Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2913 |
Resumo: | Objective: Compare the demand and use of health services between 2013 and 2019, and analyze the associated sociodemographic and health variables in 2019. Methods: Cross-sectional study with data from the National Health Survey (PNS) 2013 and 2019. The prevalence and 95% confidence intervals (95% CI) for the demand and use of health services were estimated. In 2019, the differences in the indicators were analyzed according to sociodemographic variables and the crude and adjusted by sex and age prevalence ratios (RP) were estimated. Results: There was an increase of 22% in the demand for health care in the last two weeks, going from 15.3% (95% CI: 15.0-15.7) in 2013 to 18.6% (95% CI: 18.3 -19.0) in 2019. There was a reduction in use in the last two weeks, from 97% (95% CI: 96.6-97.4) in 2013 to 86.1% (95% CI: 85.4-86.8) in 2019, which was observed for most Federation Units. In 2019, the demand for care was greater among women, the elderly, those with high schooling, individuals with health insurance and poor self-rated health. They obtained greater access to health services in the fifteen days prior to the survey: men, children or adolescents up to 17 years of age, people with health insurance and poor health self-assessment. Conclusion: The demand for health services has grown and reduced access in the last 15 days between 2013 and 2019. These differences may have been exacerbated by the austerity measures implemented in the country. |
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Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019Análise da demanda e acesso aos serviços nas últimas duas semanas, Pesquisa Na-cional de Saúde 2013 e 2019Acesso aos Serviços de SaúdeIndicadores de SaúdeServiços de SaúdeEstudos TransversaisSaúde Pública; BrasilAccess to Health ServicesHealth IndicatorsHealth ServicesCross-Sectional StudiesPublic Health; BrazilObjective: Compare the demand and use of health services between 2013 and 2019, and analyze the associated sociodemographic and health variables in 2019. Methods: Cross-sectional study with data from the National Health Survey (PNS) 2013 and 2019. The prevalence and 95% confidence intervals (95% CI) for the demand and use of health services were estimated. In 2019, the differences in the indicators were analyzed according to sociodemographic variables and the crude and adjusted by sex and age prevalence ratios (RP) were estimated. Results: There was an increase of 22% in the demand for health care in the last two weeks, going from 15.3% (95% CI: 15.0-15.7) in 2013 to 18.6% (95% CI: 18.3 -19.0) in 2019. There was a reduction in use in the last two weeks, from 97% (95% CI: 96.6-97.4) in 2013 to 86.1% (95% CI: 85.4-86.8) in 2019, which was observed for most Federation Units. In 2019, the demand for care was greater among women, the elderly, those with high schooling, individuals with health insurance and poor self-rated health. They obtained greater access to health services in the fifteen days prior to the survey: men, children or adolescents up to 17 years of age, people with health insurance and poor health self-assessment. Conclusion: The demand for health services has grown and reduced access in the last 15 days between 2013 and 2019. These differences may have been exacerbated by the austerity measures implemented in the country.Objetivo: Comparar a procura e utilização dos serviços de saúde entre 2013 e 2019, e analisar as variáveis sociodemográficas e de saúde associadas em 2019. Métodos: Estudo transversal com dados da Pesquisa Nacional de Saúde (PNS) 2013 e 2019. Foram estimados a prevalência e os intervalos de confiança de 95% (IC95%) referentes à procura e utilização dos serviços de saúde. Em 2019, analisaram-se as diferenças dos indicadores segundo variáveis sociodemográficas e foram estimadas as razões de prevalência (RP) brutas e ajustadas por sexo e idade. Resultados: Ocorreu aumento de 22% na procura por atendimento de saúde nas duas últimas semanas, passando de 15,3% (IC95%: 15,0;15,7) em 2013 para 18,6% (IC95%: 18,3;19,0) em 2019. Houve redução da utilização nas duas últimas semanas, de 97% (IC95%: 96,6;97,4) em 2013 para 86,1% (IC95%: 85,4;86,8) em 2019, o que foi observado para a maioria das Unidades da Federação. Em 2019, a procura de atendimento foi maior entre mulheres, idosos, nas pessoas com elevada escolaridade, indivíduos que apresentam plano de saúde e com autoavaliação ruim da saúde. Obtiveram maior acesso aos serviços de saúde nos quinze dias anteriores à pesquisa: homens, crianças ou adolescentes até 17 anos, pessoas com plano de saúde e com autoavaliação ruim da saúde. Conclusão: Cresceu a demanda por serviços de saúde e reduziu o acesso nos últimos 15 dias entre 2013 e 2019. Essas diferenças podem ter sido agravadas pelas medidas de austeridade implantadas no país.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-09-09info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/291310.1590/1980-549720210002.supl.2porhttps://preprints.scielo.org/index.php/scielo/article/view/2913/5154Copyright (c) 2021 Deborah Carvalho Malta, Crizian Saar Gomes, Elton Junior Sady Prates, Fausto Pereira dos Santos, Wanessa da Silva de Almeida, Sheila Rizato Stopa, Cimar Azeredo Pereira, Célia Landmann Szwarcwaldhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMalta, Deborah Carvalho Gomes, Crizian SaarPrates, Elton Junior SadySantos, Fausto Pereira dosAlmeida, Wanessa da Silva deStopa, Sheila RizatoPereira, Cimar AzeredoSzwarcwald, Célia Landmannreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-09-08T20:55:47Zoai:ops.preprints.scielo.org:preprint/2913Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-09-08T20:55:47SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 Análise da demanda e acesso aos serviços nas últimas duas semanas, Pesquisa Na-cional de Saúde 2013 e 2019 |
title |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
spellingShingle |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 Malta, Deborah Carvalho Acesso aos Serviços de Saúde Indicadores de Saúde Serviços de Saúde Estudos Transversais Saúde Pública; Brasil Access to Health Services Health Indicators Health Services Cross-Sectional Studies Public Health; Brazil |
title_short |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
title_full |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
title_fullStr |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
title_full_unstemmed |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
title_sort |
Analysis of demand and access to services in the last two weeks, National Health Sur-vey 2013 and 2019 |
author |
Malta, Deborah Carvalho |
author_facet |
Malta, Deborah Carvalho Gomes, Crizian Saar Prates, Elton Junior Sady Santos, Fausto Pereira dos Almeida, Wanessa da Silva de Stopa, Sheila Rizato Pereira, Cimar Azeredo Szwarcwald, Célia Landmann |
author_role |
author |
author2 |
Gomes, Crizian Saar Prates, Elton Junior Sady Santos, Fausto Pereira dos Almeida, Wanessa da Silva de Stopa, Sheila Rizato Pereira, Cimar Azeredo Szwarcwald, Célia Landmann |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Malta, Deborah Carvalho Gomes, Crizian Saar Prates, Elton Junior Sady Santos, Fausto Pereira dos Almeida, Wanessa da Silva de Stopa, Sheila Rizato Pereira, Cimar Azeredo Szwarcwald, Célia Landmann |
dc.subject.por.fl_str_mv |
Acesso aos Serviços de Saúde Indicadores de Saúde Serviços de Saúde Estudos Transversais Saúde Pública; Brasil Access to Health Services Health Indicators Health Services Cross-Sectional Studies Public Health; Brazil |
topic |
Acesso aos Serviços de Saúde Indicadores de Saúde Serviços de Saúde Estudos Transversais Saúde Pública; Brasil Access to Health Services Health Indicators Health Services Cross-Sectional Studies Public Health; Brazil |
description |
Objective: Compare the demand and use of health services between 2013 and 2019, and analyze the associated sociodemographic and health variables in 2019. Methods: Cross-sectional study with data from the National Health Survey (PNS) 2013 and 2019. The prevalence and 95% confidence intervals (95% CI) for the demand and use of health services were estimated. In 2019, the differences in the indicators were analyzed according to sociodemographic variables and the crude and adjusted by sex and age prevalence ratios (RP) were estimated. Results: There was an increase of 22% in the demand for health care in the last two weeks, going from 15.3% (95% CI: 15.0-15.7) in 2013 to 18.6% (95% CI: 18.3 -19.0) in 2019. There was a reduction in use in the last two weeks, from 97% (95% CI: 96.6-97.4) in 2013 to 86.1% (95% CI: 85.4-86.8) in 2019, which was observed for most Federation Units. In 2019, the demand for care was greater among women, the elderly, those with high schooling, individuals with health insurance and poor self-rated health. They obtained greater access to health services in the fifteen days prior to the survey: men, children or adolescents up to 17 years of age, people with health insurance and poor health self-assessment. Conclusion: The demand for health services has grown and reduced access in the last 15 days between 2013 and 2019. These differences may have been exacerbated by the austerity measures implemented in the country. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2913 10.1590/1980-549720210002.supl.2 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/2913 |
identifier_str_mv |
10.1590/1980-549720210002.supl.2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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https://preprints.scielo.org/index.php/scielo/article/view/2913/5154 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints - SciELO |
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