Outpatient health service utilization and associated factors: a population-based study.

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 analyzed concerning visits to a doctor within two months from the interview. Adjusted prevalence ratios and 95% confidence intervals were calculated using Poisson regression. RESULTS:Adjusted PR showed that women having stressful life events, health insurance, and a regular doctor increased the outcome. A dose-related response was found with self-reported health, and the probability of visiting a doctor increased with health needs. Analysis in the chronic disease group revealed that uneducated lower income subjects had a 62% reduction in the chance of visiting a doctor compared to uneducated higher income ones. However, as it was seen a significant interaction between income and education, years of schooling increased utilization in this group. CONCLUSIONS:Results suggest the existence of health inequity in the poorest group that could be overcome with education. Specific measures reinforcing the importance of having a regular doctor may also improve access in the underserved group.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Mendoza-Sassi R,Béria JU,Barros AJ

doi

10.1590/s0034-89102003000300017

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

372-8

issue

3

eissn

0034-8910

issn

1518-8787

pii

S0034-89102003000300017

journal_volume

37

pub_type

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