Comprehensive care in the provision of Primary Health care services

Abstract

Aim: To analyze the prevalence and associated factors of integrality care perceived by adults in primary health care services of the 32 municipalities that make up the 4th Regional Health Coordination of the state of Rio Grande do Sul (4th CRS/RS). Methods: This is a multilevel cross-sectional study. The sample size calculation was for representativeness of the 4th CRS/RS and reached a minimum sample of 1,076 individuals. Data collection took place between January and August 2015. The contextual level data sources were taken from the Ministry of Health and the individual level variables aredata from the PCATooL adult version instrument. To explain the relationships between the variables, a theoretical model was elaborated, organizing the dimensions and levels. Data were analyzed using Stata 11 software. Results: We found an association of integrality with variables of both individual and contextual levels. Conclusion: It can be evidenced that the overall prevalence of integralityin the evaluated services was relatively low (16.9%). It is understood that further longitudinal studies and evaluative research are needed incorporating contextual factors regarding health services.