Attributes of Primary Health Care in Mato Grosso Do Sul State: PCAT-Brazil Paired for Users and Health Professionals, 2018

Abstract Objective. The objective of the present study was to verify the quality of adult and older adults health care in Primary Health Care (PHC) services in the four health macro-regions of the State of Mato Grosso do Sul, 2018. Methods. A quantitative survey was carried out in which the municipalities participating in the study included the four macro-regions following the Director Regional Plan (DRP). In this study, the quality of care was verified using the validated version of the PCAT-Br for adult and older adults users over 18 years of age and professionals. The macro-regions were compared between PHC attributes and between professionals and users in the State of Mato Grosso do Sul. Analysis of variance (ANOVA) and paired student t-test was performed. STATA v.14.2 software (College Station, TX, USA) was used for the analyses. Sensitivity analysis was done to compare the macro-regions and socio-demographic characteristics. Results. Eight hundred twenty-five users and 424 professionals participated in the study. According to users, the Accessibility attribute was the attribute with the worst performance in all macro-regions. There were significant differences between the perception of users and professionals in all attributes evaluated and regional differences between the perception of users among the four macro-regions analyzed. Conclusions. There was a difference in perception between users and professionals, and there were macro-regional differences between PHC attributes. Therefore, it is necessary to strengthen PHC care networks in the State, mainly considering the users' perspective.