Multimorbidade e uso de serviços de saúde em indivíduos com restrição de atividades habituais: Estudo Pró-Saúde

Souza, Ana Sara Semeão de; Faerstein, Eduardo; Werneck, Guilherme Loureiro

doi:10.1590/0102-311x00155118

Cited by 18 publications

(16 citation statements)

References 49 publications

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“…The higher prevalence of multiple chronic diseases indicates social inequalities that challenge health services and the training of professionals for the proper management of care. The impact of multimorbidity on the increased use of health services suggests the need to ensure coordination of healthcare practices at different levels and complexities 16 , thus avoiding concurrent treatments or unnecessary replication of diagnostic tests 17 .…”

Section: Palavras-chavementioning

confidence: 99%

Multimorbidity and use of health services in the oldest old in Brazil

Francisco

Assumpção

Bacurau

et al. 2021

Rev. bras. epidemiol.

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Objective: To estimate the prevalence of multimorbidity in long-lived Brazilian individuals (age ≥80 years) and to associated it with the use of health services. Methods: Cross-sectional population-based study with data from the 2019 National Survey of Health (n=6,098). Frequencies of use of services were estimated for older people with multimorbidity and according to sex, health insurance ownership, and self-rated health. The prevalence rates, crude and adjusted prevalence ratios, and the respective 95% confidence intervals were calculated. Results: The average age of the older adults was 85 years and about 62% were women; the prevalence of multimorbidity was 57.1%, higher in women, in those who have health insurance, and who reside in the southern region of the country (p<0.05). In the oldest old with multimorbidity, the use of services in the last 15 days reached 64.6%, and more than 70% were hospitalized in the last year or did not carry out activities in the previous two weeks for health reasons. Differences were observed for the indicators of service use in relation to sex, health insurance ownership, and self-rated health, according to multimorbidity. Conclusion: Indicators for the use of health services were higher in older individuals who have two or more chronic diseases, regardless of sociodemographic conditions and self-rated health, showing the impact of multimorbidity per se in determining the use of services among the oldest old.

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Section: Palavras-chavementioning

confidence: 99%

Multimorbidity and use of health services in the oldest old in Brazil

Francisco

Assumpção

Bacurau

et al. 2021

Rev. bras. epidemiol.

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“…Previous studies show that people with multimorbidities present 30% more probability of seeking health care. 20,40 Patients with multimorbidity and polypharmacy are recognized as high utilizers of health care resources. The COVID-19 pandemic led to unique daily life experiences for members of the older population because they were recommended to stay at home and restrict social contact.…”

Section: Discussionmentioning

confidence: 99%

Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study

et al. 2022

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The objective of this study was to analyze changes in access to health interventions during the pandemic among Brazilian older adults and to investigate the factors associated with social and health inequalities. We conducted an online survey with Brazilian adults aged 60 + years between May and June 2020. A multidimensional questionnaire was used to investigate access to health interventions during the pandemic and associated factors. Of 1482 participants, 56.5% reported health care before the pandemic, and 36.4% discontinued it during the pandemic. The discontinuation rate was 64.4% (95% CI 61.1-67.6). Participants with higher educational level (nine or more years of education: OR 0.34; 95% CI 0.17-0.70) and higher income (eight or more times the minimum wage: OR 0.54; 95% CI 0.36-0.81) were associated with less probability of discontinuation. Presenting multimorbidity (OR: 1.42; 95% CI 1.06-1.90) and polypharmacy (OR: 0.61; 95% CI 0.46-0.81) were associated with discontinuity in health interventions. Our study showed that structural health inequities in access to health care shaped the rates of discontinuation in health care interventions during the COVID-19 pandemic. Strategic actions should be set up to actively monitor socially vulnerable older adults and strengthen community-based services to mitigate the discontinuation of health care interventions.

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“…Taking into account the high prevalence of workers among the beneficiaries of the operator under study (9) and the high cardiovascular risk of hypertensive and diabetic individuals, it is urgent to offer them prevention and health promotion actions, particularly to those with lower schooling levels, who use health services the most and have lower quality of life, more disabilities and inequality in access to the diagnosis and treatment of CNCDs (23,24) .…”

Section: Discussionmentioning

confidence: 99%

Fatores de risco dos beneficiários do gerenciamento clínico por telemonitoramento da saúde suplementar: estudo transversal

Aggio

Haddad

2021

Online braz j nurs

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Objetivo: Identificar a prevalência dos fatores de risco modificáveispara doença crônica não transmissível de beneficiários hipertensos e diabéticos. Método:Estudo transversal, de 2019, com dados do prontuário eletrônico de 109 adultos,independentes para as atividades cotidianas, do gerenciamento clínico portelemonitoramento de operadora de plano de saúde, Paraná-PR. Realizou‐se estatísticadescritiva, teste qui‐quadrado e regressão logística binária bruta. Resultados: Homenstiveram menor consumo inadequado de refrigerante (OR =0,37) e peso elevado comofator de risco (OR =3,57). Fatores de proteção dos adultos foram hipertensão arterial(OR =0,14) e boa prontidão para mudança comportamental (OR =0,21) e, dos idosos,hipertensão arterial concomitante ao diabetes mellitus (OR =0,16). Houve associaçãoentre idade, hipertensão arterial (p =0,001; OR =0,14; IC =0,04-0,51) e boa prontidãopara a mudança comportamental (p =0,023; OR =0,21; IC =0,06-0,76). Conclusão:Predominaram idosas com estilo de vida saudável, para as quais são recomendadasintervenções de prevenção secundária.

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Multimorbidade e uso de serviços de saúde em indivíduos com restrição de atividades habituais: Estudo Pró-Saúde

Cited by 18 publications

References 49 publications

Multimorbidity and use of health services in the oldest old in Brazil

Multimorbidity and use of health services in the oldest old in Brazil

Discontinuation of Health Interventions Among Brazilian Older Adults During the Covid-19 Pandemic: REMOBILIZE Study

Fatores de risco dos beneficiários do gerenciamento clínico por telemonitoramento da saúde suplementar: estudo transversal

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