Primeira escolha para utilização de serviços de saúde pela população adulta do Distrito Federal, 2015: um inquérito de base populacional*

Abstract

Objective: to describe the first choice for use of health services and to analyze sociodemographic factors associated with seeking Primary Health Care (PHC) by the adult population of Brazil's Federal District in 2015. Methods: this was a population-based study, with 2,007 individuals, using a sample from the 2015 VIGITEL survey conducted by landline telephone, including questions on use of health services; we used logistic regression to identify factors associated with seeking PHC services. Results: participants' first choice was predominantly for private health services (57.6%), respondents reported seeking public health services less (39.5%), particularly PHC services (primary health centers: 24.6%); multivariate analysis showed that educational level (postgraduate [OR=0.15-95% CI 0.04;0.59] and high school [OR=0.37-95%CI 0.18;0.75]), and not having private health insurance (OR=27.77-95%CI 10.61;72.70) were variables associated with seeking PHC services. Conclusion: individuals with low educational level and without private health insurance are those who mostly seek PHC services as their first choice in Brazil's Federal District.

Fatores associados à avaliação da Atenção Primária à Saúde na perspectiva do usuário: resultados do inquérito telefônico Vigitel, 2015

“…PNS data showed that ESF coverage is higher among people with low schooling. It is worth mentioning that the results found show the potential of the PHC services' contribution to reducing health inequalities, promoting greater access to health care 15,31,38,39 . However, the study by Perillo et al 20 records that 45.22% of users with health insurance also used PHC services, which reinforces the scope of these services.…”

“…The study innovates by applying the PCATool to a population sample in Belo Horizonte by telephone interviews to assess PHC performance and its association with sociodemographic characteristics, self-reported health conditions, and behavioral risk factors for NCDs, which differs from most published studies. It identifies the score of evaluation of the attributes from the users' viewpoint and knowing the PHC service use profile and factors associated with use 20,31 . It is worth mentioning that studies that apply the PCATool and analyze the score obtained with the users' lifestyles and morbidity are still scarce in the country.…”

Avaliação da qualidade da Atenção Primária à Saúde segundo homens de um município mineiro

“…Uma pesquisa de base populacional realizada no Distrito Federal demonstrou que indivíduos com menor poder aquisitivo e escolaridade tendem a utilizar preferencialmente os serviços da APS (Poças et al, 2019), sendo dados concordantes com o presente estudo. Desta forma, considerando as fragilidades econômicas e educacionais da maior parcela dos entrevistados, nota-se a necessidade da adaptação dos profissionais de saúde à realidade sociocultural dessas pessoas, considerando, também, suas visões de mundo e compreensões com relação aos processos de saúde, doença e autocuidado.…”

Avaliação da Atenção Primária à Saúde na ótica dos usuários: reflexões sobre o uso do Primary Care Assessment Tool-Brasil versão reduzida nos inquéritos telefônicos

“…In view of the importance of evaluating services to strengthen PHC, the Ministry of Health, in 2015 added a pilot module to the Surveillance System for Risk and Protection Factors for Chronic Diseases by Telephone Survey (Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico -Vigitel) an evaluation of PHC in two Brazilian capital cities (Belo Horizonte and Brasília), in order to find a new way of evaluating services 10 . It partnered with researchers from the Universidade Federal de Minas Gerais (UFMG) and the Universidade de Brasília (UnB) in the development of this module.…”