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Published on: September 30, 2020
[Ambulatory care utilization in the past 15 years: comparison between two population-based studies]
Gisele Alsina Nader Bastos1, Iná S Santos, Juvenal Soares Dias da Costa
1Programa de Pós-Graduação em Epidemiologia da Faculdade de Medicina da Universidade Federal de Pelotas, Pelotas, RS. gnader@terra.com.br
Summary
Brazilian healthcare utilization increased significantly between 1992 and 2007, with notable rises in preventive consultations, especially among men. However, equitable access to authorized services remains a challenge for black/brown populations.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- The Brazilian health system has undergone substantial transformations over recent decades.
- Understanding changes in healthcare utilization is crucial for policy development.
Purpose of the Study:
- To compare healthcare utilization patterns in Pelotas, Brazil, between 1992 and 2007.
- To identify demographic and service-related changes in health-seeking behaviors.
Main Methods:
- Cross-sectional population-based studies conducted in 1992 (n=1,657) and 2007 (n=2,706).
- Analysis of individuals aged 20-69 years, focusing on consultation prevalence, place, and reason.
- Stratification of data by gender and race/ethnicity.
Main Results:
- Overall healthcare utilization increased, with annual consultations rising from 69.8% to 76.2% and 3-month consultations from 39.5% to 60.6%.
- Authorized services absorbed most public demand, but black/brown individuals predominantly continued using public services.
- Preventive consultations saw a significant increase, particularly among men aged 20-39 years.
Conclusions:
- Brazilian healthcare utilization has markedly increased, driven by greater access to authorized services.
- Disparities in service utilization persist, with black/brown populations showing lower uptake of authorized services.
- The rise in preventive care, especially among younger men, indicates a potential shift in health-seeking behaviors.
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