Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S1020-49892008001100003 http://hdl.handle.net/11449/13306 |
Resumo: | Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times. |
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Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan areaHealth care surveyshealth systemsmaternal and child healthBrazilObjectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times.Universidade Estadual de Londrina (UEL), Dept Saúde Coletiva, Londrina, Parana, BrazilUniv São Paulo, Fac Saúde Publ, Dept Epidemiol, BR-05508 São Paulo, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Saúde Publ, São Paulo, BrazilUniv Estadual Campinas, Fac Ciencias Med, Dept Med Prevent & Social, BR-13081970 Campinas, SP, BrazilSecretaria Estadual Saúde São Paulo, São Paulo, BrazilUniv São Paulo, Fac Med, Dept Prevent Med, BR-05508 São Paulo, BrazilUniv Estadual Paulista, Fac Med Botucatu, Dept Saúde Publ, São Paulo, BrazilPan Amer Health OrganizationUniversidade Estadual de Londrina (UEL)Universidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Universidade Estadual de Campinas (UNICAMP)Secretaria Estadual Saúde São Paulode Carvalho, Wladithe OrganGalvao Cesar, Chester LuizCarandina, Luana [UNESP]de Azevedo Barros, Marilisa BertiGoi Porto Alves, Maria CeciliaGoldbaum, Moises2014-05-20T13:38:22Z2014-05-20T13:38:22Z2008-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article314-323http://dx.doi.org/10.1590/S1020-49892008001100003Revista Panamericana de Salud Publica-pan American Journal of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 5, p. 314-323, 2008.1020-4989http://hdl.handle.net/11449/1330610.1590/S1020-49892008001100003S1020-49892008001100003WOS:000262655000003Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPspaRevista Panamericana de Salud Publica - Pan American Journal of Public Health0.7840,452info:eu-repo/semantics/openAccess2024-09-03T14:11:31Zoai:repositorio.unesp.br:11449/13306Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T14:11:31Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
title |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
spellingShingle |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area de Carvalho, Wladithe Organ Health care surveys health systems maternal and child health Brazil |
title_short |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
title_full |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
title_fullStr |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
title_full_unstemmed |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
title_sort |
Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area |
author |
de Carvalho, Wladithe Organ |
author_facet |
de Carvalho, Wladithe Organ Galvao Cesar, Chester Luiz Carandina, Luana [UNESP] de Azevedo Barros, Marilisa Berti Goi Porto Alves, Maria Cecilia Goldbaum, Moises |
author_role |
author |
author2 |
Galvao Cesar, Chester Luiz Carandina, Luana [UNESP] de Azevedo Barros, Marilisa Berti Goi Porto Alves, Maria Cecilia Goldbaum, Moises |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual de Londrina (UEL) Universidade de São Paulo (USP) Universidade Estadual Paulista (Unesp) Universidade Estadual de Campinas (UNICAMP) Secretaria Estadual Saúde São Paulo |
dc.contributor.author.fl_str_mv |
de Carvalho, Wladithe Organ Galvao Cesar, Chester Luiz Carandina, Luana [UNESP] de Azevedo Barros, Marilisa Berti Goi Porto Alves, Maria Cecilia Goldbaum, Moises |
dc.subject.por.fl_str_mv |
Health care surveys health systems maternal and child health Brazil |
topic |
Health care surveys health systems maternal and child health Brazil |
description |
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-11-01 2014-05-20T13:38:22Z 2014-05-20T13:38:22Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1020-49892008001100003 Revista Panamericana de Salud Publica-pan American Journal of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 5, p. 314-323, 2008. 1020-4989 http://hdl.handle.net/11449/13306 10.1590/S1020-49892008001100003 S1020-49892008001100003 WOS:000262655000003 |
url |
http://dx.doi.org/10.1590/S1020-49892008001100003 http://hdl.handle.net/11449/13306 |
identifier_str_mv |
Revista Panamericana de Salud Publica-pan American Journal of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 5, p. 314-323, 2008. 1020-4989 10.1590/S1020-49892008001100003 S1020-49892008001100003 WOS:000262655000003 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
Revista Panamericana de Salud Publica - Pan American Journal of Public Health 0.784 0,452 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
314-323 |
dc.publisher.none.fl_str_mv |
Pan Amer Health Organization |
publisher.none.fl_str_mv |
Pan Amer Health Organization |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
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1810021372933439488 |