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[Factors associated with interpersonal continuity of care: a population-based study]
Luiz Artur Rosa Filho1, Anaclaudia Gastal Fassa, Vera Maria Vieira Paniz
1Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil. lzartur@yahoo.com.br
Cadernos De Saude Publica
|April 9, 2008
Summary
Interpersonal continuity of care was experienced by 43.7% of adults in Brazil. Factors like female gender, older age, and chronic illness influenced continuity, while vulnerable groups had lower access.
Area of Science:
- Healthcare Research
- Public Health
- Epidemiology
Context:
- Assessing healthcare quality in Pelotas, Brazil.
- Examining a population of 3,133 adults aged 20+.
- Utilizing a cross-sectional, population-based study design.
Purpose:
- To determine the prevalence of interpersonal continuity of care.
- To identify socioeconomic, demographic, and healthcare-related determinants of this continuity.
- To analyze factors associated with continuity within the public health system.
Summary:
- The study found a 43.7% prevalence of interpersonal continuity of care.
- Multivariate analysis revealed that female gender, higher age, increased income, recent consultations, and chronic disease diagnoses were associated with higher continuity.
- Consultation outside the public health system also correlated with greater continuity.
- Within public primary care, female gender, age, and the Family Health Program were significant factors.
- Vulnerable populations, including low-income individuals and public health system users, exhibited lower continuity.
Impact:
- Highlights disparities in healthcare access and continuity.
- Informs public health policy for improving patient care.
- Identifies key factors for enhancing patient-provider relationships in diverse healthcare settings.
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