117442 20240319080958.0 doi 10.1016/j.gaceta.2021.02.008 sideral 127381 ART-2022-127381 spa Rodríguez Eguizabal E. Capacidad de respuesta del sistema de salud en atención primaria valorada por pacientes con enfermedades crónicas 2022 Access copy available to the general public Unrestricted 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 info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.9 2022 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 133 / 180 = 0.739 2022 Q3 T3 HEALTH POLICY & SERVICES 66 / 87 = 0.759 2022 Q4 T3 HEALTH CARE SCIENCES & SERVICES 84 / 106 = 0.792 2022 Q4 T3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 162 / 207 = 0.783 2022 Q4 T3 0.473 2022 Public Health, Environmental and Occupational Health 2022 Q3 3.3 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Gil de Gómez M.J. San Sebastián M. Oliván-Blázquez B. Universidad de Zaragoza (orcid)0000-0001-6565-9699 Coronado Vázquez V. Sánchez Calavera M.A. Magallón Botaya R. Universidad de Zaragoza (orcid)0000-0002-5494-6550 4009 740 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Social 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 36, 3 (2022), 232-239 Gac. sanit. Gaceta Sanitaria 0213-9111 804773 http://zaguan.unizar.es/record/117442/files/texto_completo.pdf Versión publicada 2488331 http://zaguan.unizar.es/record/117442/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:117442 articulos driver 2024-03-18-13:53:12 ARTICLE