Primary care assessment from a male population perspective

a cross-sectional descriptive-evaluative study conducted at the family health units of Teresina, Piauí, Brazil, with the male population being interviewed through the Primary Care Assessment Tool (PCAT).

Results:

301 participants with mean age of 51.34 years, married, incomplete elementary school and monthly income between one and two minimum wages. The evaluation was positive for the following care domains: utilization, information system and longitudinality. The features access, comprehensiveness of care, service available and service provided, family centeredness and community orientation obtained a negative evaluation.

Conclusion:

the features of primary care are unsatisfactory, indicating the need to expand access to services offered and to qualify care for male users.

Descriptors:
Health Services Evaluation; Primary Health Care; Men's Health; Community Health Nursing; Public Health

Attributes / components	n	Minimum	Maximum	Average	SD^* * Standard deviation;	CV^ Coefficient of variation. (%)
Degree of affiliation	269	0.00	10.00	6.28	3.03	48.23
Essential features
First contact access		0.14	10.00	5.32	1.66	31.28
Utilization	301	0.00	10.00	7.96	2.76	34.66
Accessibility	300	0.00	7.78	2.65	1.63	61.48
Longitudinality	301	0.00	10.00	6.82	2.01	29.39
Coordination		0.00	10.00	7.31	1.92	26.29
Care integration	205	0.00	10.00	5.68	2.46	43.35
Information system	300	0.00	10.00	8.26	1.89	22.90
Comprehensiveness		0.00	10.00	4.14	1.93	46.62
Available services	262	0.15	10.00	4.73	1.79	37.92
Services provided	300	0.00	10.00	3.77	2.41	63.97
Essential score		0.95	9.11	5.75	1.39	24.17
Attributes derived
Family counseling	301	0.00	10.00	4.65	3.12	67.12
Community orientation	290	0.00	10.00	5.31	2.70	50.85
Derived score		0.00	10.00	4.94	2.50	50.61
Overall score		0.71	9.29	5.59	1.48	26.48

Reason	n	%
Hiperdia service	124	41.20
Routinevisit	53	17.61
Specialized appointments / exams	36	11.96
Laboratory exams	27	8.97
Urgent care	26	8.64
Dental treatment	11	3.65
Others	24	7.97

Frequency	n	%
Once a month	46	15.28
Every 2 months	60	19.93
Every 3 months	39	12.96
Every 6 months	60	19.93
Annually	34	11.30
Sporadically	62	20.60

Variable	High overall score ≥6.6		Low overall score <6.6		p value^* * Significance of Pearson's Chi-Square Test.
Variable	n	%	n	%	p value^* * Significance of Pearson's Chi-Square Test.
Reason
Hiperdia service	37	29.84	87	70.16	0.089
Routine visit	11	20.75	42	79.25
Specialized appointments and exams	04	11.11	32	88.89
Laboratory exams	07	25.93	20	74.07
Urgent care	03	11.54	23	88.46
Dental treatment	04	36.36	07	63.64
Others	03	12.50	21	87.50
Frequency
Once a month	22	47.83	24	52.17	<0.001
Every 2 months	16	26.67	44	73.33
Every 3 months	06	15.38	33	84.62
Every 6 months	14	23.33	46	76.67
Annually	04	11.76	30	88.24
Sporadically	07	11.29	55	88.71

Variable	High score ≥6.6		Low score <6.6		p value^* * Significance of the Pearson Chi-Square Test (for all participants).
Variable	n	%	n	%
Longitudinality (301)
18-24 y.o.	07	41.18	10	58.82	<0.001
25-40 y.o.	18	36.73	31	63.27
41-59 y.o.	94	64.83	51	35.17
60 y.o.or over	63	70.00	27	30.00
Coordination - Information system (300)
18-24 y.o.	14	82.35	03	17.65	0.047
25-40 y.o.	39	79.59	10	20.41
41-59 y.o.	129	89.58	15	10.42
60 y.o. or over	85	94.44	05	5.56

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Simone Albino da Silva. E-mail: simonealbino76@hotmail.com