Utilization of basic health units of FHS according to private health insurance
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/145986 |
Resumo: | OBJECTIVE: To describe the utilization of basic health units according to coverage by discount card or private health insurance. METHODS: Household survey in the area covered by Family Health Strategy in Pelotas, state of Rio Grande do Sul, Brazil, from December 2007 to February 2008, with persons of all age groups. The frequency of (medical or non-medical) healthcare seeking at the basic health units in the last six months and the prevalence of basic health unit utilization for the last medical consultation (in case it had been performed up to six months before, for a non-routine reason) were analyzed by Poisson regression adjusted for the sampling design. RESULTS: Of the 1,423 persons, 75.6% had no discount card or private health insurance. The average frequency of (medical or non-medical) healthcare seeking was 1.6 times in six months (95%CI 1.3–2.0); this frequency was 55.8% lower (p < 0.001) among privately insured persons compared to those with no discount card or private health insurance. Among the last medical consultations, 35.8% (95%CI 25.4–47.7) had been performed at the basic health units; this prevalence was 36.4% lower (p = 0.003) among persons covered by discount card and 87.7% lower (p = 0.007) among privately insured persons compared to those without both coverages. CONCLUSIONS: Private health insurance and, to a lesser degree, discount card coverage, are related to lower utilization of basic health units. This can be used to size the population under the accountability of each Family Health Strategy team, to the extent that community health workers are able to differentiate discount card from PHI during family registration. |
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Utilization of basic health units of FHS according to private health insuranceUtilização das unidades básicas de saúde da ESF conforme a cobertura por plano de saúdeNecessidades e Demandas de Serviços de Saúde. Centros de Saúde. Serviços de Saúdeutilização. Saúde Suplementar. Sistemas Pré-Pagos de Saúdeutilização. Equidade na Alocação de Recursos.Health Services Needs and Demand. Health Centers. Health Servicesutilization. Supplemental Health. Health Maintenance Organizationsutilization. Equity in the Resource Allocation.OBJECTIVE: To describe the utilization of basic health units according to coverage by discount card or private health insurance. METHODS: Household survey in the area covered by Family Health Strategy in Pelotas, state of Rio Grande do Sul, Brazil, from December 2007 to February 2008, with persons of all age groups. The frequency of (medical or non-medical) healthcare seeking at the basic health units in the last six months and the prevalence of basic health unit utilization for the last medical consultation (in case it had been performed up to six months before, for a non-routine reason) were analyzed by Poisson regression adjusted for the sampling design. RESULTS: Of the 1,423 persons, 75.6% had no discount card or private health insurance. The average frequency of (medical or non-medical) healthcare seeking was 1.6 times in six months (95%CI 1.3–2.0); this frequency was 55.8% lower (p < 0.001) among privately insured persons compared to those with no discount card or private health insurance. Among the last medical consultations, 35.8% (95%CI 25.4–47.7) had been performed at the basic health units; this prevalence was 36.4% lower (p = 0.003) among persons covered by discount card and 87.7% lower (p = 0.007) among privately insured persons compared to those without both coverages. CONCLUSIONS: Private health insurance and, to a lesser degree, discount card coverage, are related to lower utilization of basic health units. This can be used to size the population under the accountability of each Family Health Strategy team, to the extent that community health workers are able to differentiate discount card from PHI during family registration.OBJETIVO: Descrever a utilização de unidades básicas de saúde conforme a cobertura por cartão de desconto e plano de saúde. MÉTODOS: Inquérito domiciliar na área de abrangência da Estratégia Saúde da Família de Pelotas, RS, entre dezembro de 2007 e fevereiro de 2008, incluindo pessoas de todas as faixas etárias. A frequência de busca por atendimento (médico ou não) nas unidades básicas de saúde nos últimos seis meses e a prevalência do uso das unidades básicas de saúde para a última consulta médica (caso esta tivesse sido realizada até seis meses atrás, e tivesse tido um motivo que não rotina) foram analisadas por regressão de Poisson ajustada para o delineamento amostral. RESULTADOS: Das 1.423 pessoas, 75,6% não estavam cobertas por cartão de desconto ou plano de saúde. A frequência média da busca por atendimento (médico ou não) foi de 1,6 vezes em seis meses (IC95% 1,3–2,0); essa frequência foi 55,8% menor (p < 0,001) entre as pessoas cobertas por plano de saúde em comparação às pessoas sem cartão de desconto ou plano de saúde. Dentre as últimas consultas médicas, 35,8% (IC95% 25,4–47,7) tinham sido realizadas nas unidades básicas de saúde; essa prevalência foi 36,4% menor (p = 0,003) entre as pessoas cobertas por cartão de desconto e 87,7% menor (p = 0,007) entre as pessoas cobertas por plano de saúde em comparação às pessoas com ambas as coberturas. CONCLUSÕES: A cobertura por plano de saúde e, em menor grau, a cobertura por cartão de desconto associam-se a uma menor utilização das unidades básicas de saúde. Isso pode ser utilizado para dimensionar a população sob a responsabilidade de cada equipe de Estratégia Saúde da Família, na medida em que os agentes comunitários de saúde sejam capazes de diferenciar cartão de desconto e plano de saúde durante o cadastramento das famílias.Universidade de São Paulo. Faculdade de Saúde Pública2018-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14598610.11606/S1518-8787.2018052000383Revista de Saúde Pública; Vol. 52 (2018); 55Revista de Saúde Pública; Vol. 52 (2018); 55Revista de Saúde Pública; v. 52 (2018); 551518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/145986/139784https://www.revistas.usp.br/rsp/article/view/145986/139785https://www.revistas.usp.br/rsp/article/view/145986/148356Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFontenelle, Leonardo FerreiraCamargo, Maria Beatriz Junqueira deBertoldi, Andréa DâmasoGonçalves, HelenMacielI, Ethel Leonor NoiaBarros, Aluísio J D2018-07-20T11:44:53Zoai:revistas.usp.br:article/145986Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:53Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Utilization of basic health units of FHS according to private health insurance Utilização das unidades básicas de saúde da ESF conforme a cobertura por plano de saúde |
title |
Utilization of basic health units of FHS according to private health insurance |
spellingShingle |
Utilization of basic health units of FHS according to private health insurance Fontenelle, Leonardo Ferreira Necessidades e Demandas de Serviços de Saúde. Centros de Saúde. Serviços de Saúde utilização. Saúde Suplementar. Sistemas Pré-Pagos de Saúde utilização. Equidade na Alocação de Recursos. Health Services Needs and Demand. Health Centers. Health Services utilization. Supplemental Health. Health Maintenance Organizations utilization. Equity in the Resource Allocation. |
title_short |
Utilization of basic health units of FHS according to private health insurance |
title_full |
Utilization of basic health units of FHS according to private health insurance |
title_fullStr |
Utilization of basic health units of FHS according to private health insurance |
title_full_unstemmed |
Utilization of basic health units of FHS according to private health insurance |
title_sort |
Utilization of basic health units of FHS according to private health insurance |
author |
Fontenelle, Leonardo Ferreira |
author_facet |
Fontenelle, Leonardo Ferreira Camargo, Maria Beatriz Junqueira de Bertoldi, Andréa Dâmaso Gonçalves, Helen MacielI, Ethel Leonor Noia Barros, Aluísio J D |
author_role |
author |
author2 |
Camargo, Maria Beatriz Junqueira de Bertoldi, Andréa Dâmaso Gonçalves, Helen MacielI, Ethel Leonor Noia Barros, Aluísio J D |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fontenelle, Leonardo Ferreira Camargo, Maria Beatriz Junqueira de Bertoldi, Andréa Dâmaso Gonçalves, Helen MacielI, Ethel Leonor Noia Barros, Aluísio J D |
dc.subject.por.fl_str_mv |
Necessidades e Demandas de Serviços de Saúde. Centros de Saúde. Serviços de Saúde utilização. Saúde Suplementar. Sistemas Pré-Pagos de Saúde utilização. Equidade na Alocação de Recursos. Health Services Needs and Demand. Health Centers. Health Services utilization. Supplemental Health. Health Maintenance Organizations utilization. Equity in the Resource Allocation. |
topic |
Necessidades e Demandas de Serviços de Saúde. Centros de Saúde. Serviços de Saúde utilização. Saúde Suplementar. Sistemas Pré-Pagos de Saúde utilização. Equidade na Alocação de Recursos. Health Services Needs and Demand. Health Centers. Health Services utilization. Supplemental Health. Health Maintenance Organizations utilization. Equity in the Resource Allocation. |
description |
OBJECTIVE: To describe the utilization of basic health units according to coverage by discount card or private health insurance. METHODS: Household survey in the area covered by Family Health Strategy in Pelotas, state of Rio Grande do Sul, Brazil, from December 2007 to February 2008, with persons of all age groups. The frequency of (medical or non-medical) healthcare seeking at the basic health units in the last six months and the prevalence of basic health unit utilization for the last medical consultation (in case it had been performed up to six months before, for a non-routine reason) were analyzed by Poisson regression adjusted for the sampling design. RESULTS: Of the 1,423 persons, 75.6% had no discount card or private health insurance. The average frequency of (medical or non-medical) healthcare seeking was 1.6 times in six months (95%CI 1.3–2.0); this frequency was 55.8% lower (p < 0.001) among privately insured persons compared to those with no discount card or private health insurance. Among the last medical consultations, 35.8% (95%CI 25.4–47.7) had been performed at the basic health units; this prevalence was 36.4% lower (p = 0.003) among persons covered by discount card and 87.7% lower (p = 0.007) among privately insured persons compared to those without both coverages. CONCLUSIONS: Private health insurance and, to a lesser degree, discount card coverage, are related to lower utilization of basic health units. This can be used to size the population under the accountability of each Family Health Strategy team, to the extent that community health workers are able to differentiate discount card from PHI during family registration. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145986 10.11606/S1518-8787.2018052000383 |
url |
https://www.revistas.usp.br/rsp/article/view/145986 |
identifier_str_mv |
10.11606/S1518-8787.2018052000383 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145986/139784 https://www.revistas.usp.br/rsp/article/view/145986/139785 https://www.revistas.usp.br/rsp/article/view/145986/148356 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 55 Revista de Saúde Pública; Vol. 52 (2018); 55 Revista de Saúde Pública; v. 52 (2018); 55 1518-8787 0034-8910 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_ |
1800221799807451136 |