0376/2019 - Satisfação do usuário da Atenção Primária no Distrito Federal: A importância do acesso oportuno e da visita domiciliar. Primary Health Care users’ satisfaction in the Federal District: The importance of timely access and home visits.
Trata-se de estudo transversal, com o objetivo de analisar a satisfação de usuários em relação ao atendimento em unidades de Atenção Primária à Saúde do Distrito Federal e fatores associados. Foram incluídos 4.476 usuários das 62 equipes da ESF existentes no território; utilizou-se questionário testado previamente com perguntas abertas e fechadas. O grau de satisfação foi: 54,9% Satisfeitos e 23,0% Muito Satisfeitos. Para o desfecho Nível Geral de Satisfação houve menor satisfação nos casos que o usuário não conseguiu ser atendido (OR 12,1 p=0,01); não recebeu visita domiciliar (OR 1,7 p=0,01); é do sexo feminino (OR 1,2 p=0,01) e declarou cor/etnia não branco (OR 0,77 p=0,021). A Chance do Usuário Recomendar a UBS foi: Alta (43,4%) e Muito Alta (17,7%). De modo similar, a menor chance de recomendar foi associada a casos de não atendimento (OR 5,1 p=0,01) e ausência de visita domiciliar (OR 1,5 p=0,01); não houve associação com variáveis sociodemográficas. Evidencia-se a percepção que os serviços são satisfatórios para a maioria dos usuários. O estudo também trouxe evidências para a importância de contar com a equipe ESF completa e de expandir a visita domiciliar.
Palavras-chave:
Satisfação do Paciente; Serviços de saúde; Visita domiciliar; Atenção Primária a Saúde.
Abstract:
The aim of this cross-sectional study was to analyze user satisfaction in relation to Primary Health Care services in the Federal District and its associated factors. A total of 4,476 users of the 62 existing Family Health Strategy Teams were included; a pre-tested questionnaire with open and closed questions was applied. The degree of satisfaction was: 54.9% Satisfied and 23.0% Very Satisfied. For the General Satisfaction Level outcome, there was less satisfaction in cases that the user didn´t receive the care he sought for (OR 12.1 p=0.01); did not receive a home visit (OR 1.7 p=0.01); is female (OR 1.2 p=0.01) and declared to be non-white (OR 0.77 p=0.021). The Chance to recommend the Health Unit was: High (43.4%) and Very High (17.7%). Similarly, the lower chance to recommend was associated with no care received (OR 5.1 p=0.01) and absence of home visit (OR 1.5 p=0.01); there was no association with sociodemographic variables. Evidence showed that health services are satisfactory for most users. In order to increase satisfaction, it is recommended to reduce the occurrence of cases the user didn´t receive the care he sought for. The study provides evidence regarding the importance of having the complete Family Health Strategy team and of expanding home visit.
Keywords:
Patient Satisfaction; Health Services; Home Visit; Primary Health Care.
Primary Health Care users’ satisfaction in the Federal District: The importance of timely access and home visits.
Resumo (abstract):
The aim of this cross-sectional study was to analyze user satisfaction in relation to Primary Health Care services in the Federal District and its associated factors. A total of 4,476 users of the 62 existing Family Health Strategy Teams were included; a pre-tested questionnaire with open and closed questions was applied. The degree of satisfaction was: 54.9% Satisfied and 23.0% Very Satisfied. For the General Satisfaction Level outcome, there was less satisfaction in cases that the user didn´t receive the care he sought for (OR 12.1 p=0.01); did not receive a home visit (OR 1.7 p=0.01); is female (OR 1.2 p=0.01) and declared to be non-white (OR 0.77 p=0.021). The Chance to recommend the Health Unit was: High (43.4%) and Very High (17.7%). Similarly, the lower chance to recommend was associated with no care received (OR 5.1 p=0.01) and absence of home visit (OR 1.5 p=0.01); there was no association with sociodemographic variables. Evidence showed that health services are satisfactory for most users. In order to increase satisfaction, it is recommended to reduce the occurrence of cases the user didn´t receive the care he sought for. The study provides evidence regarding the importance of having the complete Family Health Strategy team and of expanding home visit.
Palavras-chave (keywords):
Patient Satisfaction; Health Services; Home Visit; Primary Health Care.
Furlanetto, D.L.C, Lima, A.A, Pedrosa, C.M, Paranaguá, T.T.B, Xavier, M.F, Silva, A.K.P, Rodrigues, V.B, Santos, L. M. P. Satisfação do usuário da Atenção Primária no Distrito Federal: A importância do acesso oportuno e da visita domiciliar.. Cien Saude Colet [periódico na internet] (2019/Nov). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/satisfacao-do-usuario-da-atencao-primaria-no-distrito-federal-a-importancia-do-acesso-oportuno-e-da-visita-domiciliar/17450?id=17450&id=17450
