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[Evaluation of the primary health care reform: preventive practices and inequalities]
Ferran Daban1, M Isabel Pasarín, Maica Rodríguez-Sanz
1Agència de Salut Pública de Barcelona, Barcelona, Spain.
Objective:
To evaluate primary care reform (PCR) in Barcelona during the year 2000 using 3 preventive practices: anti-smoking advice, blood pressure measurement, and flu vaccination. Any inequalities of gender, age, or social class in receiving these practices are also assessed.
Design:
Cross-sectional, descriptive, observational study.
Setting:
Barcelona Health Survey, primary health care, Spain, year 2000.
Participants:
Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10,000 people).
Main Measurements:
The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed.
Results:
Receiving the preventive practices studied is greater in areas where PCR was established longer, compared to the centres that had not begun the reforms (63.7% as opposed to 53.2%, respectively). Anti-smoking advice, for women, is less frequent in the more disadvantaged classes (odds ratio [OR] =0.72; 95% confidence interval [CI], 0.55-1).
Conclusions:
PCR is a factor associated with carrying out preventive practices. No significant disparities between social class or gender were found for those who received the preventive practices.
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