Prevalence of having a regular doctor, associated factors, and the effect on health services utilization: a population-based study in Southern Brazil
Cad. saúde pública
; 19(5): 1257-1266, set.-out. 2003. ilus, tab
Artículo
en Inglés
| LILACS
| ID: lil-349734
Biblioteca responsable:
BR526.1
RESUMO
In order to assess the prevalence of having a regular doctor, associated factors, and the effects on health services utilization, a cross-sectional study was performed in Rio Grande, Brazil, from January to May 2000. A total of 1,260 individuals 15 years or over were interviewed. Adjusted prevalence ratios and 95 percent confidence intervals were calculated, using a Poisson regression model. Some 37 percent of the sample had a regular doctor. Adjusted analysis revealed a direct and linear association with income. Female gender, age, private health insurance coverage, and chronic health problems were also associated with the outcome. Having a regular physician was associated with a 51 percent increase in clinical breast examination and a 62 percent increase in cervical cancer screening during the previous year, as well as a 98 percent increase in prostate cancer screening in the previous year in men 40 years or over. The study concluded that the prevalence of having a regular doctor in Brazil is low and is directly associated with socioeconomic factors. Individuals with a regular physician tend to have better access to health services. The promotion of consultation with a regular doctor among the population may improve health care quality and health services access, particularly in the poorest groups
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Meta 3.8 Alcanzar cobertura universal de salud
/
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
Problema de salud:
Coordinación Multisectorial
/
Objetivo 11: Desigualdades e inequidades en la salud
/
Meta 3.8: Alcanzar cobertura universal de salud
Base de datos:
LILACS
Asunto principal:
Prevalencia
/
Atención al Paciente
/
Promoción de la Salud
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Aspecto:
Determinantes sociales de la salud
/
Equidad y inequidad
/
Investigación de implementación
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Cad. saúde pública
Asunto de la revista:
Salud Pública
/
Toxicología
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Fundação Universidade Federal do Rio Grande/BR
/
Universidade Federal de Pelotas/BR