eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
Current issue Archive Manuscripts accepted About the journal Editorial board Journal's reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank

 
4/2021
vol. 23
 
Share:
Share:
more
 
 
abstract:
Original paper

Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs

Gustavo H. Marin
1, 2
,
Pablo Vetere
1
,
Lupe Marin
1
,
Lucia Giangreco
1
,
Gladys Garcia
1
,
Gina Marin
1
,
Juan Alconada-Magliano
1
,
Maria Laura Ferrero
1
,
Marcelo Bourgeois
1
,
Maria Gabriela Madonia
1
,
Virginia Moran
1
,
Aylen Jáuregui
1
,
Aldo Madeo
1
,
Silvina Gygli
1
,
Cloe Marin
1
,
Laura Soibelzon
1
,
Eduardo Martinez
1
,
Patricia Rivadulla
1
,
Maria Raffaeli
1
,
Daniela Sbatella
1
,
Jorge Agueda
1
,
Griselda Haag
1
,
Ricardo Wright
1
,
Adriana Arinavarreta
1

1.
Faculty of Medicine, National University of La Plata, La Plata, Argentina
2.
CONICET – National Scientific and Technical Research Council, La Plata, Argentina
Family Medicine & Primary Care Review 2021; 23(4): 452–458
Online publish date: 2021/12/30
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Background
Knowing how health problems are perceived is an element of primary importance for health systems, since it is the first step for the population to recognize a disease and demand medical attention.

Objectives
To develop and evaluate the implementation of a new healthcare model adapted to the necessities and illness self-perception of a community in the urban area of ​​Greater La Plata, Buenos Aires, Argentina.

Material and methods
The community’s self-rated general health status and illness self-perception were explored by a survey, followed by an intervention study performed on 2,430 participants randomly divided in 2 groups (Intervention: received personalized home health care; Control: health care was provided from hospitals and primary care health services).

Results
Almost 70% of the participants were satisfied with their health status. In cases where a disease was detected; older people and men shown to perceive their illness later compared to women and young adults. Only 21% of the population had suitable access to a health service. Compared with the Control Group, regular and personalized home visits significantly improved treatment adherence (43% vs 94%), reduced annual undesirable events (stroke, myocardial infarcts, etc.) associated to chronic diseases (2.7% vs 1.2%) and lowered hospitalization rates (2.9% vs 2.0%).

Conclusions
The data obtained showed that the population had low illness awareness, which reduced the spontaneous demand of care in health services. A model of health care based on regular home visits demonstrated efficacy in terms of disease prevention, illness control, avoiding consequences of chronic disease and reducing hospitalizations.

keywords:

health services needs and demand, disease, awareness, delivery of health care, needs assessment

 
Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.