Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012

Detalhes bibliográficos
Autor(a) principal: Lúcia Gimenes Passero
Data de Publicação: 2016
Outros Autores: Jessye Melgarejo do Amaral Giordani, Fernando Neves Hugo, Vanessa Bielefeldt Leotti Torman, Suzi Alves Camey, Juliana Balbinot Hilgert
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017
Resumo: 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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spelling Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012Multilevel AnalysisConsumer BehaviorHealth ServicesUser 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.Se sabe que la satisfacción del usuario se relaciona con la calidad en salud. El objetivo fue evaluar la influencia de factores contextuales e individuales asociados a la insatisfacción del usuario con el Sistema Único de Salud brasileño (SUS). Este es un estudio transversal multinivel. Los datos fueron recogidos por una auditoría a través de contacto telefónico. Se seleccionaron los números de teléfono aleatoriamente de un banco de datos de empresas de telefonía. Se evaluaron variables de servicio de salud, socioeconómicas y demográficas individuales, así como información de los municipios. El resultado fue insatisfactorio en relación con el SUS. Se utilizó la regresión logística multinivel, con un enfoque jerárquico. 18.673 individuos fueron contactados. La prevalencia de insatisfacción fue de un 63,4% (IC95%: 62,7-64,1). La demanda no resuelta (OR = 3,66), espera > 4 horas (OR = 2,82) y número de unidades básicas de salud (OR = 0,89) estuvieron asociados a la insatisfacción. Características del proceso de trabajo de los equipos de salud estuvieron fuertemente asociadas a la insatisfacción.Sabe-se que a satisfação do usuário relaciona-se com a qualidade em saúde. O objetivo foi avaliar a influência de fatores contextuais e individuais associados a insatisfação do usuário com o Sistema Único de Saúde (SUS). Este é um estudo transversal multinível. Os dados foram coletados pela ouvidoria através de contato telefônico. Números de telefone foram selecionados aleatoriamente de um banco de dados de empresas de telefonia. Foram avaliadas variáveis de serviço de saúde, socioeconômicas e demográficas individuais, bem como informações dos municípios. O desfecho foi insatisfação com o SUS. Regressão logística multinível foi utilizada, com uma abordagem hierárquica. 18.673 indivíduos foram contatados. A prevalência de insatisfação foi 63,4% (IC95%: 62,7-64,1). Demanda não resolvida (OR = 3,66), espera > 4 horas (OR = 2,82) e número de unidades básicas de saúde (OR = 0,89) estiveram associados à insatisfação. Características do processo de trabalho das equipes de saúde foram fortemente associadas à insatisfação.Reports in Public HealthCadernos de Saúde Pública2016-10-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017Reports in Public Health; Vol. 32 No. 10 (2016): OctoberCadernos de Saúde Pública; v. 32 n. 10 (2016): Outubro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017/12652https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017/12653Lúcia Gimenes PasseroJessye Melgarejo do Amaral GiordaniFernando Neves HugoVanessa Bielefeldt Leotti TormanSuzi Alves CameyJuliana Balbinot Hilgertinfo:eu-repo/semantics/openAccess2024-03-06T15:29:04Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6017Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:52.910107Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
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
Lúcia Gimenes Passero
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 Lúcia Gimenes Passero
author_facet Lúcia Gimenes Passero
Jessye Melgarejo do Amaral Giordani
Fernando Neves Hugo
Vanessa Bielefeldt Leotti Torman
Suzi Alves Camey
Juliana Balbinot Hilgert
author_role author
author2 Jessye Melgarejo do Amaral Giordani
Fernando Neves Hugo
Vanessa Bielefeldt Leotti Torman
Suzi Alves Camey
Juliana Balbinot Hilgert
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Lúcia Gimenes Passero
Jessye Melgarejo do Amaral Giordani
Fernando Neves Hugo
Vanessa Bielefeldt Leotti Torman
Suzi Alves Camey
Juliana Balbinot Hilgert
dc.subject.por.fl_str_mv Multilevel Analysis
Consumer Behavior
Health Services
topic Multilevel Analysis
Consumer Behavior
Health Services
description 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 2016-10-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017/12652
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6017/12653
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 32 No. 10 (2016): October
Cadernos de Saúde Pública; v. 32 n. 10 (2016): Outubro
1678-4464
0102-311X
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
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