<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3003</journal-id>
<journal-title><![CDATA[Revista Cubana de Higiene y Epidemiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuba. hig. epidemiol.]]></abbrev-journal-title>
<issn>1561-3003</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-30032024000100011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilización de los servicios de salud por la población adulta. Encuesta Nacional de Salud, Cuba 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of health services by the adult population. National Health Survey, Cuba 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Salvá]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Piñera]]></surname>
<given-names><![CDATA[Addys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Medina]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Lorenzo]]></surname>
<given-names><![CDATA[Irma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terry Berro]]></surname>
<given-names><![CDATA[Blanca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Higiene, Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>61</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30032024000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-30032024000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-30032024000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La utilización de los servicios es un proceso social, dinámico y complejo que pone en contacto a la población y el personal de salud, con el propósito de satisfacer una condición de salud determinada.  Objetivo:  describir la frecuencia y distribución de necesidades sentidas y la utilización de los servicios de salud en la población adulta cubana.  Métodos:  Estudio transversal, diseño muestral complejo, estratificado y por conglomerados polietápicos. Universo constituido por la población cubana urbana y rural de 15 años y más, tomándose una muestra representativa por provincias que abarcó 14 439 personas. Se diseñó y validó por criterios de expertos el cuestionario aplicado. Se practicó entrevista en el hogar donde se recogieron datos sobre características sociodemográficas y de utilización de los servicios de salud.  Resultados:  El 27,8 % de la población manifestó haber tenido algún problema de salud en los últimos tres meses, con predominio en mujeres y mayores de 55 años. El 68,7 % acudió a un servicio de salud, la atención primaria fue el más utilizado. Solo el 3,5 % refirió haber tenido dificultad para acceder al servicio. El 93,4 % calificó la atención recibida como buena o muy buena. El 78,9 % refirió haber tenido dificultad para adquirir sus medicamentos.  Conclusiones:  La aplicación de este instrumento ofrece una aproximación de cómo se utilizan los servicios de salud por la población cubana. La necesidad de salud es en gran medida el factor determinante más importante de la utilización de servicios sanitarios. De los factores predisponentes, solo el género ejerce un efecto moderado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The use of services is a social, dynamic and complex process that brings the population and health personnel into contact, with the purpose of satisfying a specific health condition.  Objective:  To describe the frequency and distribution of needs and the use of health services by the Cuban adult population.  Methods:  Cross-sectional study, complex sampling design, stratified and by multi-stage conglomerates. Universe constituted by the urban and rural Cuban population aged 15-years and over, taking a representative sample by province that included 14.439 people. The questionnaire applied was designed and validated by expert criteria. Interviews were carried out in the home where data on sociodemographic characteristics and use of health services were collected.  Results:  27.8% of the population reported having had some health problem in the last three months, with a predominance of women and those over 55-years of age. 67.8% went to a health service, primary care was the most used. Only 3.5% reported having had difficulty accessing the service. 93.4% rated the care received as good or very good. 78.9% reported difficulty acquiring their medications.  Conclusions:  The application of this instrument offers an approximation of how health services are used by the Cuban population. Health need is largely the most important determining factor in the use of health services. Of the predisposing factors, only gender has a moderate effect.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[encuestas de salud]]></kwd>
<kwd lng="es"><![CDATA[servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[utilización de instalaciones y servicios]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[atención médica]]></kwd>
<kwd lng="en"><![CDATA[health surveys]]></kwd>
<kwd lng="en"><![CDATA[health services]]></kwd>
<kwd lng="en"><![CDATA[facilities and services utilization]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[medical care.]]></kwd>
</kwd-group>
</article-meta>
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