Evaluación de la reforma de la atención primaria de salud: Prácticas preventivas y desigualdades

Abstract

Objective. To evaluate primary care reform (PCR) in Barcelona during the year 2000 using 3 preventive practices: anti-smoking advice, blood pressure measurement, and flu vaccination. Any inequalities of gender, age, or social class in receiving these practices are also assessed. Design. Cross-sectional, descriptive, observational study. Setting. Barcelona Health Survey, primary health care, Spain, year 2000. Participants. Non-institutionalised residents of the city of Barcelona over 15 years old in the year 2000 (N=10 000 people). Main measurements. The indicators used were the prevalences of receiving the 3 practices. Descriptive and multivariate logistic regression analyses were performed. Results. Receiving the preventive practices studied is greater in areas where PCR was established longer, compared to the centres that had not begun the reforms (63.7% as opposed to 53.2%, respectively). Anti-smoking advice, for women, is less frequent in the more disadvantaged classes (odds ratio [OR] =0.72; 95% confidence interval [CI], 0.55-1). Conclusions. PCR is a factor associated with carrying out preventive practices. No significant disparities between social class or gender were found for those who received the preventive practices.