Satisfação com a assistência em HIV/AIDS na percepção do indivíduo em Belo Horizonte, Minas Gerais.

Abstract

Individual satisfaction with the health service is multifaceted and a complex construct. The availability of financial resources for travel to the health service, medication, support groups, waiting time for consultation, respect and privacy are considered as points to be evaluated and developed, thus guaranteeing the retention of the same in the service of health. The objectives were: to compare the proportions of user satisfaction of three HIV/AIDS referral services in Belo Horizonte, MG at the beginning of treatment and after three months of follow-up; and to assess factors associated with this satisfaction at the beginning of treatment. An epidemiological study with a prospective cohort component was performed to compare satisfaction at baseline and after three months of follow-up; and another cross-sectional to analyze factors associated with satisfaction at the beginning of treatment. Through interviews with users, data were collected at the beginning of treatment and after three months of follow-up regarding sociodemographic and clinical characteristics, related to health services, on quality of life and on users' perception of the care offered in the services. . Satisfaction with care was considered when individuals rated the care as good or very good. The proportions of satisfaction at the beginning of treatment and after three months of follow-up were compared using the McNemar test. Logistic regression analysis was performed to assess the association between independent variables and satisfaction. 398 individuals were included. The proportion of user satisfaction with the health service was 95.5% at the beginning of treatment and 96.7% after three months of follow-up, with no statistically significant change (p=0.472). The physical domain of quality of life (OR=1.38; CI=1.11-1.71; p=0.003) was found to be associated with satisfaction at the beginning of treatment. An association was observed between the physical domain of quality of life and satisfaction. In order to maintain high levels of satisfaction with the services, actions to promote HIV/AIDS care that consider the individual aspects of users and health services are necessary.