0528/2018 - Falta de acesso e trajetória de utilização de serviços de saúde por idosos brasileiros. Lack of Access and the Path of Healthcare Use by Brazilian Elderly Persons.
O envelhecimento populacional é um fenômeno atual e demanda reconfiguração e ampliação do acesso aos serviços de saúde para a população idosa. Estudo transversal, com amostra representativa de 6.624 idosos brasileiros, que teve como objetivo avaliar o acesso aos serviços de saúde por meio da falta de acesso e da descrição da trajetória do uso em internação, pronto-socorro e consulta médica. As variáveis foram analisadas segundo natureza do financiamento (SUS, convênio e desembolso direto). A prevalência de falta de acesso foi 2,5% (IC95% 1,6;4,0) na internação, 2,1% em pronto-socorro (IC95% 1,4; 3,1), e 0,6% (IC95% 0,3;0,9) no atendimento médico. O SUS foi responsável pela maioria dos atendimentos. Aspectos positivos do SUS foram maior número de atendimentos médicos realizados na cidade de residência e menor frequência de dinheiro gasto no deslocamento. O privado se destacou pela baixa frequência de tempo de espera longo e maior frequência de encaminhamentos para consulta de revisão após internação. Os achados reforçam a importância do SUS na promoção da equidade e universalidade apesar das deficiências existentes. Tanto no sistema público quanto no privado faz-se necessário articulação dos níveis de atenção na perspectiva da integralidade no cuidado ao idoso.
Palavras-chave:
Idoso. Acesso aos Serviços de Saúde. Sistemas de Saúde. Sistema Único de Saúde. Seguro Saúde.
Abstract:
The population ageing requires reconfiguring health services and expansion of access for the elderly population. This is a population-based cross-sectional study with 6,624 brazilian persons over 60 years and aims to evaluate access to healthcare by measuring lack of access and by describing the trajectory until the use of hospitalization, emergency care and medical visit. Those variables were analyzed according to the nature of funding to access the service (SUS, private insurance, cash-pay). The prevalence of lack of access was 2.5% (CI95% 1.6;4.0) for hospitalizations, 2.1% (CI95% 1.4; 3.1) for emergency rooms, and 0.6% (CI95% 0.3;0.9) for medical visits. SUS accounted for most of the care provided. Positive aspects of SUS were the higher number of medical visits in the city of residence and the lower frequency of patients spending money. The private system stands out for the low frequency of long waiting times and higher frequency of referrals to return visits after hospitalization. The findings highlight the importance of SUS in Brazil in promoting equality and universality despite the deficiencies still seen. In both public and private systems, greater articulation among the healthcare levels is required for integral healthcare to elderly persons.
Keywords:
Aged. Health Services Accessibility. Health Systems. Unified Health System. Insurance, Health.
Lack of Access and the Path of Healthcare Use by Brazilian Elderly Persons.
Resumo (abstract):
The population ageing requires reconfiguring health services and expansion of access for the elderly population. This is a population-based cross-sectional study with 6,624 brazilian persons over 60 years and aims to evaluate access to healthcare by measuring lack of access and by describing the trajectory until the use of hospitalization, emergency care and medical visit. Those variables were analyzed according to the nature of funding to access the service (SUS, private insurance, cash-pay). The prevalence of lack of access was 2.5% (CI95% 1.6;4.0) for hospitalizations, 2.1% (CI95% 1.4; 3.1) for emergency rooms, and 0.6% (CI95% 0.3;0.9) for medical visits. SUS accounted for most of the care provided. Positive aspects of SUS were the higher number of medical visits in the city of residence and the lower frequency of patients spending money. The private system stands out for the low frequency of long waiting times and higher frequency of referrals to return visits after hospitalization. The findings highlight the importance of SUS in Brazil in promoting equality and universality despite the deficiencies still seen. In both public and private systems, greater articulation among the healthcare levels is required for integral healthcare to elderly persons.
Palavras-chave (keywords):
Aged. Health Services Accessibility. Health Systems. Unified Health System. Insurance, Health.
Almeida, A.P.S.C, Nunes, B.P, Duro, S.M.S, Lima, R.C.D, Facchini, L.A.. Falta de acesso e trajetória de utilização de serviços de saúde por idosos brasileiros.. Cien Saude Colet [periódico na internet] (2018/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/falta-de-acesso-e-trajetoria-de-utilizacao-de-servicos-de-saude-por-idosos-brasileiros/17061?id=17061
