.10 2016 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_ |
1754115737094455296 |