Socioeconomic inequalities in the use of outpatient services in Brazil according to health care need: evidence from the World Health Survey.

BMC Health Services Research
Celia L SzwarcwaldGiseli N Damacena

Abstract

The Brazilian health system is founded on the principle of equity, meaning provision of equal care for equal needs. However, little is known about the impact of health policies in narrowing socioeconomic health inequalities. Using data from the Brazilian World Health Survey, this paper addresses socioeconomic inequalities in the use of outpatient services according to intensity of need. A three-stage cluster sampling was used to select 5000 adults (18 years and over). The non-response rate was 24.7% and calibration of the natural expansion factors was necessary to obtain the demographic structure of the Brazilian population. Utilization was established by use of outpatient services in the 12 months prior to the interview. Socioeconomic inequalities were analyzed by logistic regression models using years of schooling and private health insurance as independent variables, and controlling by age and sex. Effects of the socioeconomic variables on health services utilization were further analyzed according to self-rated health (good, fair and poor), considered as an indicator of intensity of health care need. Among the 5000 respondents, 63.4% used an outpatient service in the year preceding the survey. The association of health serv...Continue Reading

References

Jan 1, 1992·International Journal of Health Services : Planning, Administration, Evaluation·M Whitehead
Feb 27, 1971·Lancet·J T Hart
Apr 1, 1995·International Journal of Epidemiology·B B DuncanA Dalmáz
Jun 23, 1993·JAMA : the Journal of the American Medical Association·N E AdlerS L Syme
Jan 1, 1996·International Journal of Health Services : Planning, Administration, Evaluation·G J Duncan
Jan 1, 1996·International Journal of Health Services : Planning, Administration, Evaluation·G A Kaplan
Mar 1, 1997·Social Science & Medicine·S Macintyre
Mar 1, 1997·Social Science & Medicine·M MarmotN F Marks
Mar 1, 1997·American Journal of Public Health·J AlonsoJ M Antó
Sep 29, 1999·Cadernos de saúde pública·R S Pinheiro, C Travassos
Jan 5, 2000·Social Science & Medicine·J A de BeyerR G Feachem
Nov 15, 2000·Journal of Epidemiology and Community Health·A Woodward, I Kawachi
Sep 15, 2001·Social Science & Medicine·M Goddard, P Smith
Sep 20, 2001·International Journal of Health Services : Planning, Administration, Evaluation·B Starfield
Sep 20, 2001·International Journal of Health Services : Planning, Administration, Evaluation·G Pappas, N Moss
May 3, 2002·Journal of Human Hypertension·A C Guimarães
Jun 25, 2002·Journal of Epidemiology and Community Health·M C SchneiderG A O Alleyne
Jul 13, 2002·Social Science & Medicine·Paula Braveman, Eleuther Tarimo
Aug 7, 2002·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Cláudia TravassosAlexandre Brito
Jun 14, 2003·Cadernos de saúde pública·Maria Fernanda Lima-CostaElizabeth Uchôa
Jul 26, 2003·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Maria Fernanda Lima-CostaElizabeth Uchoa
Jul 30, 2003·Revista da Associação Médica Brasileira·Luciana MolinaLaurival A de Luca
Oct 31, 2003·Lancet·Johan P MackenbachUNKNOWN European Network on Interventions and Policies to Reduce Inequalities in Health
Jan 20, 2004·Health Services Research·Mark ExworthyMichael Marmot
Mar 18, 2004·Journal of Epidemiology and Community Health·M G Marmot
Jun 24, 2004·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·C A MonteiroB M Popkin
Jul 15, 2004·Journal of Epidemiology and Community Health·Adam Oliver, Elias Mossialos
Oct 27, 2004·International Journal for Equity in Health·Johan P Mackenbach, Karien Stronks
Oct 28, 2004·Health Affairs·Robert A Berenson
Nov 16, 2004·European Journal of Public Health·Anna Liisa Suominen-TaipaleRoar Johnsen
Dec 21, 2004·Revista de saúde pública·Paulo Roberto Borges de Souza JúniorEuclides Ayres de Castilho
Dec 21, 2004·Cadernos de saúde pública·Evangelina X G de OliveiraMarilia Sá Carvalho
May 17, 2005·Revista de saúde pública·Mônica Silva Monteiro CastroMarilia Sá Carvalho
Aug 27, 2005·International Journal of Health Services : Planning, Administration, Evaluation·Stephen Birch, Amiram Gafni
Oct 15, 2005·BMJ : British Medical Journal·Ilona Koupil
Feb 8, 2006·Cadernos de saúde pública·Célia Landmann SzwarcwaldFrancisco Viacava
Feb 8, 2006·Cadernos de saúde pública·Maria do Carmo LealCélia Landmann Szwarcwald
Feb 8, 2006·Cadernos de saúde pública·Mauricio Teixeira Leite de VasconcellosCélia Landmann Szwarcwald
Mar 15, 2006·Annual Review of Public Health·Paula Braveman
Sep 25, 2007·Cadernos de saúde pública·Claudia Travassos, Francisco Viacava

❮ Previous
Next ❯

Citations

Jan 10, 2012·Annual Review of Public Health·B StarfieldD Mangin
Apr 28, 2011·International Journal for Equity in Health·Eleni LahanaDimitris Niakas
Feb 1, 2013·International Journal for Equity in Health·Shiow-Ing Wang, Chih-Liang Yaung
Jan 8, 2014·TheScientificWorldJournal·Rita Sibele Souza EstevesMauro Henrique Nogueira Guimarães Abreu
Mar 22, 2014·International Journal for Equity in Health·Jane Phiri, John E Ataguba
Jul 28, 2016·AIDS Care·Daniel S Teixeira da SilvaRaquel B De Boni
Jul 23, 2015·Cadernos de saúde pública·Mônica Viegas AndradeAline Souza
Aug 3, 2017·Medicine·Priscila Gusmão da Silva FerreiraMarcus Tolentino Silva
Dec 14, 2017·BMC Palliative Care·S R ZiwaryR T Edwards
Jan 8, 2019·The Health Care Manager·Ramin RavangradNasrin Shokrpour
Feb 20, 2018·BMC Health Services Research·Carla de Barros ReisMargareth Crisóstomo Portela
Jun 5, 2014·Cadernos de saúde pública·Reginara Alves FerreiraLuana Giatti
Oct 9, 2014·Einstein·Danielle da Costa PalacioJaqueline Vilela Bulgareli
Nov 18, 2016·International Journal for Equity in Health·Pricila MullacheryJames Macinko
Nov 18, 2016·International Journal for Equity in Health·Cristiano Siqueira Boccolini, Paulo Roberto Borges de Souza Junior
Oct 27, 2018·Arquivos de neuro-psiquiatria·Fátima Rodrigues-de-PaulaLidiane Oliveira Lima
Jul 23, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Elislene Dias DrummondFabíola Bof de Andrade
May 28, 2014·Ciência & saúde coletiva·Célia Landmann SzwarcwaldCarlos Augusto Monteiro
Jul 25, 2019·Ciência & saúde coletiva·Francisco ViacavaJaime Gregório Bellido
Oct 1, 2020·Ciência & saúde coletiva·Laércio Almeida de Melo, Kenio Costa de Lima
Oct 8, 2020·Epidemiologia E Serviços De Saúde : Revista Do Sistema Unico De Saúde Do Brasil·Sheila Rizzato StopaEduardo Marques Macário

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