Objective. To assess waiting times and length of medical consultations in the Manaus metropolitan region, Brazil. Methods. This was a cross-sectional study conducted with adults living in the region in 2015. Waiting time for consultation and length of consultation in minutes were reported by the participants. Analysis was performed using Tobit regression and weighted by the sample design. Results. 4,001 individuals were interviewed. Average waiting time was 125.4 minutes (95%CI 120.2;130.5), while consultations lasted an average of 52.5 minutes (95%CI 48.0;57.0). Women, poor people, people with less education, indigenous people, people resident in the state interior, people without health insurance, and individuals seen by gynecologists waited longer for their consultation (p <0.05). Consultation time was shorter for non-White people, those with poor health status and those who had health insurance (p <0.05). Conclusion. On average length of medical consultations was half the waiting time. Social inequalities were observed in these lengths of time.
Objective: to analyze the frequency and factors associated with coverage by health insurance in the metropolitan region of Manaus, AM, Brazil. Method: a cross-sectional population-based study was conducted in 2015, with data collected through household interviews; prevalence ratios (PR) and confidence intervals (95%CI) were calculated using Poisson regression with robust variance adjusted for sex and age. Results: we interviewed 4,001 individuals; 13% (95%CI-12.0;14.1%) had health insurance; greater insurance coverage was observed among military personnel (PR=3.18-95%CI 1.64;6.15), private sector employees (PR=1.91-95%CI 1.46;2.52) and public sector employees (PR=1.75-95%CI 1.23;2.49); health insurance was lower among poorer people (PR=0.21-95%CI 0.13;0.33), and those with less schooling (PR=0.66-95%CI 0.46;0.99). Conclusion: frequency of health insurance was low and was associated with better purchasing power, schooling, and employment.
Objetivo. Analisar o tempo de espera e a duração de consulta médica na região metropolitana de Manaus, Brasil. Métodos. Estudo transversal, realizado com adultos residentes na região em 2015. O tempo de espera para consulta e a duração da consulta, em minutos, foram referidos pelos participantes. A análise foi realizada por regressão de Tobit e ponderada pelo desenho amostral. Resultados. Foram entrevistados 4.001 indivíduos. O tempo médio de espera foi de 125,4 minutos (IC95%120,2;130,5), enquanto a consulta durou, em média, 52,5 minutos (IC95%48,0;57,0). Mulheres, pessoas pobres, pessoas com baixa escolaridade, indígenas, residentes em municípios do interior, sem seguro de saúde e atendidos por ginecologistas esperaram mais pela consulta (p<0,05). O tempo de consulta foi menor em pessoas não brancas, com estado de saúde ruim e com plano de saúde (p<0,05). Conclusão. A consulta médica durou, em média, metade do tempo de espera. Observaram-se iniquidades sociais nesses períodos de tempo.
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