Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998-2008.
Objective. To analyze the evolution and determinants of income-related inequalities in the Brazilian health system between 1998 and 2008. Methods. Data from the National Household Sampling Surveys of 1998, 2003, and 2008 were used to analyze inequalities in health and health care. Health was measure...
| Publicado en: | Pan American Journal of Public Health Vol. 33; no. 2; pp. 90 - 98 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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World Health Organization
Feb2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=85964278&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 85964278 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Feb2013 vid: 33 iid: 2 pid: 437 pub: World Health Organization artinfo: ui: 85964278 10.1590/S1020-49892013000200003 ppf: 90 ppct: 8 formats: fmt: @attributes: type: P size: 188KB tig: atl: Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998-2008. aug: au: Almeida, Gisele Sarti, Flavia Mori Ferreira, Fernando Fagundes Diaz, Maria Dolores Montoya Campino, Antonio Carlos Coelho affil: Pan American Health Organization, Washington, D.C., United States of America Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, Brazil Faculdade de Economia, Administração e Contabilidade, Universidade de São Paulo, São Paulo, Brazil su: Brazil Dental care Health services accessibility Health status indicators Income Health insurance Health policy Self-evaluation Socioeconomic factors Educational attainment Health equity Questionnaires Research funding Descriptive statistics sug: subj: Dental care Health services accessibility Health status indicators Income Health insurance Health policy Self-evaluation Socioeconomic factors Educational attainment Health equity Brazil Offices of Dentists Dental Equipment and Supplies Manufacturing Dental Laboratories Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Public Health Programs Questionnaires Research funding Descriptive statistics keyword: Equity in access equity in health health policy health systems Brasil Equidad en el acceso equidad en salud política de salud sistemas de salud Equity in access equity in health health policy health systems Brasil Equidad en el acceso equidad en salud política de salud sistemas de salud ab: Objective. To analyze the evolution and determinants of income-related inequalities in the Brazilian health system between 1998 and 2008. Methods. Data from the National Household Sampling Surveys of 1998, 2003, and 2008 were used to analyze inequalities in health and health care. Health was measured by self-reported health status, physical limitations, and chronic illness. Hospitalization and physician and dentist visits were proxies for health care utilization. Income was a proxy for socioeconomic status. Concentration indices were calculated before and after standardization for all dependent variables. Decomposition analysis was used to identify the main determinants of inequality in health care utilization. Results. In all three periods analyzed, the poor reported worse health status, while the wealthy reported more chronic diseases; health care utilization was pro-rich for medical and dental services. Yet, income-related inequality in health care utilization has been declining. Private health insurance, education, and income are the major contributors to the inequalities identified. Conclusions. Income-related inequality in the use of medical and dental health care is gradually declining in Brazil. The decline is associated with implementation of pro-equity policies and programs, such as the Community Health Agents Program and the Family Health Program. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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