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

Passero, Lúcia Gimenes; Giordani, Jessye Melgarejo do Amaral; Hugo, Fernando Neves; Torman, Vanessa Bielefeldt Leotti; Camey, Suzi Alves; Hilgert, Juliana Balbinot

doi:10.1590/0102-311x00065015

Cited by 8 publications

(9 citation statements)

References 17 publications

(38 reference statements)

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“…Age 12,20,21 is usually associated with dissatisfaction with health services and this study emphasized the findings present in related literature. The dissatisfaction is smaller in the elders.…”

Section: Discussionsupporting

confidence: 72%

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Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012

Rech

Hugo

Giordani³

et al. 2018

Cad. Saúde Pública

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The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman’s office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities. The outcome variable was dissatisfaction with public emergency health services in Brazil. Multilevel logistic regression was performed and 7,027 individuals from 61 municipalities answered the survey. The prevalence of perceived dissatisfaction was 48.1% (95%CI: 46.9-49.3). Variables that remained significantly associated with the outcome are: age up to 20 years, 16 or more years of education, lives in the Central region, non-resolved demands, longer waiting times, and accessing emergency in a primary care service. Prevalence of a perceived dissatisfaction is predominantly associated with care’s waiting time and the length needed to resolve the demand.

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Section: Discussionsupporting

confidence: 72%

“…Potential participants were included if they were at least 16 years old or had a dependent under the age of 16; and had used the SUS in the 12 months prior to the study. Detailed information about methods, including random sampling, inclusion criteria and sample size calculation is provided elsewhere 12 .…”

Section: Methodsmentioning

confidence: 99%

Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012

Rech

Hugo

Giordani³

et al. 2018

Cad. Saúde Pública

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“…A study conducted in Brazil reported that dissatisfaction with the public health system increased by 7% for each unit in the literacy rate [33]. Our study revealed that having college education increased patients’ dissatisfaction with CL treatment and health services by 5 times, confirming that more educated people were more demanding about health care.…”

Section: Discussionsupporting

confidence: 66%

How cutaneous leishmaniasis and treatment impacts in the patients’ lives: A cross-sectional study

et al. 2019

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BackgroundUntil now, few studies have evaluated the effect of cutaneous leishmaniasis (CL) on patients' quality of life, and none have used a specific instrument to measure this effect. The objective of this study was to identify factors that may be associated with the high impact of CL and to assess patients’ satisfaction with treatment and health services by utilizing a disease-specific questionnaire.MethodologyBetween December 2015 and May 2017, 100 patients with localized cutaneous leishmaniasis were interviewed at a leishmaniasis referral center in Brazil. Data were collected by two questionnaires. One questionnaire compiled the sociodemographic, economic, and clinical information related to the disease. The second questionnaire was the Cutaneous Leishmaniasis Impact Questionnaire (CLIQ), which consisted of two subscales that measured 1) the general impact of CL and 2) patients’ perceptions of treatment and health services. The median scores from each of these two subscales were used to dichotomize the dependent variables. Risk factors for the high impact of CL and for low patient satisfaction with treatment and health services were analyzed with a logistic regression analysis.ResultsThe chance of higher impact of CL was increased in patients with the presence of comorbidities (OR: 3.9; CI 1.25–12.36), in those with absences from work (OR: 12.0; CI 3.78–42.55), in those who relied on public transportation by a municipal bus (OR: 5.8; CI 1.27–26.77), and in those who had illness-related expenses greater than U$137 (OR: 3.5; CI 1.17–10.24). The chance of patient dissatisfaction with treatment and health services increased with higher education (OR: 5.0; CI 1.19–21.03) and with illness-related expenses exceeding U$137 (OR: 4.64; CI 1.49–14.48). Once the sample was non-probabilistic, findings are not representative of CL patients in general.ConclusionsCL and its treatment have a negative impact on patients’ quality of life. Considering these effects during public health planning may help patients to confront the disease.

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“…We can rule out sociodemographic characteristics as an explanation, as our results were adjusted for them. Residual association can be related to the provider/service characteristics or its capacity to solve patients' complaints 13,25 . Additionally, there is evidence that the waiting time is an important factor for lower satisfaction in public services 25 , which in our case can be considered a mediator and not a true confounder.…”

Section: Discussionmentioning

confidence: 99%

“…Residual association can be related to the provider/service characteristics or its capacity to solve patients' complaints 13,25 . Additionally, there is evidence that the waiting time is an important factor for lower satisfaction in public services 25 , which in our case can be considered a mediator and not a true confounder. The liberty to choose the provider has also been mentioned as a reason for satisfaction 13 , which does not occur in most public services that work under a specific catchment area.…”

Section: Discussionmentioning

confidence: 99%

User satisfaction with public and private dental services for different age groups in Brazil

et al. 2018

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This article aimed to describe the levels of user satisfaction in different age groups and to study the association between user satisfaction and different types of dental services in a representative sample of Brazilians. This study is based on the Brazilian Oral Health Survey, which evaluated the dental health of adolescents, adults and older adults in 177 Brazilian cities. The outcome variable was user satisfaction, related to the last dental visit, evaluated in a five-level Likert-type scale. The main exposure variable was the type of dental service (public service, private service, health plan or insurance). The independent variables were DMFT (decay, missing and filled teeth); pain intensity in the past six months; reason for the last dental visit; perceived need for treatment; frequency of use of dental services; sex; equivalent income; and educational level. An ordered logistic regression analysis was performed separately for each age group. Few participants evaluated the services as bad or very bad (4.3% of adolescents, 6.1% of adults and 4.1% of older adults). In the crude model, the use of public services was associated with lower satisfaction than the use of private services and health plans between all groups. However, after adjusting by covariates, this association remained only in adolescents, who showed lower satisfaction with the public service compared to the private service and health plans. In general, Brazilians are satisfied with dental services, but, among adolescents, the use of public services was associated with lower satisfaction. Public services may be focused on issues related to children, adults and older adults, and not to the adolescent audience, which has specific demands.

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

Cited by 8 publications

References 17 publications

Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012

Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012

How cutaneous leishmaniasis and treatment impacts in the patients’ lives: A cross-sectional study

User satisfaction with public and private dental services for different age groups in Brazil

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