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The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence.

Ferrer AP, Brentani AV, Sucupira AC, Navega AC, Cerqueira ES, Grisi SJ - Health Policy Plan (2014)

Bottom Line: From the hospitalizations occurred during the period, 65.2% were Ambulatory Care Sensitive Conditions.Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered.Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, School of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 647., 05403-000 São Paulo, SP, Brazil ana.ferrer@hc.fm.usp.br.

No MeSH data available.


Type of service considered to be the one that knows the child (or adolescent) best as a person, according to the care model
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czu077-F2: Type of service considered to be the one that knows the child (or adolescent) best as a person, according to the care model

Mentions: Both bivariate analysis (Table 2) and multivariate analysis (Table 3) showed that no patient-related characteristics had an influence on the longitudinality. Only service characteristics, represented by the care model, were responsible for significant differences in the adequacy of this attribute. FHS users, a model driven by assumptions of people and family-centred medicine, were 66% more likely to consider the affiliation degree and bonding as appropriate. Considering that the survey questions only involve aspects relating to interpersonal longitudinality, findings reiterate the importance of the doctor–patient relationship favoured by a people-centred model, such as the practices described by Freeman and Hughes (2010), related to better care quality. Other authors, such as Roberge et al. (2001), from a qualitative evaluation, had reported that the contract between patient and professional relies on a strong interpersonal relationship. Our results support these guidelines, especially when we consider that, respectively, 67 and 61% of the FHS respondents consider that the PHC service is the one that knows the child best (Figure 2) and is most responsible (Figure 3) for taking care of their children.Figure 2.


The effects of a people-centred model on longitudinality of care and utilization pattern of healthcare services--Brazilian evidence.

Ferrer AP, Brentani AV, Sucupira AC, Navega AC, Cerqueira ES, Grisi SJ - Health Policy Plan (2014)

Type of service considered to be the one that knows the child (or adolescent) best as a person, according to the care model
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4202922&req=5

czu077-F2: Type of service considered to be the one that knows the child (or adolescent) best as a person, according to the care model
Mentions: Both bivariate analysis (Table 2) and multivariate analysis (Table 3) showed that no patient-related characteristics had an influence on the longitudinality. Only service characteristics, represented by the care model, were responsible for significant differences in the adequacy of this attribute. FHS users, a model driven by assumptions of people and family-centred medicine, were 66% more likely to consider the affiliation degree and bonding as appropriate. Considering that the survey questions only involve aspects relating to interpersonal longitudinality, findings reiterate the importance of the doctor–patient relationship favoured by a people-centred model, such as the practices described by Freeman and Hughes (2010), related to better care quality. Other authors, such as Roberge et al. (2001), from a qualitative evaluation, had reported that the contract between patient and professional relies on a strong interpersonal relationship. Our results support these guidelines, especially when we consider that, respectively, 67 and 61% of the FHS respondents consider that the PHC service is the one that knows the child best (Figure 2) and is most responsible (Figure 3) for taking care of their children.Figure 2.

Bottom Line: From the hospitalizations occurred during the period, 65.2% were Ambulatory Care Sensitive Conditions.Both the care continuity dimension and the utilization pattern of care services showed a link with the care model offered.Findings suggest that the FHS care model, based on the assumptions of people-centred medicine, was associated with better ratings of care continuity, which was reflected in a more appropriate utilization pattern of care services.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, School of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 647., 05403-000 São Paulo, SP, Brazil ana.ferrer@hc.fm.usp.br.

No MeSH data available.