Satisfaction of Elderly People with Primary Care and Associated Factors

Satisfacción de las personas mayores con la atención primaria y factores asociados

Satisfação de idosos com os cuidados na atenção primária e fatores associados

Possmoser, Clarissa Fonseca Vollrath - Yamaguchi, Mirian Ueda - Oliveira, Natan Nascimento de - Molina, Camila Juliana Ferreira - Santos, Aliny de Lima
Detalles Bibliográficos
2025
pessoa idosa
atenção primária à saúde
satisfação do paciente
qualidade dos serviços de saúde
persona mayor
atención primaria de salud
satisfacción del paciente
calidad de los servicios de salud
aged
primary health care
patient satisfaction
health service quality
Portugués
Universidad Católica del Uruguay
LIBERI
https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/4576
https://hdl.handle.net/10895/6390
Acceso abierto
Resumen:
Sumario:Introduction: Assessing satisfaction with health services means diagnosing a reality so that services can adapt and meet minimum quality standards. Thus, evaluating people's satisfaction with Primary Health Care (PHC) can be understood as an important indicator of the quality of the service provided. Objective: To analyze the satisfaction of older adults with the services provided in PHC and the associated factors. Method: A study involving 310 older adults who were users of a Basic Health Unit in southern Brazil, through face-to-face home interviews. A structured instrument was used, covering sociodemographic variables, lifestyle habits, clinical profile, service usage, and satisfaction indicators. Descriptive and inferential analyses were conducted (Mann-Whitney U, chi-square or Fisher’s exact test, p < 0.05). Open-ended responses were analyzed using a word cloud to identify areas for improvement. Results: A total of 96.5 % of participants reported being satisfied with the services, with 35.2 % stating they were very satisfied. Positive highlights included concern for the patient’s needs (54.5 %) and clarity of the information provided (53.9 %). The least satisfactory aspect was the lack of consideration for the patient’s opinion in treatment planning (55 %). Nevertheless, 80.65 % said they would recommend the service to other older adults. A significant association was found between being seen quarterly and higher satisfaction (p = 0.031). Conclusion: Satisfaction is linked to continuity of care, accessibility, and the bond with professionals. However, active listening and infrastructure were critical points of dissatisfaction. Investing in structural improvements and strengthening humanized practices are essential to improve the quality of care and increase older adults’ adherence to health services.