[One more step in the study of social inequalities in primary care provision from a population-based perspective].
Evaluation of Primary Care (PC) must include different perspectives. The objective of the study was to know the assessment of the PC in Catalonia and detecting whether or not a pattern of social inequality exists, through user's experience. A cross-sectional study was conducted, in a representative sample (n = 13,292) of the Catalonia population (aged 15), who identify a reference professional. It was studied an index of experience with PC by personal variables and variables about the reference professional. Negative binomial regression models (bivariate and multivariate) were adjusted to obtain the prevalence ratios and confidence intervals of 95%. The index gained an average of 71 (scale 0-100). A rating above 70 was associated with higher age, greater number of visits in the last year, more time with the same professional and living in an area of lower population density. Items with lower scores: telephone attention and availability of mental health services. We concluded that factors associated with a better experience are associated with more frequent visits to professionals. We did not detect social inequalities.
Agència de Salut Pública de Barcelona, Barcelona, España. mpasarin@aspb.cat
M
M
Isabel Pasarín
Kátia B
KB
Rocha
Maica
M
Rodríguez-Sanz
Silvina
S
Berra
Carme
C
Borrell
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000592:standards / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012111:Residence Characteristics; D012737:Sex Factors; D012959:Socioeconomic Factors; D013030:Spain; D055815:Young Adult