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Equity of access to outpatient care and hospitalization among older community residents in Brazil.

Publication ,  Journal Article
Blay, SL; Fillenbaum, GG; Andreoli, SB; Gastal, FL
Published in: Med Care
September 2008

OBJECTIVE: To determine whether, as mandated by Brazilian law, health care (outpatient care, hospitalization) among older community residents is based on health-related criteria and not on other characteristics. RESEARCH DESIGN: Cross-sectional, population-representative. SUBJECTS: Multistage, random sample of 7040 household residents aged >or=60 years in the state of Rio Grande do Sul, Brazil. MEASURES: Structured in-person interviews to determine sociodemographic characteristics, self-reported health conditions, psychiatric status, outpatient service use within the previous 6 months, and number of hospitalizations within the previous 12 months. RESULTS: Seventy two percent reported an outpatient visit, 20% reported hospitalization. In controlled analyses, being female, older, unemployed, having private health insurance, increased the odds of an outpatient visit. Males, older persons, the insured, and more educated were more likely to report hospitalization. Race/ethnicity and religious affiliation were not associated with outpatient or hospital use. Pneumonia, heart disease, and urinary tract infection were particularly associated with both outpatient visits and hospitalization; diabetes, hypertension, and cancer with outpatient visit; stroke, cancer and psychiatric disorder with hospitalization; and heart disease, pneumonia, and psychiatric disorder with multiple hospitalizations. CONCLUSIONS: Use of health services did not differ by race/ethnicity or religion, but private health insurance facilitated outpatient access, and increased education facilitated hospitalization. Gender, age, and employment status likely reflected differential health needs. Improved access is needed for older persons lacking private health insurance, and those with little education. Patients with psychiatric problems merit increased attention to reduce excessive hospitalization.

Duke Scholars

Published In

Med Care

DOI

EISSN

1537-1948

Publication Date

September 2008

Volume

46

Issue

9

Start / End Page

930 / 937

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • National Health Programs
  • Morbidity
  • Middle Aged
  • Male
  • Insurance Coverage
  • Humans
  • Hospitalization
  • Healthcare Disparities
  • Health Services for the Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blay, S. L., Fillenbaum, G. G., Andreoli, S. B., & Gastal, F. L. (2008). Equity of access to outpatient care and hospitalization among older community residents in Brazil. Med Care, 46(9), 930–937. https://doi.org/10.1097/MLR.0b013e318179254c
Blay, Sergio L., Gerda G. Fillenbaum, Sergio Baxter Andreoli, and Fábio Leite Gastal. “Equity of access to outpatient care and hospitalization among older community residents in Brazil.Med Care 46, no. 9 (September 2008): 930–37. https://doi.org/10.1097/MLR.0b013e318179254c.
Blay SL, Fillenbaum GG, Andreoli SB, Gastal FL. Equity of access to outpatient care and hospitalization among older community residents in Brazil. Med Care. 2008 Sep;46(9):930–7.
Blay, Sergio L., et al. “Equity of access to outpatient care and hospitalization among older community residents in Brazil.Med Care, vol. 46, no. 9, Sept. 2008, pp. 930–37. Pubmed, doi:10.1097/MLR.0b013e318179254c.
Blay SL, Fillenbaum GG, Andreoli SB, Gastal FL. Equity of access to outpatient care and hospitalization among older community residents in Brazil. Med Care. 2008 Sep;46(9):930–937.

Published In

Med Care

DOI

EISSN

1537-1948

Publication Date

September 2008

Volume

46

Issue

9

Start / End Page

930 / 937

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • National Health Programs
  • Morbidity
  • Middle Aged
  • Male
  • Insurance Coverage
  • Humans
  • Hospitalization
  • Healthcare Disparities
  • Health Services for the Aged