Socioeconomic inequalities in the access to and quality of health care services

Detalhes bibliográficos
Autor(a) principal: Nunes,Bruno Pereira
Data de Publicação: 2014
Outros Autores: Thumé,Elaine, Tomasi,Elaine, Duro,Suele Manjourany Silva, Facchini,Luiz Augusto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600968
Resumo: OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.
id USP-23_edcc1438bb276df72114f38ec44a5e30
oai_identifier_str oai:scielo:S0034-89102014000600968
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Socioeconomic inequalities in the access to and quality of health care servicesHealth Services AccessibilityQuality of Health CareWaiting ListsSocioeconomic FactorsEquity in AccessHealth InequalitiesPrimary Health CareCross-Sectional Studies OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.Faculdade de Saúde Pública da Universidade de São Paulo2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600968Revista de Saúde Pública v.48 n.6 2014reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/s0034-8910.2014048005388info:eu-repo/semantics/openAccessNunes,Bruno PereiraThumé,ElaineTomasi,ElaineDuro,Suele Manjourany SilvaFacchini,Luiz Augustoeng2020-04-24T00:00:00Zoai:scielo:S0034-89102014000600968Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-04-24T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Socioeconomic inequalities in the access to and quality of health care services
title Socioeconomic inequalities in the access to and quality of health care services
spellingShingle Socioeconomic inequalities in the access to and quality of health care services
Nunes,Bruno Pereira
Health Services Accessibility
Quality of Health Care
Waiting Lists
Socioeconomic Factors
Equity in Access
Health Inequalities
Primary Health Care
Cross-Sectional Studies
title_short Socioeconomic inequalities in the access to and quality of health care services
title_full Socioeconomic inequalities in the access to and quality of health care services
title_fullStr Socioeconomic inequalities in the access to and quality of health care services
title_full_unstemmed Socioeconomic inequalities in the access to and quality of health care services
title_sort Socioeconomic inequalities in the access to and quality of health care services
author Nunes,Bruno Pereira
author_facet Nunes,Bruno Pereira
Thumé,Elaine
Tomasi,Elaine
Duro,Suele Manjourany Silva
Facchini,Luiz Augusto
author_role author
author2 Thumé,Elaine
Tomasi,Elaine
Duro,Suele Manjourany Silva
Facchini,Luiz Augusto
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Nunes,Bruno Pereira
Thumé,Elaine
Tomasi,Elaine
Duro,Suele Manjourany Silva
Facchini,Luiz Augusto
dc.subject.por.fl_str_mv Health Services Accessibility
Quality of Health Care
Waiting Lists
Socioeconomic Factors
Equity in Access
Health Inequalities
Primary Health Care
Cross-Sectional Studies
topic Health Services Accessibility
Quality of Health Care
Waiting Lists
Socioeconomic Factors
Equity in Access
Health Inequalities
Primary Health Care
Cross-Sectional Studies
description OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.
publishDate 2014
dc.date.none.fl_str_mv 2014-12-01
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=S0034-89102014000600968
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600968
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s0034-8910.2014048005388
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 Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.48 n.6 2014
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1748936502853763072