Acesso aos serviços básicos de saúde e fatores associados: estudo de base populacional

Bonello, Andreia Aparecida de Luca Moore; Corrêa, Carlos Roberto Silveira

doi:10.1590/1413-812320141911.13922013

Cited by 12 publications

(16 citation statements)

References 9 publications

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“…Authors have published these studies between 1999 and 2017 (median: 2009) 5,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37 (Table 1). The authors of five studies reported having no conflicts of interest 19,28,31,33,35 , while in the other studies the authors did not disclose whether they had any conflicts of interest, nor did they examine interviewers' biases (in qualitative studies).…”

Section: Resultsmentioning

confidence: 99%

“…While some studies had national coverage 5,12,13,14,22,24,25 , others covered certain geographical regions (e.g., Northeast or Southeast) 8,11,15,20,26 , states 16,33 , metropolitan areas 9,17,18 , municipalities 10,19,21,23,27,28,30,31,34,35,36,37 or parts of a municipality 22,32 . The study population included varied age groups, but most of them showed a balanced gender composition, with the exception of one study about men's health 37 and two about women's health 19,31 .…”

Section: Resultsmentioning

confidence: 99%

“…In most quantitative studies, participants were sampled through household surveys, such as Equity-LA 33 ; Health, Well-being and Aging (SABE, in Portuguese) 28 Survey (PNAD, in Portuguese) 5,12,14,22,24,25 ; World Health Survey (WHS) 13 ; Living Standards Survey (PPV, in Portuguese) 8,11 ; Health Survey in Campinas (ISACamp, in Portuguese) 31 ; Health and Diet Survey -Capital (ISA-Capital, in Portuguese) 34 ; and Survey of Living Conditions (PCV, in Portuguese) 16,17,18 , among others 10,21,37 . Other quantitative studies sampled patients from the Family Health Strategy (FHS) registry 23,27,29,32,35 or from utilization of health service 19,30,36 . A quantitative study 8 included data from an opinion poll whose methods we could not verify.…”

Section: Resultsmentioning

confidence: 99%

“…Among these studies, the proportion was higher and the PR lower if the indicator was the use of a particular health service at least once in the recall period, instead of reporting whether SUS paid for the last time the participant used a subtype of outpatient care. Other studies of smaller geographic coverage reported the proportion of privately insured people who considered themselves users of the SUS' primary care center of their community; this proportion ranged from 14.8% to 88.8% (PR: 0.27 to 0.96) 10,23,27,32,33,35 .…”

Section: Frequency Of Utilizationmentioning

confidence: 99%

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Utilization of the Brazilian public health system by privately insured individuals: a literature review

et al. 2019

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More than one in four Brazilians have private health insurance (PHI), even thought it covers mostly the same procedures as the Brazilian Unified National Health System (SUS). This literature review included articles and monographs published since 1990 about the utilization of SUS by privately insured individuals. Considering outpatient care and hospitalization, privately insured people in Brazil use SUS in approximately 13% of the times they receive health care, and approximately 7% of people receiving care paid by SUS are privately insured; these findings vary depending on the type of service studied and on study methods. Utilization of SUS is more frequent in less developed regions, by people with more restricted PHI plans and by people with worse health status. Privately insured people report the limitations of PHI plans as their reasons for resorting to SUS. Sometimes, beneficiaries of PHI plans owned by nonprofit hospitals (which also provide health care financed by SUS) have easier access to care than uninsured people financed by SUS. Anecdotally, privately insured people are satisfied with SUS, but not to the point of adopting SUS as their preferred source of care. In short, for privately insured people, SUS only plays a secondary role in their health care. Despite PHI taking over part of the SUS’s health care demand, PHI represents a restriction of the universal, equitable character of the SUS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Frequency Of Utilizationmentioning

confidence: 99%

See 2 more Smart Citations

Utilization of the Brazilian public health system by privately insured individuals: a literature review

et al. 2019

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“…The data collection instrument used was based on similar population-based studies 15,16 . Specifically, the dimension of access was adapted from the Ministry of Health's Vigitel 2010 survey 17 , and was previously tested in this research project through a pilot study in a specially selected census tract, the data of which were not included in the final survey.…”

Section: Methodsmentioning

confidence: 99%

Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors

Cruz

Vieira

Carneiro

et al. 2020

Rev. bras. geriatr. gerontol.

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Objective: To estimate the prevalence and factors associated with the difficulties of access to health services among non-institutionalized older adults in the town of Montes Claros, Minas Gerais, Brazil. Method: A cross-sectional study nested in a population-based cohort of community-dwelling older adults was carried out in Montes Claros, Minas Gerais, Brazil. Data collection was performed in the homes of the older adults between November 2016 and February 2017. Demographic, socioeconomic, and health-related variables and access to and use of health services were evaluated. Bivariate analyzes (Pearson’s chi-squared test) were conducted, adopting a level of significance lower than 0.20 for inclusion of the independent variables in the multiple model. The final model was generated by Poisson regression analysis, with robust variance, and the variables maintained were associated with difficulty in using the health services up to a level of significance of 0.05 (p<0.05). Results: 394 older adults participated in this study, 33% of whom reported difficulties with access. In multiple analysis, greater difficulty of access was registered among older adults without a partner; who could not read; were frail and had a negative self-perception of health. Older adults face greater difficulties with access when seeking public services. Conclusion: A high perception of difficulty with access was identified, determined by social and physical aspects inherent to aging, and which may be worsened by the characteristics of public services. There is a need for investments in the health care of older adults, in order to guarantee care that promotes healthy aging.

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Ineffectiveness of information and access to health services: vulnerability to human papillomavirus

Carvalho

Queiroz

Ferreira

et al. 2019

International Nursing Review

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Aim To examine situations of vulnerability to human papillomavirus in the social representations of young women. Background Human papillomavirus is one of the most frequent sexually transmitted infections among women and constitutes a serious health problem among youth. This problem is embedded in psychosocial issues that promote situations of vulnerability and affect attitudes and behaviour in relation to prevention. Methods Qualitative study based on the theory of social representations, conducted among 64 female students in a high school in the city of Rio de Janeiro, Brazil. The study used personal semi‐structured interviews, with a lexical analysis by Alceste 2010 software. Findings The inefficacy of information on the human papillomavirus pointed out individual and social vulnerabilities, and showed relationships between the difficulty of access and the perception of low quality in public health services, which also promotes institutional vulnerability. Discussion The representation of vulnerability to human papillomavirus infection is associated, not only with individual behaviours related to sexuality and gender identity but also to social and institutional conditions involving insufficient information and low quality of and ineffective access to public health services. Conclusion Situations of vulnerability of young women to human papillomavirus infection influence ways of thinking and acting, when they generate feelings and behaviours that put them at risk. The social representations provided knowledge about how the participants appropriated consensual and reified universes in relation to vulnerability, influencing care and awareness of prevention. Implication for nursing and health policy Situations of vulnerability, whether individual, social or institutional, warrant the attention of nurses and should be prioritized as public health policy goals to reduce the number of cases of human papillomavirus infection among younger women.

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Acesso aos serviços básicos de saúde e fatores associados: estudo de base populacional

Cited by 12 publications

References 9 publications

Utilization of the Brazilian public health system by privately insured individuals: a literature review

Utilization of the Brazilian public health system by privately insured individuals: a literature review

Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors

Ineffectiveness of information and access to health services: vulnerability to human papillomavirus

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