Gastos privados com saúde bucal no Brasil: análise dos dados da Pesquisa de Orçamentos Familiares, 2008-2009

Cascaes, Andréia Morales; Camargo, Maria Beatriz Junqueira de; Castilhos, Eduardo Dickie de; Silva, Alexandre Emídio Ribeiro; Barros, Aluísio J D

doi:10.1590/0102-311x00148915

Cited by 11 publications

(21 citation statements)

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“…A higher income can facilitate paying for dental services, the purchasing of dental products and adherence to health insurance, while greater schooling can be translated into a higher level of information about the importance of regular visits to the dentist 1,18 . A study found that Brazilians spent an average of R$42.19 reais on dental care services and R$10.27 reais on oral hygiene products 19 . In addition, spending on health and insurance plans increases with age, favoring the access of richer elderly persons to this type of coverage 19 .…”

Section: Discussionmentioning

confidence: 99%

“…A study found that Brazilians spent an average of R$42.19 reais on dental care services and R$10.27 reais on oral hygiene products 19 . In addition, spending on health and insurance plans increases with age, favoring the access of richer elderly persons to this type of coverage 19 . In the USA, elderly persons over the age of 65 are covered by public health insurance (Medicare), which covers individual expenditure on medical costs 6 .…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Fonseca

Meneghim

2017

Rev. bras. geriatr. gerontol.

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Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis ( p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/ health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Fonseca

Meneghim

2017

Rev. bras. geriatr. gerontol.

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“…O fato de o gasto absoluto com assistência odontológica ser superior entre os mais ricos sugere uma maior disponibilidade de recursos financeiros ou o pagamento de serviços mais caros, como os procedimentos odontológicos especializados (implantes, próteses e aparelhos ortodônticos), que contabilizam cerca de 85% das despesas referidas com odontologia 9 . Além disso, indivíduos com renda mais elevada optam pelo pagamento direto de serviços odontológicos privados a ter que arcar com algumas desvantagens provenientes da utilização dos serviços do setor público, tais como filas de espera, ou então adquirem planos odontológicos que objetivam financiar ou até mesmo reduzir os custos de seus tratamentos 18 .…”

Section: Discussionunclassified

“…Informações sobre os gastos privados com saúde das famílias brasileiras podem ser obtidas pelas Pesquisas de Orçamentos Familiares (POF), realizadas periodicamente, desde 1987, pelo Instituto Brasileiro de Geografia e Estatística (IBGE) e também do componente de saúde das Pesquisas Nacionais por Amostra de Domicílios (PNAD) de 1998, 2003 e 2008. Diversos trabalhos publicados valendo-se dessas bases de dados têm como foco a análise do perfil do gasto das famílias e a questão distributiva a ele relacionada 6,7,8,9,10 . Tais estudos apontam que a renda e escolaridade são fator determinantes dos gastos privados com saúde, ou seja, quanto maior a renda e maior a escolaridade, maior o gasto absoluto com saúde.…”

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“…Boing et al 5 identificaram que os gastos com odontologia contribuíram em 5% e 2% com o empobrecimento das famílias brasileiras decorrente dos gastos em saúde nos anos de 2002-2003 e 2008-2009, consecutivamente. Cascaes et al 9 quantificaram e descreveram as desigualdades no padrão dos gastos per capita com assistência odontológica avaliados na POF 2008-2009. Os maiores gastos foram encontrados nos domicílios das regiões Sudeste e Sul, cujos chefes apresentavam cor da pele branca, maior escolaridade e renda e naqueles com presença de indivíduos abaixo de 60 anos de idade.…”

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Desigualdades no comprometimento da renda domiciliar dos brasileiros com gastos privados em assistência odontológica

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The study aimed to investigate inequalities in the commitment of family income to private expenditures on dental care in Brazil. Data were analyzed from 55,970 Brazilian households that participated in the nationwide Family Budgets Survey in 2008-2009. The commitment of family income to private spending on dental care was calculated by dividing the mean annual per capita household spending on dental care by the mean annual per capita income, classified in four categories: > 0%, ≥ 5%, ≥ 10%, and ≥ 20%. Analysis of income commitment only included households with positive spending. Only 2,961 households (7%) reported positive spending on dental care. Mean annual per capita spending was BRL 42.19 (USD 12.78) overall and BRL 602.47 (USD 182.57) among those with positive spending. Households with the highest absolute expenditures on dental care were those from urban areas and the wealthiest quintile. Meanwhile, households with the highest proportional income commitment were from rural areas and the poorest quintile. Among those that reported positive spending, 55% of the households in the poorest quintile committed ≥ 20% of their income to dental care. The proportion was only 6% in the wealthiest quintile of the population. The poorest households in the wealthiest regions of Brazil (Central, South, and Southeast) showed the highest income commitments. There were striking socioeconomic inequalities in spending and income commitment to dental care. The evaluation of these inequalities is relevant for the evaluation and orientation of public health policies.

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Private dental insurance expenditure in Brazil

Cascaes¹,

Camargo²,

Castilhos³

et al. 2018

Rev. saúde pública

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OBJECTIVE To quantify the household expenditure per capita and to estimate the percentage of Brazilian households that have spent with dental insurance.METHODS We analyzed data from 55,970 households that participated in the research Pesquisa de Orçamentos Familiares in 2008–2009. We have analyzed the annual household expenditure per capita with dental insurance (business and private) according to the Brazilian states and the socioeconomic and demographic characteristics of the households (sex, age, race, and educational level of the head of the household, family income, and presence of an older adult in the household).RESULTS Only 2.5% of Brazilian households have reported spending on dental insurance. The amount spent per capita amounted to R$5.10 on average, most of which consisted of private dental insurance (R$4.70). Among the characteristics of the household, higher educational level and income were associated with higher spending. São Paulo was the state with the highest household expenditure per capita (R$10.90) and with the highest prevalence of households with expenditures (4.6%), while Amazonas and Tocantins had the lowest values, in which both spent less than R$1.00 and had a prevalence of less than 0.1% of households, respectively.CONCLUSIONS Only a small portion of the Brazilian households has dental insurance expenditure. The market for supplementary dentistry in oral health care covers a restricted portion of the Brazilian population.

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Gastos privados com saúde bucal no Brasil: análise dos dados da Pesquisa de Orçamentos Familiares, 2008-2009

Abstract: Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

Cited by 11 publications

References 16 publications

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Desigualdades no comprometimento da renda domiciliar dos brasileiros com gastos privados em assistência odontológica

Private dental insurance expenditure in Brazil

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