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Scheduling models and primary health care quality: a multilevel and cross-sectional study

dc.contributor.authorVidal, Tiago Barra
dc.contributor.authorRocha, Suelen Alves [UNESP]
dc.contributor.authorHarzheim, Erno
dc.contributor.authorHauser, Lisiane
dc.contributor.authorTesser, Charles Dalcanale
dc.contributor.institutionUniversidade Federal de Santa Catarina (UFSC)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniv Fed Rio Grande do Sul
dc.date.accessioned2019-10-04T12:14:04Z
dc.date.available2019-10-04T12:14:04Z
dc.date.issued2019-01-01
dc.description.abstractOBJECTIVE: To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS: This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in FlorianOpolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by primary health team, poverty ratio as income proxy, number of health teams, presence of economically interest areas, number of medical appointments in one year per primary health team, number of people treated in one year per health team), with p < 0.20 were selected for the multilevel model, which was adjusted with aggregates of information from users and health centers. RESULTS: The health center that used advanced access had a general score of 7.04, while those using a weekly carve-out had a score of 6.26; the carve-out every 15 days, score of 5.87; and the traditional carve-out, score of 6.29. CONCLUSIONS: The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users.en
dc.description.affiliationUniv Fed Santa Catarina, Programa Posgrad Saude Colet, Florianopolis, SC, Brazil
dc.description.affiliationUniv Estadual Paulista, Programa Posgrad SaUde Colet, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Rio Grande do Sul, Fac Med, Programa Posgrad Epidemiol, Porto Alegre, RS, Brazil
dc.description.affiliationUniv Fed Rio Grande do Sul, Programa Posgrad Epidemiol, Porto Alegre, RS, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Programa Posgrad SaUde Colet, Sao Paulo, SP, Brazil
dc.format.extent10
dc.identifierhttp://dx.doi.org/10.11606/S1518-8787.2019053000940
dc.identifier.citationRevista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 53, 10 p., 2019.
dc.identifier.doi10.11606/S1518-8787.2019053000940
dc.identifier.fileS0034-89102019000100233.pdf
dc.identifier.issn0034-8910
dc.identifier.scieloS0034-89102019000100233
dc.identifier.urihttp://hdl.handle.net/11449/184487
dc.identifier.wosWOS:000467737300003
dc.language.isoeng
dc.publisherRevista De Saude Publica
dc.relation.ispartofRevista De Saude Publica
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectAppointments and Schedules
dc.subjectPrimary Health Care, organization & administration
dc.subjectHealth Care Quality, Access, and Evaluation
dc.subjectMultilevel Analysis
dc.titleScheduling models and primary health care quality: a multilevel and cross-sectional studyen
dc.typeArtigo
dcterms.rightsHolderRevista De Saude Publica
dspace.entity.typePublication

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