Fatores associados à continuidade interpessoal na atenção à saúde: estudo de base populacional

Abstract

This study focused on the prevalence of interpersonal continuity of care and its determinants. A cross-sectional population-based study was conducted with 3,133 individuals 20 years or older in Pelotas, Rio Grande do Sul State, Brazil. Multivariate analysis used Poisson regression, with the first level representing socioeconomic and demographic variables and the proximal level including health care and health needs variables. Prevalence of interpersonal continuity of care was 43.7% (95%CI: 42.0-45.5). Female gender, higher age, higher income, consultation during the previous year, report of chronic disease, and consultation outside the public health system showed higher interpersonal continuity of care. Among individuals that consulted in public primary health care services, female gender, age, and the Family Health Program were associated with interpersonal continuity of care. Some vulnerable groups (low-income and users of the public health system) showed low prevalence of the outcome.

Inequalities in dental services utilization among Brazilian low-income children: the role of individual determinants

“…In addition, the utilization of the FHP as a regular source of health care also increases the odds of having a dental visit at least once. These results are consistent with other research conducted with children, adolescents and adults demonstrating the importance of a regular source of care in ensuring the receipt of health services (13,15,19). According to Ryan et al .…”

“…(15), the ability to identify a regular source of care demonstrates the presence of longitudinality and represents the existence of a kind of linkage between the individuals and the primary health team. Some researches suggest that social networks play a role in promoting the utilization of dental care (19). In the United States, Nahouraii et al .…”