Performance of lipid profile request between public and private sectors

• Autor(a) principal: Duro, Luciano N.
• Data de Publicação: 2008
• Outros Autores: Assunção, Maria Cecília, Costa, Juvenal Soares Dias da, Santos, Iná S.
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/32384
• topic: Lipídeos^i1^suso diagnóst; Hiperlipidemias^i1^sprevenção e contr; Sistema Único de Saúde; Sistemas Pré-pagos de saúde; Estudos transversais; Lipids^i2^sdiagnostic; Hyperlipidemias^i2^sprevention & cont; Single Health System; Health maintenance organizations; Cross-sectional studies

OBJECTIVE: To evaluate the performance of lipid profile screening according to the mode of financing of medical appointments - public or private. METHODS: A population-based cross-sectional study was carried out with a multi-stage sampling strategy. The study included 3,136 adults (>; 20 years old) from the city of Pelotas, Southern Brazil, in 2006. The following indicators were calculated: coverage (proportion of screened individuals among those meeting screening criteria), focus (proportion of individuals meeting screening criteria among those who were tested), screening errors (tests in individuals not meeting screening criteria - overscreening - and no screening of individuals meeting the screening criteria - underscreening), and screening ratio (ratio between number of individuals who met screening criteria and the number who failed to meet screening criteria among all individuals tested). Bivariate analyses were performed using Chi-squared tests. 95% confidence intervals (95% CI) were calculated for all parameters assessed. RESULTS: General coverage was 73.0% (95%CI: 70.8;75.2), and focus was 67.2% (95% CI: 64.7;69.3). In the public sector, compared to the private/health plan sector, coverage was lower (65.2% vs. 82.2%; p