Equity of access to outpatient care and hospitalization among older community residents in Brazil.

Medical Care
Sergio L BlayFábio Leite Gastal

Abstract

To determine whether, as mandated by Brazilian law, health care (outpatient care, hospitalization) among older community residents is based on health-related criteria and not on other characteristics. Cross-sectional, population-representative. Multistage, random sample of 7040 household residents aged >or=60 years in the state of Rio Grande do Sul, Brazil. Structured in-person interviews to determine sociodemographic characteristics, self-reported health conditions, psychiatric status, outpatient service use within the previous 6 months, and number of hospitalizations within the previous 12 months. Seventy two percent reported an outpatient visit, 20% reported hospitalization. In controlled analyses, being female, older, unemployed, having private health insurance, increased the odds of an outpatient visit. Males, older persons, the insured, and more educated were more likely to report hospitalization. Race/ethnicity and religious affiliation were not associated with outpatient or hospital use. Pneumonia, heart disease, and urinary tract infection were particularly associated with both outpatient visits and hospitalization; diabetes, hypertension, and cancer with outpatient visit; stroke, cancer and psychiatric disorder with h...Continue Reading

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Citations

Oct 9, 2012·Social Science & Medicine·Andrew Amos ChannonT R Dilip
Feb 24, 2011·Revista de saúde pública·Gisele Macedo da SilvaMariângela Leal Cherchiglia
Apr 11, 2009·Stroke; a Journal of Cerebral Circulation·Kjell Asplund
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May 18, 2017·Revista de saúde pública·Ana Paula Santana Coelho AlmeidaLuiz Augusto Facchini
Sep 12, 2018·International Journal of Environmental Research and Public Health·Tess Bright, Hannah Kuper
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May 12, 2017·Revista de saúde pública·Bruno Pereira NunesLuiz Augusto Facchini
Jun 11, 2009·Current Opinion in Oncology

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