Tendências no uso de serviços de saúde médicos e odontológicos e a relação com nível educacional e posse de plano privado de saúde no Brasil, 1998-2013

Pilotto, Luciane Maria; Celeste, Roger Keller

doi:10.1590/0102-311x00052017

Cited by 24 publications

(25 citation statements)

References 25 publications

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“…The implementation of these drug distribution programs and policies aimed at providing the population with greater and more equitable access to such products, such as the Generic Medicines Policy and the PFPB 12,13,24 , strongly contribute to explain the study results, in which inequalities in use were found, but not of such magnitude as inequalities found in other areas of health services [25][26][27][28] .…”

Section: Discussionmentioning

confidence: 92%

Utilização de anti-hipertensivos e antidiabéticos no Brasil: análise das diferenças socioeconômicas. Pesquisa Nacional de Saúde 2013

Monteiro

Lima

Szwarcwald

et al. 2019

Rev. bras. epidemiol.

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RESUMO: Objetivos: Avaliar a magnitude de desigualdades socioeconômicas e demográficas da utilização de medicamentos para controle de hipertensão arterial e diabetes mellitus na população brasileira. Método: Foram analisados dados da Pesquisa Nacional de Saúde (PNS) conduzida no Brasil em 2013, com amostra representativa da população com idade de 18 anos ou mais. Foi estimada a utilização de medicamentos para hipertensão e diabetes segundo renda, escolaridade, raça, posse de plano de saúde e região de moradia. Também foram estimadas as razões de prevalência ajustadas por sexo e idade, por meio de regressão de Poisson. Resultados: Entre os hipertensos, 81,4% fazem uso de medicamentos para controle da doença, sendo a utilização maior entre as mulheres, os brancos e os que têm plano de saúde. No caso de diabetes mellitus, 80,2% fazem uso de medicamentos para controlar a doença e o uso foi mais elevado entre os pacientes idosos, com maior escolaridade, com plano de saúde e da Região Sudeste. As desigualdades segundo renda e plano de saúde foram de pequena magnitude mesmo nos estratos de sexo, idade e região geográfica analisados. Conclusão: Foi constatada utilização de medicamentos para controle da hipertensão e diabetes que pode ser considerada elevada, e as desigualdades socioeconômicas e regionais desse uso revelaram-se de magnitude não expressiva, em virtude da implementação de políticas farmacêuticas no Brasil, que visam promover maior e mais equânime acesso da população a medicamentos.

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Section: Discussionmentioning

confidence: 92%

Utilização de anti-hipertensivos e antidiabéticos no Brasil: análise das diferenças socioeconômicas. Pesquisa Nacional de Saúde 2013

Monteiro

Lima

Szwarcwald

et al. 2019

Rev. bras. epidemiol.

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show abstract

“…Regarding medical consultations in the last 12 months, according to Viacava and Bellido (2016) [29] in 2013, 71.2% of the Brazilian population reported having had a medical consultation in the last 12 months; and in all regions of the country, except for the North, the increase in the prevalence of medical consultations was significant, between 1998 and 2013. In the general population, the use of health services is higher among adults with private insurance, among women and for people with a higher level of education in all years [30]. However, similar to our study, a study carried out in Serbia [31] found that having multimorbidity reduced the differences in the prevalence of medical visits in these variables, indicating a possible reduction in inequalities in the use of health services in populations with greater health needs, such as the case of people with multimorbidity.…”

Section: Discussionmentioning

confidence: 99%

Trends in the use of health services and their relationship with multimorbidity in Brazil, 1998–2013

Souza

Braga

2020

BMC Health Serv Res

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Background Chronic non-communicable diseases (NCDs) are the leading cause of multimorbidity. Access to effective and equitable health services that meet NCDs’ needs is still limited in many countries. This constitutes the main barrier to coping with NCDs, especially in minimising the suffering of those who are already sick. The present study aimed to identify the relationship between multimorbidity and the use of different health services in Brazil from 1998 to 2013. Methods This is a panel study using data from the health supplement of the National Household Sample Survey of 1998, 2003 and 2008 and data from the National Health Survey carried out in 2013. Three health service utilization outcomes were considered: 1. search for health services in the last 15 days (excluding dental services), 2. medical consultation in the previous 12 months and 3. hospitalisations over the last 12 months. Multimorbidity was assessed by counting the number of morbidities from a list of 10 morbidities. Poisson regression models stratified by sex were used to estimate the crude and adjusted prevalence ratios and their respective 95% confidence intervals for each outcome of health service use and multimorbidity, per year. Results There was an increase in the prevalence of demand for health services and medical consultations in the last 12 months between 1998 and 2013, regardless of the multimorbidity classification. The prevalence of hospitalisations has decreased over the study period and increased twofold in individuals with multimorbidity. Having multimorbidity increased the use of health services for the three outcomes under the study, being more expressive among men. Conclusions This study found that individuals with multimorbidity have higher levels of use of health services. Better understand the multimorbidity epidemiology and the associated impacts on the use and costs of health services can increase the quality of care provided to these patients and reduce rising health care costs.

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“…Regarding medical consultations in the last 12 months, according to Viacava and Bellido (2016) [29] in 2013, 71.2% of the Brazilian population reported having had a medical consultation in the last 12 months; and in all regions of the country, except for the North, the increase in the prevalence of medical consultations was signi cant, between 1998 and 2013. In the general population, the use of health services is higher among adults with private insurance, among women and for people with a higher level of education in all years [30]. However, similar to our study, a study carried out in Serbia [31] found that having multimorbidity reduced the differences in the prevalence of medical visits in these variables, indicating a possible reduction in inequalities in the use of health services in populations with greater health needs, such as the case of people with multimorbidity.…”

Section: Discussionmentioning

confidence: 99%

Trends in the use of health services and their relationship with multimorbidity in Brazil, 1998–2013

Souza

Braga

2020

Preprint

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Background Chronic non-communicable diseases (NCDs) are the leading cause of multimorbidity. Access to effective and equitable health services that meet NCDs’ needs is still limited in many countries. This constitutes the main barrier to coping with NCDs, especially in minimising the suffering of those who are already sick. The present study aimed to identify the relationship between multimorbidity and the use of different health services in Brazil from 1998 to 2013. Methods This is a panel study using data from the health supplement of the National Household Sample Survey of 1998, 2003 and 2008 and data from the National Health Survey carried out in 2013. Three health service utilization outcomes were considered: 1. search for health services in the last 15 days (excluding dental services), 2. medical consultation in the previous 12 months and 3. hospitalisations over the last 12 months. Multimorbidity was assessed by counting the number of morbidities from a list of 10 morbidities. Poisson regression models stratified by sex were used to estimate the crude and adjusted prevalence ratios and their respective 95% confidence intervals for each outcome of health service use and multimorbidity, per year. Results There was an increase in the prevalence of demand for health services and medical consultations in the last 12 months between 1998 and 2013, regardless of the multimorbidity classification. The prevalence of hospitalisations has decreased over the study period and increased twofold in individuals with multimorbidity. Having multimorbidity increased the use of health services for the three outcomes under the study, being more expressive among men. Conclusions This study found that individuals with multimorbidity have higher levels of use of health services and better understand the multimorbidity epidemiology. The associated impacts on the use and costs of health services can increase the quality of care provided to these patients and reduce rising health care costs.

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Tendências no uso de serviços de saúde médicos e odontológicos e a relação com nível educacional e posse de plano privado de saúde no Brasil, 1998-2013

Cited by 24 publications

References 25 publications

Utilização de anti-hipertensivos e antidiabéticos no Brasil: análise das diferenças socioeconômicas. Pesquisa Nacional de Saúde 2013

Utilização de anti-hipertensivos e antidiabéticos no Brasil: análise das diferenças socioeconômicas. Pesquisa Nacional de Saúde 2013

Trends in the use of health services and their relationship with multimorbidity in Brazil, 1998–2013

Trends in the use of health services and their relationship with multimorbidity in Brazil, 1998–2013

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