Access factors associated with postpartum care adherence in primary health care
DOI:
https://doi.org/10.21527/2176-7114.2024.48.14651Keywords:
Primary Health Care, Postpartum Period, Women's Health, Access to Health ServicesAbstract
Objective: Analyzing access factors to Primary Health Care associated with adherence to postpartum appointments. Method: Cross-sectional study with data from 19.177 postpartum women who participated in the external evaluation of the third cycle of the National Program for Improving Access and Quality of Primary Care (2017). The dependent variable was the attendance of postpartum appointments, and the independent variables, grouped hierarchically, included sociodemographic and economic factors at a distal level, and access-related factors at a proximal level. Analysis was conducted using multiple logistic regression. Resultds: The results showed that women who know the operating hours of the primary health care unit (OR = 1.30), have their problems resolved (OR = 1.35), the primary health care unit operates five days a week (OR = 1.27), seek assistance at the primary health care unit as their first choice (OR = 1.27), positively evaluate appointment scheduling (OR = 1.15), have daily appointment scheduling at the primary health care unit (OR = 1.13), live less than 16 minutes away from the primary health care unit (OR = 1.15), and for those whose wait time for nursing appointments is less than six days (OR = 1.11), there is a higher chance of adherence to postpartum appointments. Conclusion: This research identified access factors that may influence adherence to postpartum appointments, highlighting the importance of wait times for nursing appointments. Identifying these factors contributes to organizing postpartum care and improving women's access to appointments.
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