The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults
The aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor) and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil) aged > or = 60 years (n...
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_ad77832362d1416f89a28dba473ff37a | ||
042 | |a dc | ||
100 | 1 | 0 | |a Maria Fernanda F. Lima-Costa |e author |
700 | 1 | 0 | |a Henrique L. Guerra |e author |
700 | 1 | 0 | |a Josélia O. A. Firmo |e author |
700 | 1 | 0 | |a Pedro G. Vidigal |e author |
700 | 1 | 0 | |a Elizabeth Uchoa |e author |
700 | 1 | 0 | |a Sandhi M. Barreto |e author |
245 | 0 | 0 | |a The Bambuí Health and Aging Study (BHAS): private health plan and medical care utilization by older adults |
260 | |b Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. | ||
500 | |a 0102-311X | ||
500 | |a 1678-4464 | ||
520 | |a The aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor) and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil) aged > or = 60 years (n = 1,742) were selected. From these, 92.2% were interviewed and 85.9% were examined (blood tests and physical measurements). After adjustments for counfounders, those under exclusive public coverage (n = 1,296), compared with those holding a private health plan (n = 310), presented some evidence of having worse health status, reported less visits to a doctor, and used a small number of prescribed medications. The main explanation for the aged holding a private health plan was economic, not health. Even though those who had only public health coverage complained more in relation to medical care (70.9%), an important proportion of the aged with a private health care plan presented some kind of complaint (45.2%). Another worrying factor was the difficulty to acquire medication because of financial problems (47.2 and 25.2% reported, respectively). Further investigations are needed to verify whether our results can be generalized to other communities of the country. | ||
546 | |a EN | ||
546 | |a ES | ||
546 | |a PT | ||
690 | |a aged | ||
690 | |a drugs | ||
690 | |a health services | ||
690 | |a Medicine | ||
690 | |a R | ||
690 | |a Public aspects of medicine | ||
690 | |a RA1-1270 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Cadernos de Saúde Pública, Vol 18, Iss 1, Pp 177-186 | |
787 | 0 | |n http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2002000100018&lng=en&tlng=en | |
787 | 0 | |n https://doaj.org/toc/0102-311X | |
787 | 0 | |n https://doaj.org/toc/1678-4464 | |
856 | 4 | 1 | |u https://doaj.org/article/ad77832362d1416f89a28dba473ff37a |z Connect to this object online. |