0420/2017 - The relationship between private health plans and use of medical and dental health services in the Brazilian health system. A relação entre planos privados de saúde e uso de serviços medicos e odontológicos no sistema de saúde Brasileiro.
O objetivo deste estudo foi descrever os locais usados na última visita a serviços médicos e odontológicos no Brasil em relação a posse de plano privados de saúde, e examinar o efeito de estar cadastrado na Estratégia de Saúde da Família (ESF). Este é um estudo transversal que utiliza dados da Pesquisa Nacional de Amostra Domiciliar (PNAD) de 2008 no Brasil. Regressão logística multinomial foi realizada para analisar a influência da posse de plano privado de saúde e o cadastro na ESF no uso do serviço de saúde. Os resultados mostraram que os indivíduos com plano de saúde tendem a usar mais os serviços médico-odontológicos do que indivíduos sem plano privado. Porém, muitos indivíduos com planos usam serviços públicos ou privados com pagamento direto, principalmente para serviços odontológicos. Dentre indivíduos sem plano, estar cadastrado na ESF reduziu as chances de uso de serviços privados com pagamento direto, independente de idade, renda e nível educacional. Estar cadastrado na ESF aumentou o uso de serviços públicos e o efeito foi mais forte dentre indivíduos com planos privados. Políticas para fortalecer a atenção primária à saúde e expandir a ESF devem ser incentivadas.
Palavras-chave:
Sistemas de Saúde; Seguro Saúde; Saúde da Família; Atenção Primária à Saúde
Abstract:
To describe the last place of medical and dental health service used in relation to private health plans, and examine the effect of being registered in the primary healthcare system through the Family Health Strategy (FHS). This was a cross-sectional study using dataBrazil’s 2008 National Household Survey. Multinomial logistic regression was performed to analyze how a private health plan and enrollment in the FHS influenced the use of health services. Results showed that individuals with a private health plan tend to use medical and dental services more than individuals without such a plan. However, many individuals with a private health plan used public services or paid out-of-pocket services, mainly for dental care. Among individuals without a private plan, being enrolled in the FHS reduced the use of out-of-pocket private services, regardless of age, income or educational level. Enrollment in the FHS increased the chances of using public services, and the effect of this enrollment is greater among those who have a private plan. Policies to strengthen public primary healthcare and to expand the FHS should be encouraged within the universal health system.
Keywords:
health systems; health insurance; family health; primary healthcare
A relação entre planos privados de saúde e uso de serviços medicos e odontológicos no sistema de saúde Brasileiro.
Resumo (abstract):
To describe the last place of medical and dental health service used in relation to private health plans, and examine the effect of being registered in the primary healthcare system through the Family Health Strategy (FHS). This was a cross-sectional study using dataBrazil’s 2008 National Household Survey. Multinomial logistic regression was performed to analyze how a private health plan and enrollment in the FHS influenced the use of health services. Results showed that individuals with a private health plan tend to use medical and dental services more than individuals without such a plan. However, many individuals with a private health plan used public services or paid out-of-pocket services, mainly for dental care. Among individuals without a private plan, being enrolled in the FHS reduced the use of out-of-pocket private services, regardless of age, income or educational level. Enrollment in the FHS increased the chances of using public services, and the effect of this enrollment is greater among those who have a private plan. Policies to strengthen public primary healthcare and to expand the FHS should be encouraged within the universal health system.
Palavras-chave (keywords):
health systems; health insurance; family health; primary healthcare
Pilotto, L, Celeste, R.K.. The relationship between private health plans and use of medical and dental health services in the Brazilian health system.. Cien Saude Colet [periódico na internet] (2017/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/the-relationship-between-private-health-plans-and-use-of-medical-and-dental-health-services-in-the-brazilian-health-system/16472?id=16472
