Abstract
BackgroundPopulation aging leads to increased burden of chronic diseases and demand in public health. This study aimed to assess whether the score of Primary Health Care (PHC) is associated with a) the model of care - Family Health Strategy (FHS) vs. traditional care model (the Basic Health Units; BHU); b) morbid conditions such as - hypertension, diabetes mellitus, mental disorders, chronic pain, obesity and central obesity; c) quality of life in elderly individuals who received care in those units.MethodsA survey was conducted among the elderly between August 2010 and August 2011, in Ilheus, Bahia. We interviewed elderly patients - 60 years or older - who consulted at BHU or FHS units in that day or participated in a group activity, and those who were visited at home by the staff of PHC, selected through a random sample. Demographic and socioeconomic characteristics, services’ attainment of primary care attributes, health problems and quality of life were investigated. The Short Form Health Survey (SF-12) was used to assess quality of life and PCATool to generate PHC scores. In addition, weight, height and waist circumference were measured. Trained research assistants, under supervision performed the data collection.ResultsA total of 511 elderly individuals were identified, two declined to participate, resulting in 509 individuals interviewed. The health care provided by the FHS has higher attainment of PHC attributes, in comparison to the BHU, resulting in lower prevalence of score below six. Except for hypertension and cardiovascular disease, other chronic problems were not independently associated with low scores in PHC. It was observed an independent and positive association between PHC score and the mental component of quality of life and an inverse association with the physical component.ConclusionsThis study showed higher PHC attributes attainment in units with FHS, regardless of the health problem. The degree of orientation to PHC increased the mental component score of quality of life.
Highlights
Population aging leads to increased burden of chronic diseases and demand in public health
The frequency of major health problems was similar in both models of care, but abdominal obesity and chronic pain were more frequent among patients who consulted in units with Family Health Strategy (FHS)
The score for quality of life for the physical component summary was higher in the basic health units (BHUs) while the mental component summary was higher in the FHS
Summary
Population aging leads to increased burden of chronic diseases and demand in public health. The SUS includes the model of foresight system, which provides care in basic health units (BHUs) for spontaneous demand or patients referred by other services. The organization and provision of services are based on risk groups or specific conditions In these units, the health care team usually includes internal medicine physicians, pediatricians and gynecologists, nurses and other health professionals. The target is not focused on the integration of health care [4], but in raising the level of health through reduction and control of the burden of disease in the population. These actions are developed in programs for women, children, adults and elderly, or focused on specific conditions
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
