Socioeconomic inequalities in the access to and quality of health care services
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
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. |
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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 |