0068/2025 - Avaliação da Atenção Primária à Saúde no Rio de Janeiro: experiência de usuários após quinze anos da Reforma Evaluation of Primary Health Care in Rio de Janeiro: the experience of patients fifteen years after the Reform
O estudo tem como objetivo avaliar o grau de orientação à APS na perspectiva dos usuários adultos e crianças no MRJ. O desenho foi observacional transversal e incluiu amostras independentes de usuários infantis e adultos que saíam de consulta médica em diferentes unidades de saúde do Rio de Janeiro (RJ). O desfecho do estudo foram os escores essencial e geral do PCATool Brasil categorizados em Alto Escore acima de 6,6 e Baixo Escore abaixo de 6,6. Variáveis socioeconômicas, relacionadas à saúde, uso de serviços e características gerais foram também coletadas. Modelos logísticos multiníveis de efeitos mistos foram usados para investigar os fatores associados a altos scores do PCATool essencial e geral. Um total de 889 adultos e 956 para crianças responderam ao questionário e foram analisadas. As pontuações essenciais e gerais do PCATool foram ligeiramente maiores em crianças do que na amostra de adultos. O escore geral foi de 6,72, IC95% (6.63 – 6.81) e 6.40, IC95% (6.30 – 6.50) em adultos. Nos modelos ajustados, indivíduos com cinco ou mais consultas no último ano: crianças - (OR=1,33, IC95% [1,01-1,75])/ adultos - (OR=2,63, IC95% [1,68-4,11]) e consulta com o mesmo médico: crianças - (OR=2,34, IC95% [1,77-3,08])/ adultos - (OR=3,42, IC95% [2,19-5,32]) foram associados a maior escore geral.
Palavras-chave:
Atenção Primária à Saúde, Avaliação em Saúde, Rio de Janeiro.
Abstract:
The aim of the study was to assess the degree of orientation to PHCthe perspective of adult and child users in the MRJ. The design was cross-sectional observational and included independent samples of child and adult users leaving medical appointments at different health units in Rio de Janeiro (RJ). The study outcome was the essential and general scores of the PCATool Brazil, categorized as High Score above 6.6 and Low Score below 6.6. Socioeconomic, health-related, service use and general characteristics variables were also collected. Multilevel mixed-effects logistic models were used to investigate the factors associated with high essential and general PCATool scores. A total of 889 adults and 956 children answered the questionnaire and were analyzed. The core and overall PCATool scores were slightly higher in children than in the adult sample. The overall score was 6.72, 95%CI (6.63 - 6.81) and 6.40, 95%CI (6.30 - 6.50) in adults. In the adjusted models, individuals with five or more consultations in the last year: children - (OR=1.33, 95%CI [1.01-1.75])/adults - (OR=2.63, 95%CI [1.68-4.11]) and consultation with the same doctor: children - (OR=2.34, 95%CI [1.77-3.08])/adults - (OR=3.42, 95%CI [2.19-5.32]) were associated with a higher overall score.
Keywords:
Primary Health Care, Health Evaluation, Rio de Janeiro
Evaluation of Primary Health Care in Rio de Janeiro: the experience of patients fifteen years after the Reform
Resumo (abstract):
The aim of the study was to assess the degree of orientation to PHCthe perspective of adult and child users in the MRJ. The design was cross-sectional observational and included independent samples of child and adult users leaving medical appointments at different health units in Rio de Janeiro (RJ). The study outcome was the essential and general scores of the PCATool Brazil, categorized as High Score above 6.6 and Low Score below 6.6. Socioeconomic, health-related, service use and general characteristics variables were also collected. Multilevel mixed-effects logistic models were used to investigate the factors associated with high essential and general PCATool scores. A total of 889 adults and 956 children answered the questionnaire and were analyzed. The core and overall PCATool scores were slightly higher in children than in the adult sample. The overall score was 6.72, 95%CI (6.63 - 6.81) and 6.40, 95%CI (6.30 - 6.50) in adults. In the adjusted models, individuals with five or more consultations in the last year: children - (OR=1.33, 95%CI [1.01-1.75])/adults - (OR=2.63, 95%CI [1.68-4.11]) and consultation with the same doctor: children - (OR=2.34, 95%CI [1.77-3.08])/adults - (OR=3.42, 95%CI [2.19-5.32]) were associated with a higher overall score.
Palavras-chave (keywords):
Primary Health Care, Health Evaluation, Rio de Janeiro
D’Avila, O.P, Chisini, L.A, Ribeiro, M.C, Meira-Silva, V.S.T, Mathuiy, Y.R, Moura, L.J.N, Harzheim, E., Pinto, L.F. Avaliação da Atenção Primária à Saúde no Rio de Janeiro: experiência de usuários após quinze anos da Reforma. Cien Saude Colet [periódico na internet] (2025/mar). [Citado em 22/09/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avaliacao-da-atencao-primaria-a-saude-no-rio-de-janeiro-experiencia-de-usuarios-apos-quinze-anos-da-reforma/19544?id=19544
