International Journal of Preventive Medicine

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 12  |  Issue : 1  |  Page : 57-

Continuity of primary care in the brazilian amazon: A cross-sectional population-based study


Tais Freire Galvao1, Gustavo Magno Baldin Tiguman1, Bruno Pereira Nunes2, Andrea Tenorio Correia da Silva3, Marcus Tolentino Silva4 
1 Faculty of Pharmaceutical Sciences, State University of Campinas, Campinas, Brazil
2 Department of Nursing in Public Health, Federal University of Pelotas, Pelotas, Brazil
3 Department of Preventive Medicine, Universidade de São Paulo; Coordinator, Primary Care Research Group, Faculdade de Medicina Santa Marcelina, São Paulo, Brazil
4 Post-Graduation Program of Pharmaceutical Sciences, Universidade de Sorocaba, Sorocaba, Brazil

Correspondence Address:
Tais Freire Galvao
200 - Cidade Universitaria Zeferino Vaz, Postal Code 13083-871 - Campinas, Sao Paulo
Brazil

Background: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas. Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in households selected with probabilistic sampling. City and neighborhood variables were collected from databanks. Prevalence ratios (PR) of the continuity of care (defined as using a primary care service and having been previously registered in the Family Health Strategy program) and 95% confidence intervals (CIs) were calculated with multilevel Poisson regression analysis. Results: A total of 20.6% (95%CI 19.4-21.9%) of the participants reported continuity of primary care. Women (PR = 1.38; 95%CI 1.18-1.61), nonwhite individuals (PR = 1.13; 95%CI 1.05-1.21), and poorer people (PR = 1.55; 95%CI 1.19-2.02) had higher levels of continuity, whereas health insurance holders had lower levels of continuity (PR = 0.46; 95%CI 0.34-0.62). Individuals with continuity of care had more physician consultations (PR = 1.06; 95%CI 1.02-1.10), dentist consultations (PR = 1.16; 95%CI 1.05-1.28), fewer depressive (PR = 0.59; 95%CI 0.44-0.79) and anxiety symptoms (PR = 0.64; 95%CI 0.48-0.85), and a higher quality of life (β = 0.033; 95%CI 0.011-0.054) than those without continuity. Conclusions: Continuity of care was attained by two-tenths of the population and the level of continuity was high among socioeconomically disadvantaged people. Good outcomes and health services usage increased with continuity of care.


How to cite this article:
Galvao TF, Baldin Tiguman GM, Nunes BP, Correia da Silva AT, Silva MT. Continuity of primary care in the brazilian amazon: A cross-sectional population-based study.Int J Prev Med 2021;12:57-57


How to cite this URL:
Galvao TF, Baldin Tiguman GM, Nunes BP, Correia da Silva AT, Silva MT. Continuity of primary care in the brazilian amazon: A cross-sectional population-based study. Int J Prev Med [serial online] 2021 [cited 2021 Jun 20 ];12:57-57
Available from: https://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=57;epage=57;aulast=Galvao;type=0