Users' Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges
Evaluating the access to and quality of healthcare services from the users' perspective is an important assessment process to identify priorities. This study assessed the profile of health service usage and the views of the Unified Health System (SUS) users about the access to and quality of SU...
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| Veröffentlicht in: | International journal of environmental research and public health 2024-05, Vol.21 (6), p.721 |
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| creator | Souza, Jhoyce S Reis, Edna A Godman, Brian Campbell, Stephen M Meyer, Johanna C Sena, Luann W P Godói, Isabella P D |
| description | Evaluating the access to and quality of healthcare services from the users' perspective is an important assessment process to identify priorities. This study assessed the profile of health service usage and the views of the Unified Health System (SUS) users about the access to and quality of SUS public health services. A cross-sectional study was conducted with participants from the Coastal Lowlands Region of the Rio de Janeiro State/Brazil, between August and November 2023. The association between categorical variables was analyzed using the Pearson Chi-Square test, using R software 4.3. A total of 200 individuals were interviewed using a 66-question survey instrument. Participants who reported using SUS services more frequently rated this system as essential (
-value = 0.031). However, overall, 64% of participants rated the quality of care to be
(
-value = 0.002). In terms of accessing SUS services consultations provided by specialists (e.g., neurologists), these were available only in another municipality (
-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users' perspectives of the access to and quality of SUS health care. Policymakers should prioritize evaluations and dialogue with the community to make SUS services responsive and to optimize value-for-money in health service planning. |
| doi_str_mv | 10.3390/ijerph21060721 |
| format | Article |
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-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users' perspectives of the access to and quality of SUS health care. Policymakers should prioritize evaluations and dialogue with the community to make SUS services responsive and to optimize value-for-money in health service planning.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph21060721</identifier><identifier>PMID: 38928967</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adult ; Aged ; Brazil ; COVID-19 vaccines ; Cross-Sectional Studies ; Delivery of Health Care - standards ; Female ; Health care access ; Health insurance ; Health services ; Health Services Accessibility - statistics & numerical data ; Humans ; Immunization ; Male ; Middle Aged ; Municipalities ; Perceptions ; Population ; Primary care ; Public health ; Quality of Health Care ; Questionnaires ; Regulatory agencies ; Rubella ; Severe acute respiratory syndrome coronavirus 2 ; Surveys and Questionnaires ; Young Adult</subject><ispartof>International journal of environmental research and public health, 2024-05, Vol.21 (6), p.721</ispartof><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2191-277c9837016e001451f725f822a8cbe8ce601bbf0da20cb664d3dd0d02563ba33</cites><orcidid>0000-0003-1465-9167 ; 0000-0003-0462-5713 ; 0009-0007-7469-3435 ; 0000-0002-2328-4136 ; 0000-0001-9363-5766 ; 0000-0001-6539-6972 ; 0000-0002-0568-6625</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11204194/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11204194/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38928967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Souza, Jhoyce S</creatorcontrib><creatorcontrib>Reis, Edna A</creatorcontrib><creatorcontrib>Godman, Brian</creatorcontrib><creatorcontrib>Campbell, Stephen M</creatorcontrib><creatorcontrib>Meyer, Johanna C</creatorcontrib><creatorcontrib>Sena, Luann W P</creatorcontrib><creatorcontrib>Godói, Isabella P D</creatorcontrib><title>Users' Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Evaluating the access to and quality of healthcare services from the users' perspective is an important assessment process to identify priorities. This study assessed the profile of health service usage and the views of the Unified Health System (SUS) users about the access to and quality of SUS public health services. A cross-sectional study was conducted with participants from the Coastal Lowlands Region of the Rio de Janeiro State/Brazil, between August and November 2023. The association between categorical variables was analyzed using the Pearson Chi-Square test, using R software 4.3. A total of 200 individuals were interviewed using a 66-question survey instrument. Participants who reported using SUS services more frequently rated this system as essential (
-value = 0.031). However, overall, 64% of participants rated the quality of care to be
(
-value = 0.002). In terms of accessing SUS services consultations provided by specialists (e.g., neurologists), these were available only in another municipality (
-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users' perspectives of the access to and quality of SUS health care. 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-value = 0.031). However, overall, 64% of participants rated the quality of care to be
(
-value = 0.002). In terms of accessing SUS services consultations provided by specialists (e.g., neurologists), these were available only in another municipality (
-value = 0.001). Many participants were SUS dependent for health services, and gaps and weaknesses were observed regarding users' perspectives of the access to and quality of SUS health care. Policymakers should prioritize evaluations and dialogue with the community to make SUS services responsive and to optimize value-for-money in health service planning.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38928967</pmid><doi>10.3390/ijerph21060721</doi><orcidid>https://orcid.org/0000-0003-1465-9167</orcidid><orcidid>https://orcid.org/0000-0003-0462-5713</orcidid><orcidid>https://orcid.org/0009-0007-7469-3435</orcidid><orcidid>https://orcid.org/0000-0002-2328-4136</orcidid><orcidid>https://orcid.org/0000-0001-9363-5766</orcidid><orcidid>https://orcid.org/0000-0001-6539-6972</orcidid><orcidid>https://orcid.org/0000-0002-0568-6625</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Adolescent Adult Aged Brazil COVID-19 vaccines Cross-Sectional Studies Delivery of Health Care - standards Female Health care access Health insurance Health services Health Services Accessibility - statistics & numerical data Humans Immunization Male Middle Aged Municipalities Perceptions Population Primary care Public health Quality of Health Care Questionnaires Regulatory agencies Rubella Severe acute respiratory syndrome coronavirus 2 Surveys and Questionnaires Young Adult |
| title | Users' Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges |
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