Bruno Pereira Nunes1, Thaynã Ramos Flores2, Leila Posenato Garcia3, Alexandre Dias Porto Chiavegatto4, Elaine Thumé5, Luiz Augusto Facchini2. 1. Universidade Federal de Pelotas, Departamento de Enfermagem, Pelotas-RS, Brasil. 2. Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia, Pelotas-RS, Brasil. 3. Instituto de Pesquisa Econômica Aplicada, Diretoria de Estudos e Políticas Sociais, Brasília-DF, Brasil. 4. Universidade de São Paulo, Departamento de Epidemiologia, São Paulo-SP, Brasil. 5. Universidade Federal de Pelotas, Programa de Pós-Graduação em Enfermagem, Pelotas-RS, Brasil.
Abstract
OBJECTIVE: to analyze the time trend on the demand and lack of access to public health services in Brazil. METHODS: this is a panel of cross-sectional studies with data of the National Household Sample Survey (1998, 2003, 2008) and the National Health Survey (2013); the prevalence of demand and lack of access within the fifteen days prior to the survey was estimated; Poisson regression was used for trend analysis. RESULTS: the demand for health services increased from 13.0% (95%CI 12.3;13.7), in 1998, to 15.0% (95%CI 14.5;15.4), in 2013; the lack of access remained stable, being of 3.7% (95%CI 3.2;4.2) in 1998 and 4.5% (95%CI 4.0;5.0) in 2013. CONCLUSIONS: the increase in demand for health services and the stability in the lack of access indicate improvements in the Brazilian public health system performance; additional efforts are required to ensure universal access to public health services in Brazil.
OBJECTIVE: to analyze the time trend on the demand and lack of access to public health services in Brazil. METHODS: this is a panel of cross-sectional studies with data of the National Household Sample Survey (1998, 2003, 2008) and the National Health Survey (2013); the prevalence of demand and lack of access within the fifteen days prior to the survey was estimated; Poisson regression was used for trend analysis. RESULTS: the demand for health services increased from 13.0% (95%CI 12.3;13.7), in 1998, to 15.0% (95%CI 14.5;15.4), in 2013; the lack of access remained stable, being of 3.7% (95%CI 3.2;4.2) in 1998 and 4.5% (95%CI 4.0;5.0) in 2013. CONCLUSIONS: the increase in demand for health services and the stability in the lack of access indicate improvements in the Brazilian public health system performance; additional efforts are required to ensure universal access to public health services in Brazil.
Authors: Daniel Volpato Romagna; Max Moura de Oliveira; Lucas Guimarães Abreu; Caroline Stein; Fernando Neves Hugo; Renato Teixeira; Deborah Carvalho Malta; Mohsen Naghavi; Betine Pinto Moehlecke Iser Journal: Rev Soc Bras Med Trop Date: 2022-01-28 Impact factor: 1.581