Access to basic health services and associated factors: a population-based study

• Published in: Ciência & saude coletiva Vol. 19; no. 11; p. 4397
• Main Authors: Bonello, Andréia Aparecida De Luca Moore, Corrêa, Carlos Roberto Silveira
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01.11.2014
• Subjects: Adult; Brazil; Cross-Sectional Studies; Female; Health Services Accessibility - statistics & numerical data; Humans; Male; Surveys and Questionnaires
• ISSN: 1678-4561
• DOI: 10.1590/1413-812320141911.13922013

This study sought to identify factors involved in access to the services of a basic health unit. It is a cross-sectional, population-based study involving 101 randomly-selected families residing in the area covered by the health unit. An adult resident of each household was interviewed. The response variable was whether or not the resident frequented the health unit if he/she or anyone in the family required assistance to resolve a health issue. The independent variables investigated were service provision aspects, demographic and socio-economic characteristics, individual habits, morbidities and use of the health unit. In addition to descriptive and univariate analysis, logistic regression was applied in the multivariate analysis. The results show that access to the basic health unit is associated with the treatment received previously (OR = 3,224) with accessibility (OR = 0,146) and micro-area of residence (OR = 10,918). These findings suggest that access is related to the impressions created by the care received at the health unit and is based on experiences with the service, but can also be strongly modulated by individual aspects and factors related to the territory.