Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey

Detalhes bibliográficos
Autor(a) principal: Macinko, James
Data de Publicação: 2012
Outros Autores: Costa, Maria Fernanda Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/7659
Resumo: New York University. Food Studies and Public Health. Department of Nutrition. New York, NY, USA
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spelling Macinko, JamesCosta, Maria Fernanda Lima2014-05-28T16:13:46Z2014-05-28T16:13:46Z2012MACINKO, Macinko; COSTA, Maria Fernanda Lima. Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey. Tropical Medicine and International Health. 2012, vol.17, pp. 36-421360-2276https://www.arca.fiocruz.br/handle/icict/765910.1111/j.1365-3156.2011.02866.xengBlackwell Publishing LtdAccess to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Surveyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleNew York University. Food Studies and Public Health. Department of Nutrition. New York, NY, USAFundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Epidemiologia e Antropologia Médica. Belo Horizonte, MG, BrasilObjective  To assess the effects of participation in Brazil’s primary healthcare programme (the Family Health Strategy or FHS) on access, use and satisfaction with health services among adults. Methods  Data are from the 2008 National Household Survey (PNAD) on 264 754 adults. This cross-sectional analysis compares FHS enrollees to both non-enrollees and those with private health plans. We calculated predicted probabilities of each outcome stratified by household wealth quintile, rural/urban location and sex using robust Poisson regression. We performed propensity score analysis to assess the differences in access among FHS enrollees and the rest of the population, once relevant socio-demographic characteristics and other determinants of access were balanced. Results  Compared to families with neither FHS enrolment nor private health plans, adult FHS enrollees were generally more likely to have a usual source of care, to have visited a doctor or dentist in the past 12 months, to have access to needed medications and to be satisfied with the care they received. The FHS effect was largest among urban dwellers and the poorest. Conclusions  The FHS appears to be associated with enhanced access to and utilization of health services in Brazil. However, it has not yet been able to match levels of access experienced by those with private health plans, perhaps because the population served by the FHS is among the poorest, most rural and least healthy in the country.Brazilprimary health careAccessFamily Health Strategyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALacess.pdfacess.pdfapplication/pdf1331416https://www.arca.fiocruz.br/bitstream/icict/7659/1/acess.pdfcd7bd16568c23521f74143c3a917fbceMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/7659/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTacess.pdf.txtacess.pdf.txtExtracted texttext/plain7https://www.arca.fiocruz.br/bitstream/icict/7659/5/acess.pdf.txt212b0306580d4f0044d18f9a3edcc832MD55THUMBNAILacess.pdf.jpgacess.pdf.jpgGenerated Thumbnailimage/jpeg1855https://www.arca.fiocruz.br/bitstream/icict/7659/4/acess.pdf.jpg599cd9657fb44ae9f5d48addedd9a066MD54icict/76592018-04-06 08:48:44.604oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-06T11:48:44Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
title Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
spellingShingle Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
Macinko, James
Brazil
primary health care
Access
Family Health Strategy
title_short Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
title_full Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
title_fullStr Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
title_full_unstemmed Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
title_sort Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey
author Macinko, James
author_facet Macinko, James
Costa, Maria Fernanda Lima
author_role author
author2 Costa, Maria Fernanda Lima
author2_role author
dc.contributor.author.fl_str_mv Macinko, James
Costa, Maria Fernanda Lima
dc.subject.en.pt_BR.fl_str_mv Brazil
primary health care
Access
Family Health Strategy
topic Brazil
primary health care
Access
Family Health Strategy
description New York University. Food Studies and Public Health. Department of Nutrition. New York, NY, USA
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2014-05-28T16:13:46Z
dc.date.available.fl_str_mv 2014-05-28T16:13:46Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MACINKO, Macinko; COSTA, Maria Fernanda Lima. Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey. Tropical Medicine and International Health. 2012, vol.17, pp. 36-42
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/7659
dc.identifier.issn.none.fl_str_mv 1360-2276
dc.identifier.doi.none.fl_str_mv 10.1111/j.1365-3156.2011.02866.x
identifier_str_mv MACINKO, Macinko; COSTA, Maria Fernanda Lima. Access to, use of and satisfaction with health services among adults enrolled in Brazil´s Family Health Strategy: evidence from the 2008 National Household Survey. Tropical Medicine and International Health. 2012, vol.17, pp. 36-42
1360-2276
10.1111/j.1365-3156.2011.02866.x
url https://www.arca.fiocruz.br/handle/icict/7659
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Blackwell Publishing Ltd
publisher.none.fl_str_mv Blackwell Publishing Ltd
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