Effect of Rural and Marginal Urban Health Service on the physicians’ perception of primary health care in Peru

Authors

  • Guido Bendezu-Quispe Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Perú. Médico cirujano, magíster en Informática Biomédica http://orcid.org/0000-0002-5140-0843
  • Luis Felipe Mari-Huarache Universidad Ricardo Palma, Lima, Perú. estudiante de medicina humana http://orcid.org/0000-0002-6687-9869
  • Álvaro Taype-Rondan Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Perú. médico cirujano, magíster en Epidemiología http://orcid.org/0000-0001-8758-0463
  • Christian R. Mejia Universidad Continental, Lima, Perú. médico cirujano, doctor en Medicina Clínica y Traslacional http://orcid.org/0000-0002-5940-7281
  • Fiorella Inga-Berrospi Universidad Privada Norbert Wiener, Lima, Perú. médico cirujano, especialista en Gestión en Salud http://orcid.org/0000-0002-9778-1557

DOI:

https://doi.org/10.17843/rpmesp.2020.374.5294

Keywords:

Primary Health Care, Physicians, Primary Care, Rural Health, Rural Health Services, Rural settlements, Suburban Health Services, Health Personnel, Peru

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.

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Published

2020-10-12

Issue

Section

Original Article

How to Cite

1.
Bendezu-Quispe G, Mari-Huarache LF, Taype-Rondan Álvaro, Mejia CR, Inga-Berrospi F. Effect of Rural and Marginal Urban Health Service on the physicians’ perception of primary health care in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2020 Oct. 12 [cited 2024 Feb. 24];37(4):636-44. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/5294

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