Experiences with primary care associated to health, socio-demographics and use of services in children and adolescents.

BERRA S; RODRÍGUEZ-SANZ M; PASARÍN MI; RAJMIL L; BORRELL C

CADERNOS DE SAúDE PúBLICA

CADERNOS SAUDE PUBLICA

Lugar: Rio de Janeiro; Año: 2014 vol. 30 p. 2607 - 2618

0102-311X

This study aimed to evaluate user experiences with children and adolescent?s primary care (PC) according to health, socio-demographic characteristics, and use of healthcare services. The 2006 Catalan Health Interview Survey studied a representative sample of the population aged 0 to 14 (n=2,200). Parents reported their experiences with PC through 17 items from the Primary Care Assessment Tool. Multivariate models were fitted to estimate prevalence ratios (PR) of scoring low on experiences with PC by health, use of services, and socio-demographic variables. A low first contact-accessibility score was associated to declared chronic conditions. Immigrant parents declared a poor experience with several PC functions. A low score on first contact-accessibility, continuity of care, and cultural competence was less likely when children had double healthcare coverage and more likely when they had visited emergency services. Improvement of some aspects of PC services may reduce both use of emergency services and inequity in this area.