The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2002000100018 |
Resumo: | The aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor) and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil) aged > or = 60 years (n = 1,742) were selected. From these, 92.2% were interviewed and 85.9% were examined (blood tests and physical measurements). After adjustments for counfounders, those under exclusive public coverage (n = 1,296), compared with those holding a private health plan (n = 310), presented some evidence of having worse health status, reported less visits to a doctor, and used a small number of prescribed medications. The main explanation for the aged holding a private health plan was economic, not health. Even though those who had only public health coverage complained more in relation to medical care (70.9%), an important proportion of the aged with a private health care plan presented some kind of complaint (45.2%). Another worrying factor was the difficulty to acquire medication because of financial problems (47.2 and 25.2% reported, respectively). Further investigations are needed to verify whether our results can be generalized to other communities of the country. |
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The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adultsAgedDrugsHealth ServicesThe aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor) and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil) aged > or = 60 years (n = 1,742) were selected. From these, 92.2% were interviewed and 85.9% were examined (blood tests and physical measurements). After adjustments for counfounders, those under exclusive public coverage (n = 1,296), compared with those holding a private health plan (n = 310), presented some evidence of having worse health status, reported less visits to a doctor, and used a small number of prescribed medications. The main explanation for the aged holding a private health plan was economic, not health. Even though those who had only public health coverage complained more in relation to medical care (70.9%), an important proportion of the aged with a private health care plan presented some kind of complaint (45.2%). Another worrying factor was the difficulty to acquire medication because of financial problems (47.2 and 25.2% reported, respectively). Further investigations are needed to verify whether our results can be generalized to other communities of the country.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2002-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2002000100018Cadernos de Saúde Pública v.18 n.1 2002reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2002000100018info:eu-repo/semantics/openAccessLima-Costa,Maria Fernanda F.Guerra,Henrique L.Firmo,Josélia O. A.Vidigal,Pedro G.Uchoa,ElizabethBarreto,Sandhi M.eng2002-03-18T00:00:00Zoai:scielo:S0102-311X2002000100018Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2002-03-18T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
title |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
spellingShingle |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults Lima-Costa,Maria Fernanda F. Aged Drugs Health Services |
title_short |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
title_full |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
title_fullStr |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
title_full_unstemmed |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
title_sort |
The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
author |
Lima-Costa,Maria Fernanda F. |
author_facet |
Lima-Costa,Maria Fernanda F. Guerra,Henrique L. Firmo,Josélia O. A. Vidigal,Pedro G. Uchoa,Elizabeth Barreto,Sandhi M. |
author_role |
author |
author2 |
Guerra,Henrique L. Firmo,Josélia O. A. Vidigal,Pedro G. Uchoa,Elizabeth Barreto,Sandhi M. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lima-Costa,Maria Fernanda F. Guerra,Henrique L. Firmo,Josélia O. A. Vidigal,Pedro G. Uchoa,Elizabeth Barreto,Sandhi M. |
dc.subject.por.fl_str_mv |
Aged Drugs Health Services |
topic |
Aged Drugs Health Services |
description |
The aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor) and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil) aged > or = 60 years (n = 1,742) were selected. From these, 92.2% were interviewed and 85.9% were examined (blood tests and physical measurements). After adjustments for counfounders, those under exclusive public coverage (n = 1,296), compared with those holding a private health plan (n = 310), presented some evidence of having worse health status, reported less visits to a doctor, and used a small number of prescribed medications. The main explanation for the aged holding a private health plan was economic, not health. Even though those who had only public health coverage complained more in relation to medical care (70.9%), an important proportion of the aged with a private health care plan presented some kind of complaint (45.2%). Another worrying factor was the difficulty to acquire medication because of financial problems (47.2 and 25.2% reported, respectively). Further investigations are needed to verify whether our results can be generalized to other communities of the country. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2002000100018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2002000100018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2002000100018 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.18 n.1 2002 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115720804827136 |