Effect of rural and marginal urban health service on the physicians’ perception of primary health care in Peru

Guido Bendezú-Quispe, Luis Felipe Mari-Huarache, Alvaro Taype Rondan, Christian R. Mejia, Fiorella Inga-Berrospi

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine the effect of the Rural and Marginal Urban Health Service (SERUMS) on the physicians’ perception of work in the primary health care (PHC) setting and its associated factors. Materials and methods: A secondary data analysis of a sample of physicians who performed the SERUMS in 2016 was carried out. To evaluate the variable of interest, the scale Perception of work in the PHC setting was used, higher scores indicated a negative perception of work in the PHC setting. A baseline survey (before the SERUMS) and a follow-up survey (8-12 months after starting the SERUMS) were applied and differences in both scores were evaluated. Results: Of the 780 respondents, 215 (27.6%) completed the baseline and follow-up survey. The average score increased considerably (from 3.4 to 6.7; p < 0.001), which shows a negative perception of work in the PHC setting after participating in the SERUMS. Of the three parts of the survey, the one regarding perceptions by the physicians working in the PHC and the one about perceptions of medical work in the PHC setting increased the perception scores. No sociodemographic variables were found to be associated with the change in scores. Conclusions: Physicians’ perception about work in the PHC setting deteriorated after participating in the SERUMS. Therefore, strategies to encourage physicians’ interest in working at this level of healthcare should be promoted.

Translated title of the contributionEffect of rural and marginal urban health service on the physicians’ perception of primary health care in Peru
Original languageSpanish
Pages (from-to)636-644
Number of pages9
JournalRevista Peruana de Medicina Experimental y Salud Publica
Volume37
Issue number4
DOIs
StatePublished - 1 Oct 2020
Externally publishedYes

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