Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil

Juliana Soares Tenório de Araújo (), Felipe Mendes Delpino, Thaís Zamboni Berra, Heriederson Sávio Dias Moura, Antônio Carlos Vieira Ramos, Murilo César do Nascimento, Jonas Bodini Alonso, Ruan Víctor dos Santos Silva, Giselle Lima de Freitas, Titilade Kehinde Ayandeyi Teibo, Roxana Isabel Cardozo Gonzales and Ricardo Alexandre Arcêncio
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Juliana Soares Tenório de Araújo: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Felipe Mendes Delpino: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Thaís Zamboni Berra: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Heriederson Sávio Dias Moura: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Antônio Carlos Vieira Ramos: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Murilo César do Nascimento: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Jonas Bodini Alonso: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Ruan Víctor dos Santos Silva: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Giselle Lima de Freitas: Departament of Nursing, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
Titilade Kehinde Ayandeyi Teibo: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
Roxana Isabel Cardozo Gonzales: Departament of Nursing, Federal University of Goiás, Goiânia 74690-900, GO, Brazil
Ricardo Alexandre Arcêncio: College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil

IJERPH, 2022, vol. 19, issue 22, 1-13

Abstract: Objective: to assess the level of trust in health services during the COVID-19 pandemic in Brazil. Methods: A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local bivariate Moran’s technique to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the odds ratio and with a confidence interval of 95%. Results: A total of 50.6% reported trust in hospital services, while 41.4% did not trust primary health care services. With the application of the local bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (high–low) and North (low–high) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. Conclusions: The level of trust in hospital services, more than primary health care services, may be related to the population’s culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention.

Keywords: COVID-19; confidence; health services; basic health unit; hospital; public policy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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