Utilization of public and private health services by the population of Belo Horizonte

Castanheira, Carlos Henrique Campos; Pimenta, Adriano Marçal; Lana, Francisco Carlos Félix; Malta, Deborah Carvalho

doi:10.1590/1809-4503201400050020

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Epidemiologia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • Rev. bras. epidemiol. 17 (suppl 1) • 2014 • https://doi.org/10.1590/1809-4503201400050020 copy

Utilization of public and private health services by the population of Belo Horizonte

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To analyze the differences in health services utilization by users of Brazilian Unified Health System (SUS) and beneficiaries of Supplemental Health (SH).

METHODS:

A total of 288 adult subjects, residing in Belo Horizonte, who participated in the VIGITEL telephone survey in 2009, composed the sample, whose variables were analyzed according to the classification as users of SUS or beneficiaries of SH. Prevalence Ratios (PR), adjusted for sex, age and schooling, were calculated to evaluate differences between groups.

RESULTS:

Need and demand for health services were similar between groups, and users of SUS were less successful in obtaining service (PR = 0.78; p = 0.027). Most participants in both groups evaluated the health care received as very good/good without significant differences (72.1% for SUS, 84.0% for SH; p > 0.05).

CONCLUSION:

Although there are differences in the utilization of health services in Belo Horizonte, the service obtained is well rated by both users of SUS and health plans.

Health services accessibility; Health services evaluation; Supplemental health; Unified Health System; Epidemiology; Public health

Variables	Unified Health System			Supplementary Health			p-value*
Variables	n	%	95%CI	n	%	95%CI	p-value*
Sex							0.114
Male	51	48.8	43.4 – 54.3	67	43.0	38.0 – 48.2
Female	71	51.2	45.7 – 56.6	99	57.0	51.8 – 62.0
Age group							< 0.001
18 – 24	17	17.5	13.7 – 22.1	17	13.0	9.8 – 16.1
25 – 34	28	30.3	25.5 – 35.5	23	17.6	13.9 – 21.9
35 – 44	23	16.1	12.4 – 20.5	36	21.0	17.1 – 25.6
45 – 54	24	16.8	13.1 – 21.3	30	17.0	13.5 – 21.3
55 – 64	14	10.5	7.5 – 14.3	25	15.1	11.7 – 19.2
≥ 65	16	8.8	6.1 – 12.5	35	16.3	12.7 – 20.5
Schooling (years)							< 0.001
0 – 8	56	47.1	41.7 – 52.6	41	31.8	27.2 – 36.8
9 – 11	50	38.7	33.5 – 44.1	58	32.3	27.7 – 37.3
≥ 12	14	14.2	10.8 – 18.5	66	35.9	31.1 – 41.0
Marital status							< 0.001
Single	52	54.0	48.5 – 59.4	51	32.1	27.4 – 37.1
Married	52	37.7	32.6 – 43.1	85	55.7	50.5 – 60.8
Separated	7	2.5	1.2 – 5.0	11	4.7	2.9 – 7.5
Widow	11	5.8	3.6 – 9.0	19	7.5	5.2 – 10.8
Skin color							< 0.001
White	42	37.1	32.0 – 42.5	104	59.7	54.6 – 64.7
Black	8	5.7	3.6 – 8.9	9	6.3	4.1 – 9.3
Mulatto	70	55.6	50.1 – 60.9	53	34.0	29.3 – 39.1
Yellow (Asian)	2	1.6	0.6 – 3.8	0	0.0	-

Variables	Unified Health System			Supplementary Health			p-value*
Variables	n	%	95%CI	n	%	95%CI	p-value*
Need for health care in the past two weeks	42	28.0	23.3 – 33.1	38	19.9	16.0 – 24.4	0.012
Searched for care due to this problem	35	84.9	76.4 – 91.7	36	90.7	81.6 – 96.1	0.288
Place to look for assistance							< 0.001
UBS/SH doctors’ office	29	83.2	72.7 – 90.2	16	46.0	33.3 – 58.9
Emergency room/Hospital/Emergency Unit of SUS/Private clinic	6	16.8	9.8 – 27.3	18	54.0	41.1 – 66.7
Success in the 1st attempt of looking for assistance	27	77.2	66.8 – 86.1	35	96.9	89.7 – 99.6	0.001
At this moment, request or performance of
Laboratory exams	18	60.7	47.8 – 73.3	16	40.4	28.0 – 52.8	0.016
Radiology exams	20	72.0	59.6 – 83.1	18	49.0	36.3 – 61.5	0.007
Imaging exams (ECG, EEG)	10	31.6	20.8 – 45.0	11	25.3	15.8 – 38.0	0.017
Referral to an expert/another service	13	51.6	38.6 – 64.6	10	28.8	18.4 – 41.4	0.008
Assessment of this first care							0.098
Very good/good	20	72.1	59.6 – 83.1	30	84.0	73.6 – 92.4
Regular/poor	7	27.9	16.9 – 40.4	5	16.0	7.6 – 26.4
How long since last routine examination/check-up							0.001
Less than one year	58	50.6	44.9 – 56.4	103	61.6	56.3 – 66.7
More than one year	51	49.4	43.6 – 55.1	56	38.4	33.4 – 43.7

Variables	Supplementary Health			Unified Health System
Variables	PR	95%CI	p-value	PR	95%CI	p-value
Need for health care in the past two weeks	1.00	-	-	1.41	0.89 – 2.24	0.143
Searched for care due to this problem	1.00	-	-	0.91	0.76 – 1.09	0.307
Searched for care in the UBS/SH office	1.00	-	-	11.92	3.29 – 43.24	< 0.001
Success in the 1^stattemp of looking for assistance	1.00	-	-	0.78	0.62 – 0.97	0.027
At this moment, request or performance of
Laboratory exams	1.00	-	-	1.40	0.83 – 2.36	0.201
Radiology exams	1.00	-	-	1.41	0.89 – 2.23	0.144
Imaging exams (ECG, EEG)	1.00	-	-	1.05	0.44 – 2.47	0.917
Referral to an expert/another service	1.00	-	-	2.11	1.08 – 4.11	0.027
Positive assessment of assistance	1.00	-	-	0.80	0.59 – 1.07	0.130
Routine examination/check-up in less than one year	1.00	-	-	1.12	0.81 – 1.54	0.493

Associação Brasileira de Saúde Coletiva Av. Dr. Arnaldo, 715 - 2º andar - sl. 3 - Cerqueira César, 01246-904 São Paulo SP Brasil , Tel./FAX: +55 11 3085-5411 - São Paulo - SP - Brazil
E-mail: revbrepi@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Adriano Marçal Pimenta. Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Avenida Alfredo Balena, 190, 4º andar, sala 422, Santa Efigênia, CEP: 30130-100, Belo Horizonte, MG, Brasil. E-mail: adrianomp@ufmg.br