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  1. Book ; Online: New Horizons in Health-Promoting Technologies: From Development to Rational Use

    Cruz Lopes, Luciane / De Cássia Bergamaschi, Cristiane / Barberato-Filho, Silvio / Tolentino Silva, Marcus / Godman, Brian

    2020  

    Keywords Science: general issues ; Pharmacology ; health technology assessment ; new horizon ; rational use of medicines ; implementation ; drug utilization research
    Size 1 electronic resource (357 pages)
    Publisher Frontiers Media SA
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT021231298
    ISBN 9782889660438 ; 2889660435
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: Continuity of Primary Care in the Brazilian Amazon: A Cross-Sectional Population-Based Study.

    Galvao, Tais Freire / Tiguman, Gustavo Magno Baldin / Pereira Nunes, Bruno / Correia da Silva, Andrea Tenorio / Tolentino Silva, Marcus

    International journal of preventive medicine

    2021  Volume 12, Page(s) 57

    Abstract: Background: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas.: Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan ... ...

    Abstract Background: Few studies have evaluated the continuity of primary care in universal health care systems, especially in underserved areas.
    Methods: This was a cross-sectional study with 4,001 adults (≥18 years old) living in the Manaus Metropolitan Region in 2015. Interviews were conducted in households selected with probabilistic sampling. City and neighborhood variables were collected from databanks. Prevalence ratios (PR) of the continuity of care (defined as using a primary care service and having been previously registered in the Family Health Strategy program) and 95% confidence intervals (CIs) were calculated with multilevel Poisson regression analysis.
    Results: A total of 20.6% (95%CI 19.4-21.9%) of the participants reported continuity of primary care. Women (PR = 1.38; 95%CI 1.18-1.61), nonwhite individuals (PR = 1.13; 95%CI 1.05-1.21), and poorer people (PR = 1.55; 95%CI 1.19-2.02) had higher levels of continuity, whereas health insurance holders had lower levels of continuity (PR = 0.46; 95%CI 0.34-0.62). Individuals with continuity of care had more physician consultations (PR = 1.06; 95%CI 1.02-1.10), dentist consultations (PR = 1.16; 95%CI 1.05-1.28), fewer depressive (PR = 0.59; 95%CI 0.44-0.79) and anxiety symptoms (PR = 0.64; 95%CI 0.48-0.85), and a higher quality of life (β = 0.033; 95%CI 0.011-0.054) than those without continuity.
    Conclusions: Continuity of care was attained by two-tenths of the population and the level of continuity was high among socioeconomically disadvantaged people. Good outcomes and health services usage increased with continuity of care.
    Language English
    Publishing date 2021-05-27
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2574680-7
    ISSN 2008-8213 ; 2008-7802
    ISSN (online) 2008-8213
    ISSN 2008-7802
    DOI 10.4103/ijpvm.IJPVM_440_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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