Services on Demand
Revista Brasileira de Epidemiologia
On-line version ISSN 1980-5497
PINHEIRO, Rejane Sobrino; TRAVASSOS, Cláudia and GAMERMAN, Dani. Treatment inequity in hip fractures in Rio de Janeiro. Rev. bras. epidemiol. [online]. 2006, vol.9, n.3, pp. 374-383. ISSN 1980-5497. http://dx.doi.org/10.1590/S1415-790X2006000300011.
OBJECTIVE: The aim of this study was to analyze the variations in the surgical use of healthcare services for hip fracture patients, and the occurrence of inequity in the Rio de Janeiro Public Health Sector. METHODS: The Unified Health System Hospital Information System data from hospital records of Rio de Janeiro health services between 1994 and 1995 were analyzed. RESULTS: Multivariate analysis showed that women had a greater chance of surgery (OR=1.53, CI95%1.18-199). The chances of surgery were lower in federal hospitals (OR=0.21, CI95% 0.10-0.41), state hospitals (OR =0.07, CI95% 0.04-0.12), and city hospitals (OR=0.11, CI95% 0.07-0.18), compared with private hospitals hired by the SUS. The chances of surgery were lower in emergency departments (OR=0.31, CI95% 0.19-0.48) and in hospitals located in less deprived areas (OR=1.68, CI95% 1.52-1.86). CONCLUSION: The variation in the hospital market was related to patient and hospital profiles, and the surgical treatment for hip fracture was associated with factors unrelated to need, showing differences in access.
Keywords : Inequity; Health care utilization; Hip fracture; Health service assessment.