Contextual and individual factors associated with dissatisfaction with the Brazilian Unified National Health System, 2011-2012

被引：6
作者：
Passero, Lucia Gimenes [1 ]
do Amaral Giordani, Jessye Melgarejo [1 ]
Hugo, Fernando Neves [2 ]
Leotti Torman, Vanessa Bielefeldt [1 ,3 ]
Camey, Suzi Alves [1 ,3 ]
Hilgert, Juliana Balbinot [1 ]
机构：
[1] Univ Fed Rio Grande do Sul, Programa Posgrad Epidemiol, Rua Ramiro Barcelos 2400,2o Andar, BR-90035003 Porto Alegre, RS, Brazil
[2] Univ Fed Rio Grande do Sul, Programa Posgrad Odontol, Porto Alegre, RS, Brazil
[3] Univ Fed Rio Grande do Sul, Dept Estat, Porto Alegre, RS, Brazil
来源：
CADERNOS DE SAUDE PUBLICA | 2016年 / 32卷 / 10期
关键词：
Multilevel Analysis; Consumer Behavior; Health Services; PATIENT SATISFACTION; INFANT-MORTALITY; PRIMARY-CARE; SERVICES; PROGRAM; MODEL;
D O I：
10.1590/0102-311X00065015
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
User satisfaction is known to be related to quality of healthcare. The aim of this study was to evaluate the influence of contextual and individual factors associated with user dissatisfaction with the Brazilian Unified National Health System (SUS). This was a cross-sectional multilevel study. Data were collected via telephone by the ombudsman's office of the SUS. Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information on the municipalities. The outcome variable was dissatisfaction with the SUS. Hierarchical multilevel logistic regression was used, and 18,673 individuals were contacted. Prevalence of dissatisfaction was 63.4% (95% CI: 62.7-64.1). Unmet demand (OR = 3.66), waiting time > 4 hours (OR = 2.82), and number of Primary Healthcare Units (OR = 0.89) were associated statistically with dissatisfaction. Characteristics of the health teams' work process showed a strong association with dissatisfaction.
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页数：12
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