Associação entre a abordagem médica centrada na pessoa e a satisfação com a consulta em atenção primária à saúde

Rodrigo Caprio Leite de Castro; Daniela Riva Knauth

doi:10.5712/rbmfc16(43)2702

Authors

Rodrigo Caprio Leite de Castro Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul https://orcid.org/0000-0002-6006-6787
Daniela Riva Knauth Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul https://orcid.org/0000-0002-8641-0240

DOI:

https://doi.org/10.5712/rbmfc16(43)2702

Keywords:

Patient-Centered Care, Patient Satisfaction, Quality Indicators, Health Care, Primary Health Care.

Abstract

Introduction: The application of the patient-centered clinical method (PCCM) aims to achieve the understanding about the patient and his/her condition by means of the approach from two perspectives: the doctor’s and the patient’s. The satisfaction of the users is considered as a major indicator of service evaluation. Purpose: This paper aims to investigate whether there is an association between the degree of PCCM orientation, according to the patient’s perception, and the satisfaction with the most recent medical appointment in a primary health care (PHC) service. Methods: This is a cross-sectional study, developed with hypertensive and/or diabetic patients in the 12 health care centers of a PHC service in Porto Alegre, RS (n = 408). The degree of PCCM orientation was measured by the use of the “Patient Perception of Patient-Centeredness” (PPPC) tool. Results: The low general score of the PPPC (corresponding to the high PCCM orientation) was significantly associated with the higher satisfaction of the patients with aspects related to the service (scheduling mode and cordiality at the reception) and the medical care (attention paid to the demands by the doctor, physical exam by the doctor, explanations about the problem, and explanations on the prognosis), the appointment in general, and to the systemic hypertension and/or diabetes mellitus treatment in the health care center. Discussion: The PHC doctor must be more person-oriented to achieve, therefore, higher levels of satisfaction. In this perspective, the incorporation of the users’ satisfaction in the evaluation of health services must be a quality indicator, especially of the approach practiced by the doctor.

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Author Biographies

Rodrigo Caprio Leite de Castro, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul

Médico de Família e Comunidade. Mestre e Doutor em Epidemiologia pela Universidade Federal do Rio Grande do Sul (UFRGS). Preceptor do Programa de Residência Médica em Medicina de Família e Comunidade do Hospital de Clínicas de Porto Alegre (HCPA). Professor do Departamento de Medicina Social da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul (DMS/FAMED/UFRGS).

Daniela Riva Knauth, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul

Graduada em Ciências Sociais pela Universidade Federal do Rio Grande do Sul (1988), com mestrado em Antropologia Social pela Universidade Federal do Rio Grande do Sul (1991) e doutorado em Etnologia e Antropologia Social - Ecole des Hautes Etudes en Sciences Sociales (1996). Atualmente é Professora Titular do Departamento de Medicina Social da Universidade Federal do Rio Grande do Sul, atuando também como docente e orientadora no Programa de Pós-Graduação em Antropologia Social e no Programa de Pós-Graduação em Epidemiologia. Coordena o GT Gênero e Saúde da Associação Brasileira de Saúde Coletiva. Tem experiência na área de Antropologia do Corpo e da Saúde e Saúde Coletiva, atuando principalmente nos seguintes temas: sexualidade, saúde reprodutiva, aids, gênero e juventude.

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