Table 3. Continuity of Care Indicators by Type of PCC, User Perception: Brazil, 2013-2014.
| Indicators | Types of PCC | Total, N (%) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| A, n (%) | OR (95% CI) | B, n (%) | OR (95% CI) | C, n (%) | OR (95% CI) | D, n (%) | OR (95% CI) | ||
| Service regularly sought out | |||||||||
| Follow-up of hypertensive patients (n = 41 033) | |||||||||
| No visit in past 6 mo | 993 (20.5) | 1 | 5 463 (21.1) | 1 | 1 895 (20.5) | 1 | 268 (25.0) | 1 | 8 619 (21.0) |
| Visit in past 6 mo | 3 842 (79.4) | 1.12 (0.80-1.57) | 20 443 (78.9) | 1.11 (0.81-1.51) | 7 325 (79.4) | 1.19 (0.86-1.65) | 804 (75.0) | 0.88 (0.63-1.23) | 32 414 (79.0) |
| Follow-up of diabetic patients (n = 14 842) | |||||||||
| No visit in past 6 mo | 295 (16.6) | 1 | 1 567 (16.7) | 1 | 545 (16.4) | 1 | 61 (17.4) | 1 | 2 468 (16.6) |
| Visit in past 6 mo | 1 483 (83.4) | 0.97 (0.50-1.88) | 7 811 (83.3) | 1.08 (0.58-2.01) | 2 791 (83.6) | 1.10 (0.58-2.09) | 289 (82.6) | 1.02 (0.53-1.99) | 12 374 (83.4) |
| Filter for access to other health care system resources | |||||||||
| Referral to another level (n = 109 023) | |||||||||
| No | 4 465 (37.4) | 1 | 30 581 (43.5) | 1 | 11 005 (46.0) | 1 | 1 371 (47.9) | 1 | 47 422 (43.5) |
| Yes | 7 455 (62.6) | 2.92 (2.08-4.10)b | 39 757 (56.5) | 1.65 (1.19-2.30)c | 12 898 (54.0) | 1.34 (0.99-1.16) | 1 491 (52.1) | 0.34 (0.24-0.47)b | 61 601 (56.5) |
| Type of referral (n = 61 601) | |||||||||
| On the spot by the PCC | |||||||||
| No | 5 632 (75.5) | 1 | 33 663 (84.6) | 1 | 11 348 (87.9) | 1 | 1 332 (89.3) | 1 | 51 975 (84.4) |
| Yes | 1 823 (24.4) | 1.66 (1.33-2.06)b | 6 094 (15.3) | 1.08 (0.88-1.33) | 1 550 (12.0) | 0.93 (0.75-1.16) | 159 (10.6) | 0.60 (0.48-0.74)b | 9 626 (15.6) |
| By the PCC and informed afterwards (n = 61 601) | |||||||||
| No | 3 256 (43.7) | 1 | 22 720 (57.1) | 1 | 7 866 (61.0) | 1 | 926 (62.1) | 1 | 34 768 (56.4) |
| Yes | 4 199 (56.3) | 0.52 (0.39-0.69)b | 17 037 (42.9) | 0.85 (0.66-1.10) | 5 032 (39.0) | 0.97 (0.74-1.26) | 565 (37.9) | 1.91 (1.44-2.53)b | 26 833 (43.6) |
| Scheduled by patient at Regulation Center (n = 61 601) | |||||||||
| No | 6 646 (89.1) | 1 | 32 831 (82.6) | 1 | 10 375 (80.4) | 1 | 1 162 (77.9) | 1 | 51 014 (82.8) |
| Yes | 809 (10.9) | 0.57 (0.45-0.71)b | 6 926 (17.4) | 0.85 (0.68-1.05) | 2 523 (19.6) | 0.90 (0.72-1.12) | 329 (22.1) | 1.75 (1.39-2.21)b | 10 587 (17.2) |
| Patient took request to the service indicated (n = 61 601) | |||||||||
| No | 5 883 (78.9) | 1 | 28 200 (70.9) | 1 | 8 899 (69.0) | 1 | 1 027 (68.8) | 1 | 44 009 (71.4) |
| Yes | 1 572 (21.1) | 0.60 (0.45-0.80)b | 11 557 (29.1) | 0.80 (0.61-1.04) | 3 999 (31.0) | 0.91 (0.69-1.19) | 464 (31.2) | 1.65 (1.23-2.21)b | 17 592 (28.6) |
Abbreviations: CI, confidence interval; OR, odds ratio; PCC, primary care center.
aAdjusted by gender, self-reported color, age, and income. Source: PMAQ database cycle 2, 2013-2014.
bP < .001.
cP < .01.