获得药品,统一卫生系统和跨部门的不公正
Elba Marina Miotto Mujica1, João Luiz Bastos1,2, Alexandra Crispim Boing1
1Universidade Federal de Santa Catarina. Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.
在巴西,一般处方药的获取率很高,但通过统一卫生系统 (SUS) 的公共获取率很低,有利于边缘化群体. 公共卫生服务是减少健康不平等的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会流行病学 社会流行病学
背景情况:
- 获得处方药对健康结果至关重要.
- 在全球范围内和巴西国内,医疗保健获取方面的不平等仍然存在.
- 了解接入模式对于有效的卫生政策至关重要.
研究的目的:
- 确定巴西一般和公共处方药的普及率 (2019年).
- 确定药物获取中的社会经济和人口不平等.
- 分析跨性别,种族,社会经济地位和领土的访问.
主要方法:
- 分析了2019年国家健康调查数据 (n=19,819).
- 结果:通用接入 (公共,私人,混合) 和通过统一卫生系统 (SUS) 的公共接入.
- 独立变量:性别,肤色/种族,社会经济水平,领土;使用后勤回归.
主要成果:
- 高通用接入率 (84.9%),有利于特权群体 (男性,白人,高SES).
- 通过SUS (30.4%),但受益于边缘化群体 (妇女,黑人,低SES).
- 在人口统计和社会经济因素中观察到显著的不平等.
结论:
- 公众通过SUS获得药物是打击跨部门不平等的重要工具.
- 该SUS作为一个有效的公共政策促进社会正义在巴西的功能.
- 可能需要有针对性的干预措施,以进一步改善公平的药物获取.
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