Socioeconomic inequities in specialized health services use following COVID-19 in individuals from Southern Brazil

被引:2
作者
Vieira, Yohana Pereira [1 ]
Rocha, Juliana Quadros Santos [1 ]
Dutra, Rinelly Pazinato [2 ]
Nunes, Lorrany da Silva [3 ]
Duro, Suele Manjourany Silva [3 ]
Saes, Mirelle de Oliveira [1 ]
机构
[1] Fed Univ Rio Grande, Postgrad Programme Hlth Sci, Rio Grande, RS, Brazil
[2] Fed Univ Rio Grande, Postgrad Programme Publ Hlth, Rio Grande, RS, Brazil
[3] Univ Fed Pelotas, Postgrad Programme Nursing, Pelotas, Brazil
关键词
Health Services; Health Status Disparities; Health Inequality Monitoring; COVID-19; Brazil; Access; ACCESS; CARE; SYSTEM; INEQUALITIES; MUNICIPALITIES; PROVISION;
D O I
10.1186/s12913-023-09476-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundEvidence on inequalities in the health services use is important for public policy formulation, even more so in a pandemic context. The aim of this study was to evaluate socioeconomic inequities in the specialized health use services according to health insurance and income, following COVID-19 in individuals residing in Southern Brazil.MethodsThis was a cross-sectional telephone survey with individuals aged 18 years or older diagnosed with symptomatic COVID-19 using the RT-PCR test between December 2020 and March 2021. Questions were asked about attendance at a health care facility following COVID-19, the facilities used, health insurance and income. Inequalities were assessed by the following measures: Slope Index of Inequality (SII) and Concentration Index (CIX). Adjusted analyses were performed using Poisson regression with robust variance adjustment using the Stata 16.1 statistical package.Results2,919 people (76.4% of those eligible) were interviewed. Of these, 24.7% (95%CI 23.2; 36.3) used at least one specialized health service and 20.3% (95%CI 18.9; 21.8) had at least one consultation with specialist doctors after diagnosis of COVID-19. Individuals with health insurance were more likely to use specialized services. The probability of using specialized services was up to three times higher among the richest compared to the poorest.ConclusionsThere are socioeconomic inequalities in the specialized services use by individuals following COVID-19 in the far south of Brazil. It is necessary to reduce the difficulty in accessing and using specialized services and to extrapolate the logic that purchasing power transposes health needs. The strengthening of the public health system is essential to guarantee the population's right to health.
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页数:9
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