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dc.contributor.authorBatista, Sandro Rogério Rodrigues-
dc.contributor.authorSousa, Ana Luiza Lima-
dc.contributor.authorNunes, Bruno Pereira-
dc.contributor.authorRodrigues, Rodolfo Rêgo Deusdará-
dc.contributor.authorVeiga Jardim, Paulo Cesar Brandão-
dc.date.accessioned2024-10-22T14:26:02Z-
dc.date.available2024-10-22T14:26:02Z-
dc.date.issued2024-05-15-
dc.identifier.citationBATISTA, 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.pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/50651-
dc.language.isoengpt_BR
dc.publisherBMCpt_BR
dc.rightsAcesso Abertopt_BR
dc.titleRegular source of primary care and health services utilisation among Brazilian elderly with mental-physical multimorbiditypt_BR
dc.typeArtigopt_BR
dc.subject.keywordComorbidadespt_BR
dc.subject.keywordIdosospt_BR
dc.subject.keywordSaúde mentalpt_BR
dc.subject.keywordDoenças crônicaspt_BR
dc.subject.keywordAtenção primária à saúdept_BR
dc.rights.license© 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 dapt_BR
dc.identifier.doihttps://doi.org/10.1186/s12877-024-05048-4pt_BR
dc.description.abstract1Background 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.pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-7356-522Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7566-3541pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-4496-4122pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-1343-3265pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-5333-013Xpt_BR
dc.contributor.affiliationFederal University of Goiás, Faculty of Medicinept_BR
dc.contributor.affiliationUniversity of Brasília, Faculty of Medicine, Postgraduate Program in Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasília, Faculty of Health Sciences, Postgraduate Program in Public Healthpt_BR
dc.contributor.affiliationFederal University of Goiás, Faculty of Nursingpt_BR
dc.contributor.affiliationFederal University of Goiás, Faculty of Medicine, Postgraduate Program in Health Sciencespt_BR
dc.contributor.affiliationFederal University of Pelotas, Faculty of Nursingpt_BR
dc.contributor.affiliationUniversity of Brasília, Faculty of Medicine, Postgraduate Program in Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasília, Faculty of Medicinept_BR
dc.contributor.affiliationFederal University of Goiás, Faculty of Medicinept_BR
dc.contributor.affiliationFederal University of Goiás, Faculty of Medicine, Postgraduate Program in Health Sciencespt_BR
dc.description.unidadeFaculdade de Medicina (FM)pt_BR
dc.description.ppgPrograma de Pós-Graduação em Ciências Médicaspt_BR
dc.description.ppgPrograma de Pós-Graduação em Saúde Coletivapt_BR
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