User satisfaction in the Brazilian health system: associated factors and regional differences

Revista Brasileira de Epidemiologia

Szwarcwald, Célia Landmann²  Gouveia, Giselle Campozana¹  Luna, Carlos F.¹  Souza, Wayner Vieira de¹  Souza-Júnior, Paulo Roberto Borges de² 

[1] Centro de Pesquisas Aggeu Magalhães;Fundação Oswaldo Cruz

关键词: Regional variations;    Health system;    User satisfaction;    Evaluation models;   

DOI  :  10.1590/S1415-790X2009000300001

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

Developing evaluationmodels of satisfaction that allow comparing health systems in different countriesis a recent effort in Brazil. This is an important tool for building managementstrategies for the health sector. Objective: To evaluate regional variationsrelated to the degree of user satisfaction with the Brazilian healthcare system,analyzing the results of the World Health Survey (WHS) and World Health SurveyFocusing on Primary Health Care (WHS-PHC). The evaluation was done, based ona cross-sectional study with a random sample. People over 18 years of age whoused the health system in periods before data collection were included. Therewere 3,932 users of WHS and 591 of WHS-PHC that fit these criteria. A multivariatelogistic model was applied using satisfaction as the dependent variable andas independent variables: sex, age, educational level, service payment type,marital status, self-perception of health, long-term illness, diagnosis of depression,sadness, number of residents per household, type of house building, geographicalstratum, and household goods index. The results revealed that being young andan exclusive user of the public National Health System, having low schoolingand poor self-perception of health increased the chances of lower user satisfaction.Residents of the Southern Region of the country were more satisfied with theirhealthcare, while in Pernambuco, chances of satisfaction were lower when evaluatingthe quality of health services. The residents of this state showed greater satisfactionin solving their health problems when inpatient care was needed.

【 授权许可】

CC BY