Abstract：
:Although most childbirth care in Brazil is financed by the Brazilian Unified National Health System (SUS), there are out-of-pocket expenditures (private personal costs) involved in births. This study aims to compare maternal out-of-pocket expenditures in births of children from the Pelotas Birth Cohorts of 2004 and 2015. The study drew on information collected right after birth and at three months of age. The target variables include sociodemographic and economic data, private health plan coverage, and expenditures related to the birth. Values from 2004 were adjusted to 2015 by the general price index. There was an increase in private health plan coverage from 33.4% (95%CI: 31.9-34.9) to 45.1% (95%IC: 43.6-46.7) in the target period, directly associated with the families' socioeconomic status (p < 0.001). There was an increase in mean expenditures on hospitalization for the birth, from BRL 60.38 (SD = 288.66) to BRL 171.15 (SD = 957.07), and in additional medical expenditures, from BRL 191.60 (SD = 612.86) to BRL 1,424.80 (SD = 4,459.16) among mothers admitted to hospital under their private health plans (and there was no significant difference in these expenditures for mothers that opted for direct payment). There was an important increase in expenditures for childbirth care, especially among mothers admitted to hospital under private health plans.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Guttier MC,Tejada CAO,Wehrmeister FC,Silveira MF,Domingues MR,Barros AJD,Santos IS,Matijasevich A,Bassani DG,Bertoldi ADdoi
10.1590/0102-311x00120019subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e00120019issue
7eissn
0102-311Xissn
1678-4464pii
S0102-311X2020000705001journal_volume
36pub_type
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