Equity of access to outpatient care and hospitalization among older community residents in Brazil

Equity of access to outpatient care and hospitalization among older community residents in Brazil

Author Blay, Sergio L. Autor UNIFESP Google Scholar
Fillenbaum, Gerda G. Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Gastal, Fabio Leite Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Duke Univ
Vet Adm Med Ctr
Abstract Objective: To determine whether, as mandated by Brazilian law, health care (outpatient care, hospitalization) among older community residents is based on health-related criteria and not on other characteristics.Research Design: Cross-sectional, population-representative.Subjects: Multistage, random sample of 7040 household residents aged >= 60 years in the state of Rio Grande do Sul, Brazil.Measures: Structured in-person interviews to determine sociodemographic characteristics, self-reported health conditions, psychiatric status, outpatient service use within the previous 6 months, and number of hospitalizations within the previous 12 months.Results: Seventy two percent reported an outpatient visit, 20% reported hospitalization. in controlled analyses, being female, older, unemployed, having private health insurance, increased the odds of an outpatient visit. Males, older persons, the insured, and more educated were more likely to report hospitalization. Race/ethnicity and religious affiliation were not associated with outpatient or hospital use. Pneumonia, heart disease, and urinary tract infection were particularly associated with both outpatient visits and hospitalization; diabetes, hypertension, and cancer with outpatient visit; stroke, cancer and psychiatric disorder with hospitalization; and heart disease, pneumonia, and psychiatric disorder with multiple hospitalizations.Conclusions: Use of health services did not differ by race/ethnicity or religion, but private health insurance facilitated outpatient access, and increased education facilitated hospitalization. Gender, age, and employment status likely reflected differential health needs. Improved access is needed for older persons lacking private health insurance, and those with little education. Patients with psychiatric problems merit increased attention to reduce excessive hospitalization.
Keywords outpatient care
epidemiologic survey
health care system
Language English
Sponsor National Institute on Aging
Conselho Estadual do Idoso, Secretaria do Trabalho
Cidadania a Assistencia Social
Governo do Estado do Rio Grande do Sul
Grant number National Institute on Aging: IP30 AG028716-01
Date 2008-09-01
Published in Medical Care. Philadelphia: Lippincott Williams & Wilkins, v. 46, n. 9, p. 930-937, 2008.
ISSN 0025-7079 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 930-937
Origin http://dx.doi.org/10.1097/MLR.0b013e318179254c
Access rights Closed access
Type Article
Web of Science ID WOS:000258945400007
URI http://repositorio.unifesp.br/handle/11600/30893

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