Analysis of demand and access to services in the last two weeks previous to the National Health Survey 2013 and 2019

Malta, Déborah Carvalho; Gomes, Crizian Saar; Prates, Elton Junio Sady; Santos, Fausto Pereira dos; Almeida, Wanessa da Silva de; Stopa, Sheila Rizzato; Pereira, Cimar Azeredo; Szwarcwald, Célia Landmann

doi:10.1590/1980-549720210002.supl.2

Cited by 4 publications

(5 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Access to essential medicines is related to vulnerable groups who need the public health system but usually only seek health services when they are sick or report a bad or very bad state of illness. Therefore, they seek prescription medicines to solve immediate health demands and prevent specific diseases or situations, such as prenatal care, childcare, or medical check-ups [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Access to medicines among the Brazilian population based on the 2019 National Health Survey

et al. 2023

View full text Add to dashboard Cite

Introduction Access to medicines is a challenge, especially in developing countries, highlighting the need of population-based research to evaluate access and related factors. Objective This study aimed to assess access to medicines and identify associated factors using data from the 2019 Brazilian National Health Survey (PNS). Methods This population-based cross-sectional study used data from the 2019 PNS and considered access to prescription medicines as the primary outcome. The sample included 24,753 individuals aged 15 years or older who looked for medical care in the last 15 days and received a medicine prescription. Andersen’s behavioral model was used to select independent variables. After descriptive analysis, a multinomial logistic regression multilevel analysis was performed using the independent variables with a significance level lower than 0.20 in the bivariate analysis. Results The lowest chances of getting access to medicines were observed in individuals aged between 40 and 59 years, women, with complete middle and high school, with lower-income families, who attended public services, with worse self-assessed health, and those who looked for health care for disease prevention and health promotion. Conclusions Access to medicines among the Brazilian population is associated with social, economic, and health perception factors. Our findings may update and guide the development of public policies on medication and pharmaceutical care, facilitating medication purchases by the care user and promoting health equity.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Also, the number of women seeking care in the last two weeks increased in the 2019 PNS compared to the 2013 edition. However, the overall use of health services was higher among men [20]. In general, women have better health self-perception and seek health promotion, disease prevention (e.g., cytological exam), and prenatal care.…”

Section: Plos Onementioning

confidence: 93%

Access to medicines among the Brazilian population based on the 2019 National Health Survey

et al. 2023

View full text Add to dashboard Cite

show abstract

“…26 From 2007 to 2018, pregnancies decreased in adolescents by 25% and increased by 31% in women aged over 40 years. 26 Although some efforts have been made to improve the provision of individualized care for adolescents in Brazil, 27 there are still challenges on the quality of antenatal care for this vulnerable population. The present study showed that the absolute number of live births from adolescents decreased.…”

Section: Discussionmentioning

confidence: 99%

Fetal deaths in Brazil: What changed in the last decade and what can we learn from the current situation?

Brasileiro

Souza

Griggio

et al. 2022

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To determine fetal death rates (FDRs) according to maternal characteristics in Brazil. Methods A serial cross‐sectional analysis was conducted based on vital statistics of the Brazilian population from 2007 to 2019. FDRs were estimated according to maternal and pregnancy characteristics. Annual percent change (APC) of FDR was assessed by joinpoint regression model. Causes of death were compared between the ante−/intrapartum periods. Results A significant reduction in FDR occurred in Brazil during 2007–2019 (11.1 and 10.43 in 2007 and 2019, respectively; APC –0.44). Only the northern region showed an increase in FDR. In 2019, the northeast and southeast had the highest and lowest FDRs, respectively (11.4 and 7.8/1000 live births). In adolescents, FDR increased from 2007 to 2016 (APC 1.75). In 2019, missing information was significantly high for maternal skin color (99.7%), schooling (17.0%), and age (7.0%) in fetal death registries. The most common causes of fetal death in the ante−/intrapartum periods were fetus and newborn affected by maternal conditions. Conclusion A reduction in FDR has been achieved in Brazil over the last decade. However, there is an unmet need for decreasing social and regional disparities. A better system to attribute causes of death is needed to identifying priorities in maternal‐fetal health care.

show abstract

“…A study that sought to compare the demand and health care use in Brazil from 2013 to 2019, based on data from the Brazilian National Health Survey (PNS), found an increase of about 22% in health care use in the two weeks preceding the survey over the studied period (from 15.3% in 2013 to 18.6% in 2019). Another important finding is that the analysis of all attempts of receiving health care showed a decrease of 11% among those who sought care (from 97% in 2013 to 86.1% in 2019) 17 .…”

Section: Introductionmentioning

confidence: 98%

“…Population surveys that have reviewed health care use and its typology in the general population 8,9,10 or (even in specific populations such as immigrants, women, and seniors 11,12,13 ) have found that socioeconomic, demographic, and demand factors act as predictors of service use. In Brazil, a survey has attempted to examine both changes over time 14,15,16,17 and social inequities in the population's use and access to health care. A study that sought to compare the demand and health care use in Brazil from 2013 to 2019, based on data from the Brazilian National Health Survey (PNS), found an increase of about 22% in health care use in the two weeks preceding the survey over the studied period (from 15.3% in 2013 to 18.6% in 2019).…”

Section: Introductionmentioning

confidence: 99%

Analysis of education level in access and use of health care services, ISA-Capital, São Paulo, Brazil, 2003 and 2015

Santos,

Louvison,

Oliveira

et al. 2023

Cad. Saúde Pública

View full text Add to dashboard Cite

The great socioeconomic inequality that prevails in Brazil and the existence of a national health system with universal coverage places the need to monitor the evolution and social inequities regarding access to these services. This study aims to analyze the changes in the prevalence of health care use and the extent of social inequality in the demand, use and, access, resolution of health problems, satisfaction, and health care use of Brazilian Unified National Health System (SUS) according to education levels in the population living in the urban area of the Municipality of São Paulo, in 2003 and 2015. We analyzed data from two population-based household health surveys (Health Survey in São Paulo City - ISA-Capital) from 2003 and 2015. Dependent variables related to health care use in the two weeks preceding the survey and due to diseases included demand, access, satisfaction, problem resolution, and the public or private nature of the service. Prevalence was estimated using level of education and prevalence ratios (PR) by the Poisson regression. In the period, the demand for health care, access, resolution, and use of public health care increased from 2003 to 2015. Inequities in public health care use changed from 2003 to 2015 according to level of education. We found no social inequities in health care use in the municipality of São Paulo regarding demand, access, satisfaction, and resolution according to levels of education. Results show progress in the use and resolution of health care services, as well as the strong concentration of the use of SUS by the population with lower education. Results indicate the progress that SUS has made, but also show persistent challenges in the use and access to services.

show abstract

Analysis of demand and access to services in the last two weeks previous to the National Health Survey 2013 and 2019

Cited by 4 publications

References 34 publications

Access to medicines among the Brazilian population based on the 2019 National Health Survey

Access to medicines among the Brazilian population based on the 2019 National Health Survey

Fetal deaths in Brazil: What changed in the last decade and what can we learn from the current situation?

Analysis of education level in access and use of health care services, ISA-Capital, São Paulo, Brazil, 2003 and 2015

Contact Info

Product

Resources

About