[更多的医生计划:通过医疗服务类型来描述初级保健的质量]
Mozart Julio Tabosa Sales1,2, Paulo Savio Angeiras de Goes3, Aline Priscila Rego de Carvalho4
1Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brasil.
Cadernos de saude publica
|November 28, 2024
概括
巴西更多医生计划 (PMM) 的古巴医生显著改善了初级保健的质量,特别是在社区导向方面. 用户反强调了它们的有效性,强调了在公共卫生管理中需要以患者为中心的方法.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 初级保健研究研究初级保健研究
背景情况:
- 巴西的更多医生计划 (PMM) 将医生分配到脆弱地区.
- 评估初级保健的质量对于公共卫生管理至关重要.
- 医生出身 (巴西人与古巴人) 可能会影响初级保健提供.
研究的目的:
- 根据PMM的包括和医生来源来评估初级保健的质量.
- 为了比较巴西和古巴的PMM医生对护理质量的看法.
- 确定与更高质量的初级保健相关的因素.
主要方法:
- 使用质量和加强初级保健问卷的横截面研究.
- 调查对巴西珀南布科州的149名医生和795名用户进行了调查 (2018年).
- 对医生子组的分析:非PMM巴西人,PMM巴西人和PMM古巴人.
主要成果:
- 古巴的PMM医生获得了更高的质量分数,特别是在家庭和社区导向方面.
- 多变量分析表明,对于古巴的医生,女性和那些有医疗住所的人来说,这很重要.
- 用户将更高的质量与古巴医生联系在一起,除了护理连续性 (长度).
结论:
- PMM古巴医生在提高初级保健质量方面表现出有效性.
- 专注于用户中心性对于优化初级保健服务至关重要.
- 强大的评估工具对于有效的公共卫生管理至关重要.
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