Uso de serviços segundo a posse de plano privado de saúde  no município de São Paulo

Olsen, Julia Maria

doi:10.11606/d.6.2014.tde-04092014-094314

Cited by 1 publication

(4 citation statements)

References 54 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 .…”

Section: Resultsmentioning

confidence: 99%

“…This proportion was larger in a study with a longer recall period (12 months, instead of 15 days) (18.1%, PR: 0.24) 13 as well as for high-complexity procedures (27.3%) 22 and antenatal visits (20.2%; PR: 0.23) 13 . In studies with smaller geographic coverage areas (state, municipality) and focusing on different subtypes of outpatient care, the proportion of privately insured people having their health care utilization paid by SUS ranged from 3.9% to 24.4% (PR: 0.05 to 0.51) 16,18,21,29,31,33,34 , with the exception of the near exclusive utilization of SUS for vaccines offered through SUS' National Immunization Program (PNI, in Portuguese) 34 . 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.…”

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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