Desigualdades no uso e acesso aos serviços de saúde entre a população idosa do município de São Paulo / Inequalities in use and access to health care services among the elderly population in São Paulo.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Objectives: This research is part of a project called Health, Well-being and Aging in Latin America and the Caribbean, “SABE study”, and aims to study the inequalities in use and access to health care services among the elderly persons in the Municipality of São Paulo, Brazil. Methods: In 2000, 2.143 individuals aged 60 or older, dwelling in the urban area of São Paulo, were interviewed using census sectors with replacement and probability proportional to population. To achieve the desired number of respondents 75 or older, additional homes close to the selected census sector were used, with weighting of the final results. The use and access to health services were measured for outpatient medical services and hospital admission in the context of the personal characteristics of the subjects, context and need for health care. Results: Considering the elderly who needed healthcare assistance in the four months prior to the interview, 4,7% were hospitalized and 64,4% needed ambulatory care, being 24,7% in public hospitals and 24,1% in public ambulatory health services. As for the private services, this number was 14, 5% for hospitals and 33, 7% for medical clinics. In the multivariate analysis, there is an association between use of health services, sex, diseases, wealth quintiles and health insurance. However, the opposite effect was found for the variable “educational level”. Conclusions: The results demonstrate inequalities in use and access to health services and a problematic health care system. Public policies should take into account the different needs of this older population, in order to facilitate access to health care services and reduce inequalities.

ASSUNTO(S)

eqüidade no acesso health services for the aged prestação de cuidados de saúde serviços de saúde para idosos iniqüidade na saúde fatores socioeconômicos acesso aos serviços de saúde regressão logística (saúde pública) assistência ambulatorial saúde do idoso inequalities in health use and access to health care services

ACESSO AO ARTIGO

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