Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFBA |
Texto Completo: | http://www.repositorio.ufba.br/ri/handle/ri/11947 |
Resumo: | p. 1100-1105 |
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Silva, Ligia Maria Vieira daChaves, Sônia Cristina LimaEsperidião, Monique AzevedoMartinho, Rosana Machado LopesSilva, Ligia Maria Vieira daChaves, Sônia Cristina LimaEsperidião, Monique AzevedoMartinho, Rosana Machado Lopes2013-06-17T13:15:40Z20100143-005Xhttp://www.repositorio.ufba.br/ri/handle/ri/11947v. 64, n. 12p. 1100-1105Background Organisational barriers to primary healthcare are still relevant in developing countries. Although descriptive reports of some experiences focusing on improving accessibility have been published, few studies have evaluated specific interventions aimed at overcoming the organisational obstacles. Objective To evaluate the results of a project designed to improve accessibility to healthcare services in Salvador, Bahia, Brazil. Methodology An evaluative, cross-sectional, ex post facto study that included a control group was carried out in a random sample of 710 users of 25 healthcare units of the primary municipal healthcare network. The association between the project implementation degree and outcome variables was measured by prevalence ratios (PR) and statistical inference was based on Taylor series 95% CIs. Results Better access to primary healthcare was found in units in which the intervention had been implemented than in those in which it had not been implemented, particularly with respect to reducing avoidable queues, the waiting time for scheduling a consultation (PR=0.23; 95% CI 0.15 to 0.34); the time of arrival in the queue (PR=0.16; 95% CI 0.09 to 0.31) and the introduction of a system for scheduling appointments by telephone (PR=0.76; 95% CI 0.70 to 0.83). Conclusion Owing to the simplicity of the programme and the impact it achieved, it may be reproduced in other underdeveloped countries to improve access to healthcare services. In addition, some of the instruments may be used in routine programme evaluation.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-06-17T13:15:40Z No. of bitstreams: 1 Ligia da Silva.pdf: 103588 bytes, checksum: 4af5db0b562d5406e47c0b0f034446f5 (MD5)Made available in DSpace on 2013-06-17T13:15:40Z (GMT). No. of bitstreams: 1 Ligia da Silva.pdf: 103588 bytes, checksum: 4af5db0b562d5406e47c0b0f034446f5 (MD5) Previous issue date: 2010http://dx.doi.org/10.1136/jech.2009.097220reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAccessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programmeJournal of Epidemiology and Community Healthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINALLigia da Silva.pdfLigia da Silva.pdfapplication/pdf103588https://repositorio.ufba.br/bitstream/ri/11947/1/Ligia%20da%20Silva.pdf4af5db0b562d5406e47c0b0f034446f5MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/11947/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTLigia da Silva.pdf.txtLigia da Silva.pdf.txtExtracted texttext/plain36025https://repositorio.ufba.br/bitstream/ri/11947/3/Ligia%20da%20Silva.pdf.txt3def697091256306c972d2aa0c8a005aMD53ri/119472022-07-05 14:03:49.295oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:49Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
dc.title.pt_BR.fl_str_mv |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
dc.title.alternative.pt_BR.fl_str_mv |
Journal of Epidemiology and Community Health |
title |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
spellingShingle |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme Silva, Ligia Maria Vieira da |
title_short |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
title_full |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
title_fullStr |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
title_full_unstemmed |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
title_sort |
Accessibility to primary healthcare in the capital city of a northeastern state of Brazil: an evaluation of the results of a programme |
author |
Silva, Ligia Maria Vieira da |
author_facet |
Silva, Ligia Maria Vieira da Chaves, Sônia Cristina Lima Esperidião, Monique Azevedo Martinho, Rosana Machado Lopes |
author_role |
author |
author2 |
Chaves, Sônia Cristina Lima Esperidião, Monique Azevedo Martinho, Rosana Machado Lopes |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Silva, Ligia Maria Vieira da Chaves, Sônia Cristina Lima Esperidião, Monique Azevedo Martinho, Rosana Machado Lopes Silva, Ligia Maria Vieira da Chaves, Sônia Cristina Lima Esperidião, Monique Azevedo Martinho, Rosana Machado Lopes |
description |
p. 1100-1105 |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010 |
dc.date.accessioned.fl_str_mv |
2013-06-17T13:15:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.repositorio.ufba.br/ri/handle/ri/11947 |
dc.identifier.issn.none.fl_str_mv |
0143-005X |
dc.identifier.number.pt_BR.fl_str_mv |
v. 64, n. 12 |
identifier_str_mv |
0143-005X v. 64, n. 12 |
url |
http://www.repositorio.ufba.br/ri/handle/ri/11947 |
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eng |
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eng |
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http://dx.doi.org/10.1136/jech.2009.097220 |
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