Capacidad de respuesta del sistema de salud en atención primaria valorada por pacientes con enfermedades crónicas

Rodríguez Eguizabal E. ; Gil de Gómez M.J. ; San Sebastián M. ; Oliván-Blázquez B. (Universidad de Zaragoza) ; Coronado Vázquez V. ; Sánchez Calavera M.A. ; Magallón Botaya R. (Universidad de Zaragoza)

Resumen: Objective: To evaluate the health systems’ response capacity according to the perception of chronic patients, and the factors related to that perception. Method: Source of data: patients diagnosed with at least one chronic disease who visited primary care centers during June and July 2015 in a basic health area of La Rioja. Design: cross-sectional descriptive study based on interviews to over 18s who visited primary care centers. The dependent variable was the health systems’ response capacity and independent variables were sociodemographic and health related. In order to collect data, trained interviewers conducted a short questionnaire in Spanish from the World Health Organization Multi-country Survey Study with 403 subjects. Descriptive statistics, bivariate and multivariate logistic regression were performed. Results: The overall health systems’ response capacity was considered good by 87.10%. The domains that scored highest were: confidentiality (99.3%), dignity (98.3%) and communication (97.3%). Those evaluated worst were: rapid service (38, 6%) and quality of basic services (31.8%). Low social class was the most important factor associated with the responsiveness, mainly with autonomy and rapid service. Sex, educational level, and occupation were related to communication domain, and patients with worse perceived health rated the general response worse. The domains considered most important were dignity (33.5%) and rapid service (30.5%). Conclusions: The domains best evaluated were those related to respect for people. Rapid service has a low health systems’ response capacity, but a high importance, and therefore requires priority action. © 2021 SESPAS

Idioma: Español

DOI: 10.1016/j.gaceta.2021.02.008

Año: 2022

Publicado en: Gaceta Sanitaria 36, 3 (2022), 232-239
ISSN: 0213-9111

Factor impacto JCR: 1.9 (2022)

Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 133 / 180 = 0.739 (2022) - Q3 - T3
Categ. JCR: HEALTH POLICY & SERVICES rank: 66 / 87 = 0.759 (2022) - Q4 - T3
Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 84 / 106 = 0.792 (2022) - Q4 - T3
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 162 / 207 = 0.783 (2022) - Q4 - T3

Factor impacto CITESCORE: 3.3 - Medicine (Q2)

Factor impacto SCIMAGO: 0.473 - Public Health, Environmental and Occupational Health (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)