Sociodemographic characteristics and comorbidities of older adults associated with Primary Health Care quality.
Claudia Maria Ferrony Rivas, Artur Vernier Stochero, Paulo Jaeder Moraes Cervi and 5 others
PMID 42585484WHAT IT FOUND
Older adults in Brazil rated essential primary care as satisfactory overall, 7.5 of 10.
But first-contact accessibility and available services scored low. Men, higher income, and people with chronic conditions rated some aspects better.
Key findings
01Older adults rated essential primary care attributes as satisfactory overall, with a mean score of 7.5 on a 0 to 10 scale.
02First-contact accessibility and services available were rated unsatisfactory, while utilization, longitudinality, care integration, information systems, and services provided were rated satisfactory.
03Older adults with diabetes rated available services lower than those without diabetes, 5.6 versus 6.4.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only older adults who already had access to Family Health Strategy units were interviewed, so people who face the biggest access barriers were not represented. The sample was non-probabilistic and purposive, so the results may not represent other populations or similar contexts. The PCATool was designed for adults in general and not for older adults specifically, which may limit how well it captures older adults' views. Few previous studies have used this instrument with older adults, so detailed comparison is limited. The study reports associations between characteristics and ratings, not tested effects of care changes.
The easy way to misread this
Do not read the overall satisfactory score as proof that older adults can easily get care. First-contact accessibility and services available were unsatisfactory.