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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

AUGUSTO, Daniel Knupp; LIMA-COSTA, Maria Fernanda; MACINKO, James  and  PEIXOTO, Sérgio Viana. Factors associated with the evaluation of quality of primary health care by older adults living in the Metropolitan Region of Belo Horizonte, Minas Gerais, Brazil, 2010. Epidemiol. Serv. Saúde [online]. 2019, vol.28, n.1, e2018128.  Epub Apr 08, 2019. ISSN 2237-9622.  http://dx.doi.org/10.5123/s1679-49742019000100017.

Objective:

to analyze factors associated with the perception of quality of primary health care (PHC) services by older adults.

Methods:

this was a cross-sectional survey with 893 older adults aged 60 years and over living in the Metropolitan Region of Belo Horizonte, MG, Brazil; the study’s outcomes were the indicators of the essential attributes of PHC, while explanatory variables included sociodemographic conditions, use of health services and health conditions; Poisson regression with robust variance was used.

Results:

older adults aged 80 years and over, women and those with higher education levels gave better evaluations for access and longitudinality, while evaluation was worst among those who reported greater use of health services and chronic health conditions, especially for the PHC attributes of coordination of care and family and community orientation.

Conclusion:

poorer health conditions and higher use of services are associated with a more negative perception of PHC attributes among the elderly.

Keywords : Primary Health Care; Health of the Elderly; Epidemiologic Factors; Quality of Health Care; Cross-Sectional Studies, Health evaluation.

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