Abstract Body

1.Background and purpose: Health Systems’ Response Capacity (HSRC) is defined as the “ability of the health system to meet the population’s legitimate expectations regarding their interaction with the health system, apart from expectations for improvements in health or wealth”. HSRC is measured through eight domains which are dignity, confidentiality, communication, autonomy of individuals, prompt attention, basic quality of facilities, access to social support networks, and choice of care providers. The objective of this study is to deepen towards Primary Health Care Response Capacity by specifically using patients suffering from a mental disorder, and without these health problems.

2.Methods: Qualitative methodology. For this study, in-depth interviews were conducted with 28 patients with and without mental health disorders. An inductive thematic content analysis by pairs was performed using grounded theory in order to explore, develop and define the analysis.

3.Results: The fundamental domains for patients are dignity, communication, and rapid attention. People with mental health problems also highlight the domain of confidentiality as relevant, while patients who don't have a mental health problem prioritize the domain of autonomy. Patients with mental health disorders report a greater number of negative experiences in relation to the domain of dignity. The interrelationship between domains also appears in the discourses with there being mention of a relationship between clear communication, autonomy, dignity.

4.Conclusions: The prevalence of patients with mental illness who use primary care is quite high; therefore, it is necessary to determine the factors that influence its responsiveness, in order to plan the resources to be offered to this population at this early care level.