家庭照顾者对残疾人初级医疗保健服务质量的看法:一项横断面研究。

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI:10.1590/1806-9282.20240778
Luiza de Sousa Silva, André Pontes-Silva, Eloise Schott, Francisco Winter Dos Santos Figueiredo, Leidiene Ferreira Santos, Ladislau Ribeiro do Nascimento, Fernando Rodrigues Peixoto Quaresma
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引用次数: 0

摘要

背景:残疾人的照顾者如何看待初级医疗保健服务的质量?本研究的目的是根据家庭照顾者的看法,了解基层医疗机构为残疾人提供的医疗服务的质量:这是一项横断面研究。在数据收集过程中,对 49 名使用中心服务的家庭护理人员进行了访谈。使用的评估工具是社会经济和人口调查问卷以及初级保健评估工具(PCATool-Brasil)的成人和儿童简化版,用于评估初级保健的基本水平和衍生特征:女性是主要的照顾者(40 人,占 82%),主要残疾是精神残疾(28 人,占 58%)。得分最高的是附属机构(100%)、利用率(73.4%)和信息系统(83.7%)。得分最低的是纵向(26.5%)、护理一体化、可用服务、提供的服务(28.6%)以及与家庭指导和社区指导相关的衍生得分(28.6-22.4%)。该人群对初级保健的重视程度较低,总分较高(22.4%)。经济状况呈正相关(P=0.017):根据初级医疗保健的特点,医疗保健是分散的、不连贯的,不能满足残疾人及其护理人员的需求。
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Family caregivers' perceptions of the quality of primary healthcare services for people with disabilities: a cross-sectional study.

Background: How do caregivers of people with disabilities perceive the quality of health services in primary healthcare?

Objective: The objective of this study was to show the quality of health services for people with disabilities in primary healthcare, based on the perceptions of family caregivers.

Methods: This is a cross-sectional study. During data collection, 49 family caregivers who use the center were interviewed. The assessment instruments used were the Socio-Economic and Demographic Questionnaire and the PCATool-Brasil (Primary Care Assessment Tool), in the reduced adult and child versions, to assess the level of essential and derived characteristics of primary healthcare.

Results: Women were the main caregivers (40; 82%), and the main disability was mental (28; 58%). The highest scores were observed in affiliation (100%), utilization (73.4%), and information system (83.7%). The lowest scores were found in longitudinal (26.5%), integration of care, available services, services provided (28.6%), and derived scores (28.6-22.4%) related to family guidance and community guidance. The population showed a low orientation toward primary healthcare, with a high total score (22.4%). The economic situation showed a positive association (p=0.017).

Conclusion: According to the characteristics of primary healthcare, care is fragmented and disjointed and does not meet the needs of people with disabilities and their caregivers.

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