Publication date: Sep 22, 2023
To evaluate the primary health care (PHC) attributes and associated factors during the COVID-19 pandemic using the perspective of users. This cross-sectional, quantitative study included 422 PHC users from 96 Family Health Teams in a city in Brazil. The assessment used the Primary Care Assessment Tool (PCATool) and a structured questionnaire on the sociodemographic and epidemiological characteristics of users and basic health units (BHU). The Person’s chi-square test was used to analyze the association between high overall scores in PCATool and characteristics of users and BHU. Crude and adjusted prevalence ratios (PR) with a 95% confidence interval were also calculated. Poisson regression and Rao Scott’s Chi-square test were used to estimate crude PR. Most users were aged 30 to 39 years (26. 3%), women (75. 4%), registered at the BHU for over ten years (59. 5%), and had incomplete secondary education (30. 6%). The mean of PHC essential attributes and overall scores were low (6. 10 +/- 0. 81 and 5. 78 +/- 0. 77, respectively). “First-contact care-use” received the highest score (9. 22 +/- 1. 62), while “first-contact care-accessibility” received the lowest (2. 82 +/- 0. 90). High overall scores were associated with an average employment time of professionals (doctors and nurses) at the BHU (PR = 1. 31; 95% CI 1. 17-1. 48; p < 0. 001) and lower educational level of users (PR = 1. 71; 95% CI 1. 54-1. 90; p < 0. 001. "First-contact care-use" was the best evaluated, while "first-contact care-accessibility" was the worst. High scores were associated with a lower educational level of users and BHU with more experienced professionals.
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|drug||DRUGBANK||Ilex paraguariensis leaf|
|disease||MESH||Primary Care Accessibility|