How was your last health consultation? Experiences of adult patients in Brazil

Magdalena Rzewuska, João Mazzoncini de Azevedo-Marques , Coxon Domenica, Jair Licio Ferreira Santos

Research output: Contribution to conferenceAbstract

Abstract

Introduction and objective: A public healthcare system was recently developed in Brazil. Providing universal healthcare for 206 million inhabitants is challenging. This study explores patient experiences of healthcare services in Brazil.
Methods: The National Health Survey, Brazil 2013 data for 60,202 adults who responded to the individual questionnaire was used to explore feeling discriminated against by healthcare professionals. Factors associated with discrimination were analysed using multivariate logistic regression analysis. Data for 44,001 persons who reported their last medical consultation experience was analysed. Primary care consultation characteristics and patient satisfaction rates are reported.
Results and conclusions: 10.6% (95%CI 10.1-11.1) of the total sample experienced feeling discriminated against by healthcare professionals. Female gender, age 25-44/65-84 years, having a chronic disease, other than white skin, increasing days with disability and numbers of medical consultations were positively associated with likelihood of feeling discriminated. Opposite associations were found for living in the Northeast/Southeast, having superior education and private healthcare plan. 33.5% of the sample had their last consultation at primary care units, main motives being periodic medical examination (42.5%), disease or other healthcare problem (27.7%) and continued treatment /therapy (16.9%). On average, patients waited 81 minutes for a consultation. An average consultation length was 24 minutes. 43.0% of patients rated the healthcare received for time spent waiting as “good”. The majority of patients rated the service quality as “good” (doctor’s attitude: 69.4%, doctor’s skills: 67.9%, clarity of explanations: 64.6%, time for asking questions: 61.8%). Our findings indicate areas for improvement in Brazilian primary care services.
Original languageEnglish
Publication statusPublished - 2016
EventWorldwide Family Medicine Community Conference - Riocentro, Rio De Janeiro, Brazil
Duration: 2 Nov 20166 Nov 2016
Conference number: 21
http://wonca2016.com/ingles/index.php

Conference

ConferenceWorldwide Family Medicine Community Conference
CountryBrazil
CityRio De Janeiro
Period2/11/166/11/16
Internet address

Fingerprint

Brazil
Referral and Consultation
Delivery of Health Care
Health
Primary Health Care
Emotions
Health Surveys
Patient Satisfaction
Chronic Disease
Logistic Models
Regression Analysis
Education
Skin
Therapeutics

Cite this

Rzewuska, M., de Azevedo-Marques , J. M., Domenica, C., & Santos, J. L. F. (2016). How was your last health consultation? Experiences of adult patients in Brazil. Abstract from Worldwide Family Medicine Community Conference , Rio De Janeiro, Brazil.

How was your last health consultation? Experiences of adult patients in Brazil. / Rzewuska, Magdalena; de Azevedo-Marques , João Mazzoncini; Domenica, Coxon ; Santos, Jair Licio Ferreira.

2016. Abstract from Worldwide Family Medicine Community Conference , Rio De Janeiro, Brazil.

Research output: Contribution to conferenceAbstract

Rzewuska, M, de Azevedo-Marques , JM, Domenica, C & Santos, JLF 2016, 'How was your last health consultation? Experiences of adult patients in Brazil' Worldwide Family Medicine Community Conference , Rio De Janeiro, Brazil, 2/11/16 - 6/11/16, .
Rzewuska M, de Azevedo-Marques JM, Domenica C, Santos JLF. How was your last health consultation? Experiences of adult patients in Brazil. 2016. Abstract from Worldwide Family Medicine Community Conference , Rio De Janeiro, Brazil.
Rzewuska, Magdalena ; de Azevedo-Marques , João Mazzoncini ; Domenica, Coxon ; Santos, Jair Licio Ferreira. / How was your last health consultation? Experiences of adult patients in Brazil. Abstract from Worldwide Family Medicine Community Conference , Rio De Janeiro, Brazil.
@conference{0f093390592e4009af1cbab2ca8d84b8,
title = "How was your last health consultation? Experiences of adult patients in Brazil",
abstract = "Introduction and objective: A public healthcare system was recently developed in Brazil. Providing universal healthcare for 206 million inhabitants is challenging. This study explores patient experiences of healthcare services in Brazil. Methods: The National Health Survey, Brazil 2013 data for 60,202 adults who responded to the individual questionnaire was used to explore feeling discriminated against by healthcare professionals. Factors associated with discrimination were analysed using multivariate logistic regression analysis. Data for 44,001 persons who reported their last medical consultation experience was analysed. Primary care consultation characteristics and patient satisfaction rates are reported. Results and conclusions: 10.6{\%} (95{\%}CI 10.1-11.1) of the total sample experienced feeling discriminated against by healthcare professionals. Female gender, age 25-44/65-84 years, having a chronic disease, other than white skin, increasing days with disability and numbers of medical consultations were positively associated with likelihood of feeling discriminated. Opposite associations were found for living in the Northeast/Southeast, having superior education and private healthcare plan. 33.5{\%} of the sample had their last consultation at primary care units, main motives being periodic medical examination (42.5{\%}), disease or other healthcare problem (27.7{\%}) and continued treatment /therapy (16.9{\%}). On average, patients waited 81 minutes for a consultation. An average consultation length was 24 minutes. 43.0{\%} of patients rated the healthcare received for time spent waiting as “good”. The majority of patients rated the service quality as “good” (doctor’s attitude: 69.4{\%}, doctor’s skills: 67.9{\%}, clarity of explanations: 64.6{\%}, time for asking questions: 61.8{\%}). Our findings indicate areas for improvement in Brazilian primary care services.",
author = "Magdalena Rzewuska and {de Azevedo-Marques}, {Jo{\~a}o Mazzoncini} and Coxon Domenica and Santos, {Jair Licio Ferreira}",
year = "2016",
language = "English",
note = "Worldwide Family Medicine Community Conference ; Conference date: 02-11-2016 Through 06-11-2016",
url = "http://wonca2016.com/ingles/index.php",

}

TY - CONF

T1 - How was your last health consultation? Experiences of adult patients in Brazil

AU - Rzewuska, Magdalena

AU - de Azevedo-Marques , João Mazzoncini

AU - Domenica, Coxon

AU - Santos, Jair Licio Ferreira

PY - 2016

Y1 - 2016

N2 - Introduction and objective: A public healthcare system was recently developed in Brazil. Providing universal healthcare for 206 million inhabitants is challenging. This study explores patient experiences of healthcare services in Brazil. Methods: The National Health Survey, Brazil 2013 data for 60,202 adults who responded to the individual questionnaire was used to explore feeling discriminated against by healthcare professionals. Factors associated with discrimination were analysed using multivariate logistic regression analysis. Data for 44,001 persons who reported their last medical consultation experience was analysed. Primary care consultation characteristics and patient satisfaction rates are reported. Results and conclusions: 10.6% (95%CI 10.1-11.1) of the total sample experienced feeling discriminated against by healthcare professionals. Female gender, age 25-44/65-84 years, having a chronic disease, other than white skin, increasing days with disability and numbers of medical consultations were positively associated with likelihood of feeling discriminated. Opposite associations were found for living in the Northeast/Southeast, having superior education and private healthcare plan. 33.5% of the sample had their last consultation at primary care units, main motives being periodic medical examination (42.5%), disease or other healthcare problem (27.7%) and continued treatment /therapy (16.9%). On average, patients waited 81 minutes for a consultation. An average consultation length was 24 minutes. 43.0% of patients rated the healthcare received for time spent waiting as “good”. The majority of patients rated the service quality as “good” (doctor’s attitude: 69.4%, doctor’s skills: 67.9%, clarity of explanations: 64.6%, time for asking questions: 61.8%). Our findings indicate areas for improvement in Brazilian primary care services.

AB - Introduction and objective: A public healthcare system was recently developed in Brazil. Providing universal healthcare for 206 million inhabitants is challenging. This study explores patient experiences of healthcare services in Brazil. Methods: The National Health Survey, Brazil 2013 data for 60,202 adults who responded to the individual questionnaire was used to explore feeling discriminated against by healthcare professionals. Factors associated with discrimination were analysed using multivariate logistic regression analysis. Data for 44,001 persons who reported their last medical consultation experience was analysed. Primary care consultation characteristics and patient satisfaction rates are reported. Results and conclusions: 10.6% (95%CI 10.1-11.1) of the total sample experienced feeling discriminated against by healthcare professionals. Female gender, age 25-44/65-84 years, having a chronic disease, other than white skin, increasing days with disability and numbers of medical consultations were positively associated with likelihood of feeling discriminated. Opposite associations were found for living in the Northeast/Southeast, having superior education and private healthcare plan. 33.5% of the sample had their last consultation at primary care units, main motives being periodic medical examination (42.5%), disease or other healthcare problem (27.7%) and continued treatment /therapy (16.9%). On average, patients waited 81 minutes for a consultation. An average consultation length was 24 minutes. 43.0% of patients rated the healthcare received for time spent waiting as “good”. The majority of patients rated the service quality as “good” (doctor’s attitude: 69.4%, doctor’s skills: 67.9%, clarity of explanations: 64.6%, time for asking questions: 61.8%). Our findings indicate areas for improvement in Brazilian primary care services.

M3 - Abstract

ER -