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

Costa, Juvenal Soares Dias da; Reis, Mauri Caldeira; Filho, Claudio Viana Silveira; Linhares, Rogério da Silva; Piccinini, Fábio

doi:10.1590/s0034-89102008005000060

Cited by 4 publications

(2 citation statements)

References 23 publications

(14 reference statements)

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“…Individuals with partners used the PFPB-E more, which is consistent with the fact that individuals with partners use health services more 7 , 8 . Consequently, these individuals are more likely to diagnose diseases, to have access to prescriptions and to receive information regarding the PFPB.…”

Section: Discussionsupporting

confidence: 77%

Use of the Brazilian People’s Pharmacy Program by older adults

et al. 2016

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OBJECTIVE To assess the prevalence and factors associated with the use of the expanded Brazilian People’s Pharmacy Program among older adults and the reasons for not using it.METHODS In this population-based cross-sectional study conducted in the urban area of Pelotas, RS, Southern Brazil, we evaluated 1,305 older adults (aged 60 years or over) who had used medication in the last 15 days. Independent variables were socioeconomic factors, economic status, household income in minimum wages, educational attainment in years of schooling and occupational status. Demographic variables were sex, age, marital status, and self-reported skin color/race. Poisson regression was employed to analyze the factors associated with the use of the program.RESULTS The prevalence of use was 57.0% whilst the prevalence of knowledge of the program was 87.0%. In individuals aged 80 years or over, use of the program was 41.0%. As to the origin of the prescriptions used by older adults, 46.0% were from the Brazilian Unified Health System. The main reasons for not using the program were: difficulty in getting prescriptions, medication shortage, and ignorance about the medications offered and about the program. Higher age, lower income, presence of chronic diseases, and use of four or more medications were associated with use of the program.CONCLUSIONS It is necessary to expand the knowledge and use of the Brazilian People’s Pharmacy Program, especially among older adults, and to improve the dissemination of its list of medications to users and physicians. Thus it will be possible to reduce spending on long-term medications, which are especially important for this population.

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Section: Discussionsupporting

confidence: 77%

Use of the Brazilian People’s Pharmacy Program by older adults

et al. 2016

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“…There are also studies available for both countries analyzing equity in the utilization of the health services, mostly based on national surveys of the general population: the Quality of Life Survey ( Encuesta de Calidad de Vida, ECV) and the Demography and Health Survey ( Encuesta de Demografía y Salud , EDS) in Colombia, and the National Household Sample Survey (Pesquisa Nacional de Amostra por Domicilios , PNAD) in Brazil. These studies indicate that, irrespective of need, individuals of a higher socioeconomic status – higher income [5,7,24-27], higher level of education [23,25,28,29] or more favorable working conditions (stable employment) [30] – make greater use of the health services. In Brazil, people who have private medical insurance are shown to be more likely to use the health services [31].…”

Section: Introductionmentioning

confidence: 99%

Inequities in access to health care in different health systems: a study in municipalities of central Colombia and north-eastern Brazil

García-Subirats

Vargas

Mogollón-Pérez

et al. 2014

International Journal for Equity in Health

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IntroductionHealth system reforms are undertaken with the aim of improving equity of access to health care. Their impact is generally analyzed based on health care utilization, without distinguishing between levels of care. This study aims to analyze inequities in access to the continuum of care in municipalities of Brazil and Colombia.MethodsA cross-sectional study was conducted based on a survey of a multistage probability sample of people who had had at least one health problem in the prior three months (2,163 in Colombia and 2,167 in Brazil). The outcome variables were dichotomous variables on the utilization of curative and preventive services. The main independent variables were income, being the holder of a private health plan and, in Colombia, type of insurance scheme of the General System of Social Security in Health (SGSSS). For each country, the prevalence of the outcome variables was calculated overall and stratified by levels of per capita income, SGSSS insurance schemes and private health plan. Prevalence ratios were computed by means of Poisson regression models with robust variance, controlling for health care need.ResultsThere are inequities in favor of individuals of a higher socioeconomic status: in Colombia, in the three different care levels (primary, outpatient secondary and emergency care) and preventive activities; and in Brazil, in the use of outpatient secondary care services and preventive activities, whilst lower-income individuals make greater use of the primary care services. In both countries, inequity in the use of outpatient secondary care is more pronounced than in the other care levels. Income in both countries, insurance scheme enrollment in Colombia and holding a private health plan in Brazil all contribute to the presence of inequities in utilization.ConclusionsTwenty years after the introduction of reforms implemented to improve equity in access to health care, inequities, defined in terms of unequal use for equal need, are still present in both countries. The design of the health systems appears to determine access to the health services: two insurance schemes in Colombia with different benefits packages and a segmented system in Brazil, with a significant private component.

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Prevalência e fatores associados à consulta médica entre adultos de uma comunidade de baixa renda do Sul do Brasil

Bastos¹,

Harzheim²,

Sousa³

2014

Epidemiol. Serv. Saúde

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ResumoObjetivo: estimar a prevalência de consultas médicas, nos três meses que antecederam à entrevista, em adultos de 20 anos ou mais, de uma comunidade de baixa renda, do Sul do Brasil, em 2009. Métodos: foi realizado estudo transversal, com análise ajustada por meio de Regressão de Poisson. Resultados: a prevalência de consulta médica nos 3.391 entrevistados foi 76,2% (Intervalo de Confiança de 95% (IC 95% : 74,8; 77,6%) no último ano e 64,8% (IC 95% : 63,0; 66,7%) nos últimos três meses, maior entre as mulheres (67,8%) do que entre os homens (60,2%) (p<0,001). Na análise ajustada, para homens, o desfecho associou-se mais fortemente: ao aumento de idade (p=0,001) e autopercepção de saúde ruim/ muito ruim (p<0,001). Entre mulheres, ao aumento da idade (p=0,001), possuir médico de referência (p=0,001), local usual de atendimento (p<0,001) e morbidades (p= 0,001). Conclusões: a diferença na utilização de consultas deve ser considerada no planejamento e organização do acesso. (95%CI 74.8, 77.6) in the last year and 64.8 % (95%CI 63.0, 66.7) in the last three months: 67.8 % in females (95%CI 65.5, 70.1) (p<0.001); 60.2 % in males (95%CI 57.1, 63.2

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

Cited by 4 publications

References 23 publications

Use of the Brazilian People’s Pharmacy Program by older adults

Use of the Brazilian People’s Pharmacy Program by older adults

Inequities in access to health care in different health systems: a study in municipalities of central Colombia and north-eastern Brazil

Prevalência e fatores associados à consulta médica entre adultos de uma comunidade de baixa renda do Sul do Brasil

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