Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.

Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influenc...

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Autores Principales: Vargas, Ingrid, Garcia-Subirats, Irene, De Paepe, Pierre, da Silva, Maria Rejane Ferreira, Unger, Jean-Pierre, Aller, M B, Vázquez, María-Luisa, Mogollón-Pérez, Amparo-Susana
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: Health Policy and Planning 2017
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/24925
https://doi.org/10.1093/heapol/czw168
id ir-10336-24925
recordtype dspace
spelling ir-10336-249252022-05-02T12:37:15Z Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil. Vargas, Ingrid Garcia-Subirats, Irene De Paepe, Pierre da Silva, Maria Rejane Ferreira Unger, Jean-Pierre Aller, M B Vázquez, María-Luisa Mogollón-Pérez, Amparo-Susana Adult Brazil Colombia Continuity of Patient Care Cross-Sectional Studies Female Health Services Research Humans Male Middle Aged Physician-Patient Relations Primary Health Care Social Class Surveys and Questionnaires Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had suffered at least one health problem within the previous three months (2163 in Colombia; 2167 in Brazil). An adapted and validated version of the CCAENAA (c) (Questionnaire of care continuity across levels of health care) was applied. Logistic regression models were generated to assess the relationship between perceptions of the different types of health care continuity and sociodemographic characteristics, health needs, and organizational factors. The results show lower levels of continuity across care levels in information transfer and care coherence and higher levels for the ongoing patient-doctor relationship, albeit with differences between the two countries. They also show greater consistency of doctors in the Brazilian study areas, especially in primary care. Consistency of doctors was not only positively associated with the patient-doctor ongoing relationship in the study areas of both countries, but also with information transfer and care coherence across care levels. The study area and health needs (the latter negatively for patients with poor self-rated health and positively for those with at least one chronic condition) were associated with all types of continuity of care. The influence of the sex or income varied depending on the country. The influence of the insurance scheme in the Colombian sample was not statistically significant. Both countries should implement policies to improve coordination between care levels, especially regarding information transfer and job stability for primary care doctors, both key factors to guarantee quality of care. 2017-01-18 2020-06-11T13:21:50Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 0268-1080 1460-2237 https://repository.urosario.edu.co/handle/10336/24925 https://doi.org/10.1093/heapol/czw168 eng info:eu-repo/semantics/openAccess application/pdf Health Policy and Planning instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Adult
Brazil
Colombia
Continuity of Patient Care
Cross-Sectional Studies
Female
Health Services Research
Humans
Male
Middle Aged
Physician-Patient Relations
Primary Health Care
Social Class
Surveys and Questionnaires
spellingShingle Adult
Brazil
Colombia
Continuity of Patient Care
Cross-Sectional Studies
Female
Health Services Research
Humans
Male
Middle Aged
Physician-Patient Relations
Primary Health Care
Social Class
Surveys and Questionnaires
Vargas, Ingrid
Garcia-Subirats, Irene
De Paepe, Pierre
da Silva, Maria Rejane Ferreira
Unger, Jean-Pierre
Aller, M B
Vázquez, María-Luisa
Mogollón-Pérez, Amparo-Susana
Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
description Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had suffered at least one health problem within the previous three months (2163 in Colombia; 2167 in Brazil). An adapted and validated version of the CCAENAA (c) (Questionnaire of care continuity across levels of health care) was applied. Logistic regression models were generated to assess the relationship between perceptions of the different types of health care continuity and sociodemographic characteristics, health needs, and organizational factors. The results show lower levels of continuity across care levels in information transfer and care coherence and higher levels for the ongoing patient-doctor relationship, albeit with differences between the two countries. They also show greater consistency of doctors in the Brazilian study areas, especially in primary care. Consistency of doctors was not only positively associated with the patient-doctor ongoing relationship in the study areas of both countries, but also with information transfer and care coherence across care levels. The study area and health needs (the latter negatively for patients with poor self-rated health and positively for those with at least one chronic condition) were associated with all types of continuity of care. The influence of the sex or income varied depending on the country. The influence of the insurance scheme in the Colombian sample was not statistically significant. Both countries should implement policies to improve coordination between care levels, especially regarding information transfer and job stability for primary care doctors, both key factors to guarantee quality of care.
format Artículo (Article)
author Vargas, Ingrid
Garcia-Subirats, Irene
De Paepe, Pierre
da Silva, Maria Rejane Ferreira
Unger, Jean-Pierre
Aller, M B
Vázquez, María-Luisa
Mogollón-Pérez, Amparo-Susana
author_facet Vargas, Ingrid
Garcia-Subirats, Irene
De Paepe, Pierre
da Silva, Maria Rejane Ferreira
Unger, Jean-Pierre
Aller, M B
Vázquez, María-Luisa
Mogollón-Pérez, Amparo-Susana
author_sort Vargas, Ingrid
title Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
title_short Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
title_full Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
title_fullStr Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
title_full_unstemmed Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil.
title_sort patient perceptions of continuity of health care and associated factors. cross-sectional study in municipalities of central colombia and north-eastern brazil.
publisher Health Policy and Planning
publishDate 2017
url https://repository.urosario.edu.co/handle/10336/24925
https://doi.org/10.1093/heapol/czw168
_version_ 1740172939738742784
score 12,131701