Abstract:
OBJECTIVE:To analyze users' reasons for choosing in vitro fertilization treatment in public or private services and to identify their suggestions for improving fertility treatment. METHODS:A qualitative study using an interpretative approach was conducted. Fifteen semi-structured interviews were conducted with patients undergoing in vitro fertilization treatment (nine women, one man and five couples) at home or at their workplace in the districts of Viana do Castelo, Braga, Porto and Lisbon, Portugal, between July 2005 and February 2006. RESULTS:Users evaluated access to in vitro fertilization treatment in public and private services based mainly on their individual experiences and called for more access to less costly, faster and friendlier care with suitable facilities, appropriate time management and caring medical providers. These perceptions were also associated with views on the need for fighting stigmatization of infertility, protecting children's rights and guaranteeing sustainability of health care system. Interviewees sought to balance reduced waiting time and more attentive care with costs involved. The choice of services depended on the users' purchase power and place of residence and availability of attentive care. CONCLUSIONS:Current national policies on in vitro fertilization treatment meet user's demands of promoting access to, and quality, availability and affordability of in vitro fertilization treatment. However, their focus on legal regulation and technical-scientific aspects contrasts with the users' emphasis on reimbursement, insurance coverage and focus on emotional aspects of the treatment. The study showed these policies should ensure insurance coverage, participation of user representatives in the National Council for Assisted Reproductive Technology, promotion of infertility research and certification of fertility laboratories.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Silva S,Barros Hdoi
10.1590/s0034-89102012000200017subject
Has Abstractpub_date
2012-04-01 00:00:00pages
344-50issue
2eissn
0034-8910issn
1518-8787pii
S0034-89102012000200017journal_volume
46pub_type
杂志文章abstract::From January 2001 to October 2002 captures were made in domicile and peridomiciliary areas of 13 cities of region of Cariri, south of the State of Ceará. As results, the occurrence of P. lutzi in this area was noticed, for the first time, in three cities: the presence of one adult in chicken house in Altaneira, one ad...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000400015
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To identify factors that lead people to visit a doctor in Brazil and assess differences between socioeconomic groups. METHODS:A cross-sectional study comprising 1,260 subjects aged 15 or more was carried out in southern Brazil. Demographic, socioeconomic, health needs and regular source of care data were ana...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000300017
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To estimate the test-retest reliability of items of the Resource Generator scale for assessing social capital in the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil). METHODS:The social capital was applied in a subsample of 281 participants from six ELSA investigation centers, on two occasions wit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2013047003805
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of exposure to magnetic fields generated by transmission lines (TL) and characterize the exposed population. METHODS:Information about TL in the metropolitan region of São Paulo, Southeastern Brazil, was provided by the electricity companies and mapped out using geographic informat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000400014
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults. METHODS:This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE). The sample was composed by 911 old...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005416
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To understand the cultural dimensions of HIV/AIDS among adolescent students. METHODS:A cognitive anthropological study was undertaken in Cochabamba (Bolivia), Talca (Chile) and Guadalajara (Mexico), during 2007 and 2008. A total of 184 teenagers (from 14 to 19 years old) were selected by purposeful sampling ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000500007
更新日期:2010-10-01 00:00:00
abstract::The purpose of the study was the identification of risk factors for benign breast diseases (BBD); 257 women with BBD diagnosed through pathological anatomy or cytology and a matched control for each were studied. Subjects were selected at The State University of Campinas Hospital and at a private clinic. To enter the ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101990000500006
更新日期:1990-10-01 00:00:00
abstract::Public health actions endorsed by the federal government, for instance, health promotion initiatives, usually have greater impact at population level compared to other types of initiatives. This commentary aims to instigate debate on the importance and necessity of producing federally endorsed brazilian physical activ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005338
更新日期:2014-08-01 00:00:00
abstract::Meningococcal disease continues to be a great health problem on all continents and the meningococcal vaccines have been proposed for their prevention and epidemic control. The polysaccharide A and C vaccines are relatively efficacious with distinct immunological behavior with regard to the different age groups, howeve...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89101997000400010
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:To describe the steps involved in evidence-based decision making for the implementation of programs aimed at the promotion of physical activity. METHODS:It is a descriptive, cross-sectional study with quali-quantitative approach, held with municipal health secretaries chosen deliberately by regional health r...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000379
更新日期:2018-11-23 00:00:00
abstract:OBJECTIVE:Estimate the prevalence and determinants of tobacco use by students. METHODS:This cross-sectional study, carried out between 2013 and 2014, evaluates 701 public school students between 10 and 79 years of age living in a city in the countryside of the State of Goias, Midwest of Brazil. A structured questionna...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006283
更新日期:2017-05-04 00:00:00
abstract::This communication aimed to analyze the profile variation of disability benefits due to mental disorders. Secondary data published by Brazilian Social Security between 2008 and 2011 were evaluated. Mean annual variation rates over the period were calculated for the economically active population, as were the number in...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048004802
更新日期:2014-02-01 00:00:00
abstract::Traffic accidents and resulting injuries and deaths have become a global epidemic. In Brazil, most professional drivers, especially truck drivers, face irregular working hours and can be awake for more than 18 hours/day, which reduces their performance and alertness. In this article, we discuss the laws related to Bra...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2017051006761
更新日期:2017-03-30 00:00:00
abstract::Comparisons were made among the erythroimmunoadsorption by capture (C-EIA), the immunoenzymatic (ELISA) and passive haemaglutination (P.H.A.) tests used in the diagnosis of neurocysticercosis. The three tests, two of them routine by in diagnosis, and the third one (C-EIA) recently, standardised were compared for the d...
journal_title:Revista de saude publica
pub_type: 临床试验,杂志文章
doi:10.1590/s0034-89101995000200005
更新日期:1995-04-01 00:00:00
abstract::The problem of the preparation of estimates of the total population of geographic subdivisions after the 1980 census is studied with a view to the tabulation on mortality data of Rio de Janeiro State (Brazil) by municipal districts and the estimation of regional mortality rates. In Brazil, the calculation of the offic...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000400001
更新日期:1989-08-01 00:00:00
abstract::The concept of health advocacy is presented by means of a description of its elements, practice and agents. The need to formulate this concept derives from one of the main functions of the university: the identification of social demands and the presentation of alternatives that aim at eliminating obstacles to their f...
journal_title:Revista de saude publica
pub_type: 历史文章,杂志文章
doi:10.1590/s0034-89101996000600014
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To analyze the evolution of the Ministry of Health's spending on drugs. METHODS:The Ministry of Health's total (added) spending on drugs and its (not added) programs' were analyzed between 2002 and 2007. Actions that financed drug acquisition were obtained from the Siga Brasil system and classified according...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009005000041
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To assess the association between pre-gestational obesity and weight gain with cesarean delivery and labor complications. METHODS:A total of 4,486 women 20-28 weeks pregnant attending general prenatal care clinics of the national health system in Brazil from 1991 to 1995 were enrolled and followed up through...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000300014
更新日期:2006-06-01 00:00:00
abstract:INTRODUCTION:Mortality data are important for monitoring violence, making it possible to assess the trends and the impact of interventions towards its reduction. The objective of the study is to assess the quality of the filling out and codification of the death certificates for unspecified accidents and events of unde...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000300008
更新日期:1999-06-01 00:00:00
abstract::OBJECTIVE To describe the patterns of alcohol consumption in Brazilian adolescents. METHODS We investigated adolescents who participated in the Study of Cardiovascular Risks in Adolescents (ERICA). This is a cross-sectional, national and school-based study, which surveyed adolescents of 1,247 schools from 124 Brazilia...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S01518-8787.2016050006684
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas. METHODS:We perf...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2019053001410
更新日期:2019-11-28 00:00:00
abstract:OBJECTIVE:To assess a new impunity index and variables that have been found to predict variation in homicide rates in other geographical levels as predictive of state-level homicide rates in Brazil. METHODS:This was a cross-sectional ecological study. Data from the mortality information system relating to the 27 Brazi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000500001
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To describe situations of alcohol and other drug use involving tourists, and their implications regarding vulnerability to HIV. METHODS:This was an exploratory qualitative study conducted in communities that host tourism in the Vale do Ribeira, State of São Paulo, from October 2002 to February 2003. In the f...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000900013
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:To analyze the association between dietary patterns and oral cancer. METHODS:The study, part of a Latin American multicenter hospital-based case-control study, was conducted in São Paulo, Southeastern Brazil, between November 1998 and March 2002 and included 366 incident cases of oral cancer and 469 controls...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102007000100004
更新日期:2007-02-01 00:00:00
abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400005
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To analyze the monounsaturated and polyunsaturated trans fatty acid intake among the general population. METHODS:A cross-sectional study was conducted in São Paulo, Southeastern Brazil, in 2003, on a representative sample of 2,298 male and female subjects, including 803 adolescents (12 to 19 years), 713 adul...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009005000084
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of mobile ophthalmic unit screenings and to investigate barriers between community care and resolution of the problem at a tertiary center. METHODS:This prospective study evaluated a convenience sample from 10 municipalities in São Paulo State, Brazil. Patients were assessed in ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2018052000589
更新日期:2018-11-29 00:00:00
abstract:OBJECTIVE:To evaluate how the Judicial Power safeguards the social right to pharmaceutical assistance as well as the relationships between the legal and political systems to safeguard this right. METHODS:There were assessed decisions in lawsuits of drug supply in the state of São Paulo, Southern Brazil, between 1997 a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000100014
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To analyze the spatial distribution of leprosy, identify areas of potential case underreporting or high transmission risk, and to assess the ecological association of leprosy distribution with multibacillary cases. METHODS:This study was carried out in 94 neighborhoods of Recife, Brazil. Data was obtained fr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102001000500011
更新日期:2001-10-01 00:00:00
abstract::In the Valdivia (Chile) river basin 1,295 inhabitants of 6 riverside districts were examined between March and October 1987 and showed a 1.2% of prevalence by Diphyllobothrium in the districts of Riñihue and Las Huellas. Prevalence of 5.3% and 9.8% respectively were registered in dogs of the districts of Riñihue and M...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000100007
更新日期:1989-02-01 00:00:00