Factors Associated with Perception and Expectations to work in the area of Primary Health Care at Five Facilities of the First Level Care in Lima, Peru
Fiorella Inga-Berrospi, María DeLos Ángeles Rivera-Cabrera, Nelly Mestanza-Gutierrez, Patricia Basurto Ayala,, Mariana Huaman-Garcia, Mario J. Valladares-garrido
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ABSTRACT
Aim: To identify the frequency
of perception and expectations to work in the area of primary health care(PHC)
as well as theirassociated factors with personnel at five health facilities.
Method: Cross-sectional study on
five health facilities of PHC. Perception and expectations to work in PHC were
measured, and their association with social-work variables was investigated.
Simple and multiple regression analysis was performed to estimate prevalence
ratios (PR), using the Poisson
family, robust variance and having a health facility as a cluster.
Results: Out of 94 participants,
64.9% did not have an adequate perceptionabout working in the area of PHC. The
60.6% had an expectation to work in PHC 10 years from now. A positive
association was found between female gender and perception about working in the
area of PHC (PR = 3.24). There was a negative association between being
divorced and/or widowed and the expectation to work in PHC (PR: 0.51).
Conclusions: Perception about working in PHC
is low, but more than half of the sample expect to work in PHC10 years from now.
Being a woman increases the prevalence job perception in PHC. Working time over
5 years was positively associated with having expectations to work in PHC. On
the contrary, divorced/widowed marital status was negatively associated.
Keywords: Primary health care; Human Resources for Health; Equity in health;
motivation; Peru (Source: MeSH)
ABSTRACT
Aim: To identify the frequency
of perception and expectations to work in the area of primary health care(PHC)
as well as theirassociated factors with personnel at five health facilities.
Method: Cross-sectional study on
five health facilities of PHC. Perception and expectations to work in PHC were
measured, and their association with social-work variables was investigated.
Simple and multiple regression analysis was performed to estimate prevalence
ratios (PR), using the Poisson
family, robust variance and having a health facility as a cluster.
Results: Out of 94 participants,
64.9% did not have an adequate perceptionabout working in the area of PHC. The
60.6% had an expectation to work in PHC 10 years from now. A positive
association was found between female gender and perception about working in the
area of PHC (PR = 3.24). There was a negative association between being
divorced and/or widowed and the expectation to work in PHC (PR: 0.51).
Conclusions: Perception about working in PHC
is low, but more than half of the sample expect to work in PHC10 years from now.
Being a woman increases the prevalence job perception in PHC. Working time over
5 years was positively associated with having expectations to work in PHC. On
the contrary, divorced/widowed marital status was negatively associated.
Keywords: Primary health care; Human Resources for Health; Equity in health;
motivation; Peru (Source: MeSH)