Utilización de los servicios de salud: una revisión sistemática sobre los factores relacionados

Mendoza-Sassi, Raúl Andrés; Béria, Jorge Umberto

doi:10.1590/s0102-311x2001000400016

Cited by 145 publications

(163 citation statements)

References 63 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among the 1,962 interviewees, 1,395 (70.9%; 95%CI[69.1;73.1]) had visited a doctor in the year prior to interview. Mendonza-Sassi & Beria, 13 in a systematic review on health service utilization, observed that in countries such as the United States, Norway, Ireland, and Brazil the coverage of medical visits during one year reached 60% to 70% of the population. In the city of Pelotas, a study performed in 1992 showed that the utilization coverage in the same age group was 70%.…”

Section: Discussionmentioning

confidence: 99%

Prevalência de consultas médicas e fatores associados, Pelotas (RS), 1999-2000

Costa¹,

Reis²,

Filho³

et al. 2008

Rev. Saúde Pública

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Prevalência de consultas médicas e fatores associados, Pelotas (RS), 1999-2000

Costa¹,

Reis²,

Filho³

et al. 2008

Rev. Saúde Pública

View full text Add to dashboard Cite

“…Although these studies analyze various age groups, and use different recall periods, reported prevalences of medical appointments do not show great variation. 13 In Ireland, in a population aged 15 years or older, 61% of subjects had had medical appointments in the 12 months preceding the interview. 15 In the city of Rio Grande, Southern Brazil, a study using the same age group as the Irish study reported 66% prevalence of appointments in last year and 28.7% in last two months.…”

Section: Discussionmentioning

confidence: 99%

Fatores individuais associados à utilização de consultas médicas por adultos

Capilheira

Santos

2006

Rev. Saúde Pública

View full text Add to dashboard Cite

OBJECTIVE:To identify individual characteristics associated with a higher likelihood of consulting a physician and excess physician appointments. METHODS:We carried out a population-based study including 3,100 adults (≥20 years) living in the city of Pelotas, Southern Brazil between October and December 2003, using a multi-stage cluster sampling strategy. Subjects were interviewed to obtain socioeconomic, demographic, and health-related data, as well as information on the number of medical appointments in the past three months. Overusage was defined as ≥4 appointments. Multivariate analysis was carried out using Poisson regression based on a conceptual model, and results are presented as prevalence ratios and their respective 95% confidence intervals. RESULTS:The prevalence of medical appointments was 55.1%. Higher likelihood of consulting a physician was associated with female sex, hospital admission in the past year, former smoking, diabetes, and arterial hypertension. We found an increasing trend in the number of appointments with increasing age (p<0.001) and decreasing self-perceived health status (p<0.001). Prevalence of over utilization was 9%, and showed positive association with increased body mass index, (p=0.01), increasing age (p=0.006), and decreasing self-perceived health status (p<0.001). CONCLUSIONS:Presence and over utilization of physician appointments were associated with female sex, hypertension, and hospital admission in past year, as well as with increasing age and decreasing self-perceived health status.

show abstract

“…Autores que tratam da questão do acesso (Mendoza-Sassi;Beria, 2001;Almeida et al, 2000) Os serviços da APS disponibilizados na UBR estudada e em Unidades de Saúde foram citados por 71,1% (27) usuários como os locais rotineiramente procurados para atendimento das necessidades de saúde. É interessante notar, no entanto, que o motivo por essa procura, relatado por 53,0% (18/34) usuá-rios, esteve relacionado à acessibilidade geográfica, ou seja, à proximidade com a residência (Tabela 3).…”

Section: Dimensão Relacionalunclassified

Fatores que influenciam o acesso aos serviços de saúde na visão de profissionais e usuários de uma unidade básica de referência

2015

View full text Add to dashboard Cite

This study aims to analyze the users' access to health services in a Basic Reference Unit (UBR) in a municipality of the metropolitan area of Belo Horizonte, Minas Gerais. The semi-structured interviews and questionnaire were conducted with 15 health professionals and 38 users respectively. The interviews addressed the local service, the health team, the users and the health services delivery network's characteristics. The questionnaire addressed users' sociodemographic and health characteristics. The interviews and questionnaires results analysis were presented on structural (financing, coverage), relational (comprehension of the health-illness process) and operational (service organization) dimensions. In the structural dimension, it was observed that the health system underfunding is a difficulty to the health services access and to the Family Health Strategy (ESF) implementation. In the relational dimension, it was observed that the lack of alignment regarding the structure and the health system operational flow impact negatively on the relationship between health professional and user. On the operational dimension, the health professionals and users reported significant shortcomings, such as the ESF coverage, appointment scheduling, reception, geographical barriers, referral and counter referral. The information obtained in this study is important to understand the factors associated to the health services access for the subject population and to help the developing strategies to improve the access.

show abstract

Utilización de los servicios de salud: una revisión sistemática sobre los factores relacionados

Cited by 145 publications

References 63 publications

Prevalência de consultas médicas e fatores associados, Pelotas (RS), 1999-2000

Prevalência de consultas médicas e fatores associados, Pelotas (RS), 1999-2000

Fatores individuais associados à utilização de consultas médicas por adultos

Fatores que influenciam o acesso aos serviços de saúde na visão de profissionais e usuários de uma unidade básica de referência

Contact Info

Product

Resources

About