Título:	Regular source of primary care and health services utilisation among Brazilian elderly with mental-physical multimorbidity
Autor(es):	Batista, Sandro Rogério Rodrigues Sousa, Ana Luiza Lima Nunes, Bruno Pereira Rodrigues, Rodolfo Rêgo Deusdará Veiga Jardim, Paulo Cesar Brandão
ORCID:	https://orcid.org/0000-0001-7356-522X https://orcid.org/0000-0002-7566-3541 https://orcid.org/0000-0002-4496-4122 https://orcid.org/0000-0002-1343-3265 https://orcid.org/0000-0002-5333-013X
Afiliação do autor:	Federal University of Goiás, Faculty of Medicine University of Brasília, Faculty of Medicine, Postgraduate Program in Medical Sciences University of Brasília, Faculty of Health Sciences, Postgraduate Program in Public Health Federal University of Goiás, Faculty of Nursing Federal University of Goiás, Faculty of Medicine, Postgraduate Program in Health Sciences Federal University of Pelotas, Faculty of Nursing University of Brasília, Faculty of Medicine, Postgraduate Program in Medical Sciences University of Brasília, Faculty of Medicine Federal University of Goiás, Faculty of Medicine Federal University of Goiás, Faculty of Medicine, Postgraduate Program in Health Sciences
Assunto:	Comorbidades Idosos Saúde mental Doenças crônicas Atenção primária à saúde
Data de publicação:	15-Mai-2024
Editora:	BMC
Referência:	BATISTA, Sandro Rogério Rodrigues et al. Regular source of primary care and health services utilisation among Brazilian elderly with mental-physical multimorbidity. BMC Geriatrics, v. 24, 430, 2024. DOI: https://doi.org/10.1186/s12877-024-05048-4. Disponível em: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-024-05048-4. Acesso em: 22 out. 2024.
Abstract:	Background In ageing populations, multimorbidity is a complex challenge to health systems, especially when the individuals have both mental and physical morbidities. Although a regular source of primary care (RSPC) is associated with better health outcomes, its relation with health service utilisation in elderly patients with mental physical multimorbidity (MP-MM) is scarce. Objective This study explored the relations among health service utilisation, presence of RSPC and MP-MM among elderly Brazilians. Methods A national cross-sectional study performed with data from national representative samples from the Brazil ian National Health Research (PNS, in Portuguese; Pesquisa Nacional de Saúde) carried out in 2013 with 11,177 elderly Brazilian people. MP-MM was defned as the presence of two or more morbidities, including at least one mental morbidity, and was evaluated using a list of 16 physical and mental morbidities. The RSPC was analysed by the pres ence of regular font of care in primary care and health service utilisation according to the demand for health ser vices≤15 days, medical consultation≤12 months, and hospitalisation≤1 year. Frequency description of variables and bivariate association were performed using Stata v.15.2 software. Results The majority of individuals was female (56.4%), and their mean age was 69.8 years. The observed prevalence of MP-MM was 12.2%. Individuals with MP-MM had higher utilisation of health services when compared to those without MP-MM. RSPC was present at 36.5% and was higher in women (37.8% vs. 34.9%). There was a lower occur rence of hospitalisation≤1 year among MP-MM individuals with RSPC and without a private plan of health. Conclusion Our fndings demonstrate that RSPC can be an important component of care in elderly individuals with MP-MM because it was associated with lower occurrence of hospitalisation, mainly in those that have not a pri vate plan of health. Longitudinal studies are necessary to confrm these findings.
Unidade Acadêmica:	Faculdade de Medicina (FM)
Programa de pós-graduação:	Programa de Pós-Graduação em Ciências Médicas Programa de Pós-Graduação em Saúde Coletiva
Licença:	© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the da
DOI:	https://doi.org/10.1186/s12877-024-05048-4
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