Cobertura por plano de saúde ou cartão de desconto: inquérito domiciliar na área de abrangência da Estratégia Saúde da Família

Fontenelle, Leonardo Ferreira; Camargo, Maria Beatriz Junqueira de; Bertoldi, Andréa Dâmaso; Gonçalves, Helen; Maciel, Ethel Leonor Nóia; Barros, Aluísio J. D.

doi:10.1590/0102-311x00141515

Cited by 9 publications

(17 citation statements)

References 21 publications

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“…Interviewers with complete second degree education, hired and trained specifically for the research conducted the interviews. Further details were described elsewere 13 .…”

Section: Methodsmentioning

confidence: 99%

“…In cases in which the last medical consultation had been made in the last six months and the reason given was not routine (for example, prenatal, prescription renewal or chronic disease control), participants informed the site of the medical consultation, the main reason for choosing the site (coded a posteriori ) and their satisfaction with the consultation. Satisfaction regarding the last consultation was evaluated by 10 questions, which were adapted from Kloetzel et al 16 by means of a pre-pilot (performed in the area covered by a FHS team, which was not included in the sample of this study 13 ) in order to ensure understanding of the questions by the study population. Each of the 10 questions had a five-level response, from very dissatisfied to very satisfied, coded numerically from zero to 10 as described by Kloetzel et al 16 Each person's satisfaction was described in the form of a general score, composed by the simple average of the 10 questions.…”

Section: Methodsmentioning

confidence: 99%

“…The main exposure was coverage by discount card or PHI. As described previously 13 , this variable was assessed for each person based on the names of the “health insurance plans” by which the person reported being covered. These names were categorized as discount cards in cases in which health care was paid directly by the person, through direct disbursement.…”

Section: Methodsmentioning

confidence: 99%

“…However, these estimates might be distorted for not differentiating PHI from discount cards. In a household survey conducted in a medium-sized city (Pelotas, RS), almost half the participants who said to be privately insured were actually covered by a discount card 13 . Unlike PHI, discount cards offer (for low-cost monthly fees) access to a list of health services which are paid through out-of-pocket payments by the patients themselves 13 .…”

Section: Introductionmentioning

confidence: 99%

“…In a household survey conducted in a medium-sized city (Pelotas, RS), almost half the participants who said to be privately insured were actually covered by a discount card 13 . Unlike PHI, discount cards offer (for low-cost monthly fees) access to a list of health services which are paid through out-of-pocket payments by the patients themselves 13 . Although they offer neither prepayment nor risk sharing, discount cards are considered competitors of PHI 14 , 15 .…”

Section: Introductionmentioning

confidence: 99%

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Utilization of basic health units of FHS according to private health insurance

et al. 2018

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OBJECTIVETo describe the utilization of basic health units according to coverage by discount card or private health insurance.METHODSHousehold survey in the area covered by Family Health Strategy in Pelotas, state of Rio Grande do Sul, Brazil, from December 2007 to February 2008, with persons of all age groups. The frequency of (medical or non-medical) healthcare seeking at the basic health units in the last six months and the prevalence of basic health unit utilization for the last medical consultation (in case it had been performed up to six months before, for a non-routine reason) were analyzed by Poisson regression adjusted for the sampling design.RESULTSOf the 1,423 persons, 75.6% had no discount card or private health insurance. The average frequency of (medical or non-medical) healthcare seeking was 1.6 times in six months (95%CI 1.3-2.0); this frequency was 55.8% lower (p < 0.001) among privately insured persons compared to those with no discount card or private health insurance. Among the last medical consultations, 35.8% (95%CI 25.4-47.7) had been performed at the basic health units; this prevalence was 36.4% lower (p = 0.003) among persons covered by discount card and 87.7% lower (p = 0.007) among privately insured persons compared to those without both coverages.CONCLUSIONSPrivate health insurance and, to a lesser degree, discount card coverage, are related to lower utilization of basic health units. This can be used to size the population under the accountability of each Family Health Strategy team, to the extent that community health workers are able to differentiate discount card from PHI during family registration.

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“…Interviewers with complete second degree education, hired and trained specifically for the research conducted the interviews. Further details were described elsewere 13 .…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utilization of basic health units of FHS according to private health insurance

et al. 2018

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Impact of the COVID-19 Pandemic on Radiation Oncology Departments in Brazil

Oliveira¹,

Yoshinari²,

Veras³

et al. 2022

Advances in Radiation Oncology

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Purpose The COVID-19 pandemic brought several challenges to cancer practice, especially to ensure continuity of treatment during this period, minimizing the risks of transmission to a vulnerable population. For Radiation Oncology departments in Brazil, this contingency has become even more complex due to the significant impact observed in different sectors of society, the large number of cases and deaths by COVID-19. This study estimated the impact of the COVID-19 pandemic on Brazilian Radiation Oncology departments and the coping measures used in the country. Methods and Materials The Brazilian Radiotherapy Society (SBRT) developed a questionnaire with 14 questions, sent to all heads of Radiation Oncology departments in the country, between May and June 2020. These data were evaluated regarding cases confirmed and deaths by COVID-19 in epidemiological week 28, on July 11, 2020. Results One hundred twenty-six questionnaires from different regions were answered, representing 44% of the country’s services. A drop in the number of patients was observed in 61% of services. This drop was observed both in patients from the public and supplementary private health insurance systems. Regarding patients and employees with COVID-19, we observe that services that primarily treat SUS patients reported significantly fewer cases of the disease. About half of the services had collaborators and patients during radiotherapy with a positive diagnosis of COVID-19. Among the coping measures, the services used intensified hygiene and cleanliness, distance, restrictions on access to companions and other changes in daily practice. Conclusions Thus, there was an important drop in the number of radiotherapy patients in the country during the pandemic, and this impact happened in a similar way among the services, regardless of their characteristics and coping measures adopted during the pandemic.

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