Health-related quality of life of patients of Brazilian primary health care

Authors

  • Bruna de Oliveira Ascef Universidade Federal de Minas Gerais. Faculdade de Farmácia. Programa de Pós-Graduação em Medicamentos e Assistência Farmacêutica
  • João Paulo Amaral Haddad Universidade Federal de Minas Gerais. Departamento de Medicina Veterinária Preventiva
  • Juliana Álvares Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Augusto Afonso Guerra Junior Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ediná Alves Costa Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Francisco de Assis Acurcio Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social
  • Ione Aquemi Guibu anta Casa de São Paulo. Faculdade de Ciências Médicas
  • Karen Sarmento Costa Universidade Estadual de Campinas. Núcleo de Estudos de Políticas Públicas. Programa de Pós-Graduação em Saúde Coletiva Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva. Programa de Pós-Graduação em Saúde Coletiva Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia
  • Margô Gomes de Oliveira Karnikowski Universidade de Brasília. Faculdade de Ceilândia
  • Orlando Mario Soeiro Pontifícia Universidade Católica de Campinas. Faculdade de Ciências Farmacêuticas
  • Silvana Nair Leite Universidade Federal de Santa Catarina. Departamento de Ciências Farmacêuticas
  • Micheline Rosa Silveira Universidade Federal de Minas Gerais. Faculdade de Farmácia. Departamento de Farmácia Social

DOI:

https://doi.org/10.11606/S1518-8787.2017051007134

Keywords:

Patient Satisfaction. Quality of Life. Pharmaceutical Services. Primary Health Care. Health Services Research. Unified Health System

Abstract

OBJECTIVE: To analyze the Health-Related Quality of Life (HRQoL) of patients of the primary health care of the Brazilian Unified Health System (SUS) and its associated factors. METHODS: This is a cross-sectional study with data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). Data were collected with a questionnaire that included the EuroQol 5 Dimensions (EQ-5D) instrument. Patients from the five regions of Brazil were interviewed. Multiple linear regression was used to analyze their Health-Related Quality of Life and its associated factors. RESULTS: Of the total of 8,590 patients, the most frequent dimensions were pain/discomfort (50.7%) and anxiety/depression (38.8%). About 10% of the patients reported extreme problems in these dimensions. The following factors were significantly associated with a worse quality of life: being female; having arthritis, osteoarthritis, or rheumatism; cerebrovascular accident; heart disease; depression; health self-assessment as poor or very poor; drinking alcoholic beverages once or more per month; dieting to lose weight, avoiding salt consumption, and reducing fat intake. Significant association was observed between a better quality of life and: living in the North and Southeast regions of Brazil; practicing physical activities; and having a higher educational level. No association was observed with factors related to the health services. CONCLUSIONS: The Health-Related Quality of Life of patients was influenced by demographic and socioeconomic factors that were related to health conditions and lifestyle, being useful to guide specific actions for promoting health and the integral care to patients of the Brazilian Unified Health System

Published

2017-09-22

How to Cite

Ascef, B. de O., Haddad, J. P. A., Álvares, J., Guerra Junior, A. A., Costa, E. A., Acurcio, F. de A., Guibu, I. A., Costa, K. S., Karnikowski, M. G. de O., Soeiro, O. M., Leite, S. N., & Silveira, M. R. (2017). Health-related quality of life of patients of Brazilian primary health care. Revista De Saúde Pública, 51(suppl.2), 22s. https://doi.org/10.11606/S1518-8787.2017051007134

Issue

Section

Original Articles