scholarly journals Socioeconomic status and perinatal outcomes in a setting with universal access to essential health care services

2007 ◽  
Vol 177 (6) ◽  
pp. 583-590 ◽  
Author(s):  
K.S. Joseph ◽  
Robert M. Liston ◽  
Linda Dodds ◽  
Leanne Dahlgren ◽  
Alexander C. Allen
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Universal Access ◽  
Perinatal Outcomes ◽  
Care Services

scholarly journals Socioeconomic inequalities in the access to and quality of health care services

2014 ◽  
Vol 48 (6) ◽  
pp. 968-976 ◽  
Author(s):  
Bruno Pereira Nunes ◽  
Elaine Thumé ◽  
Elaine Tomasi ◽  
Suele Manjourany Silva Duro ◽  
Luiz Augusto Facchini
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Access To Health Services ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Access To Health ◽  
To Receive ◽  
Use Of Health Care

OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.

scholarly journals Impact of socioeconomic status on the course of rheumatoid arthritis and on related use of health care services

2003 ◽  
Vol 49 (4) ◽  
pp. 567-573 ◽  
Author(s):  
Catharina E. Jacobi ◽  
Geert D. Mol ◽  
Hendriek C. Boshuizen ◽  
Ines Rupp ◽  
Huibert J. Dinant ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Care Services ◽  
Use Of Health Care

Socioeconomic Status and Utilization of Health Care Services in Canada and the United States

Medical Care ◽  
2009 ◽  
Vol 47 (11) ◽  
pp. 1136-1146 ◽  
Author(s):  
Debra L. Blackwell ◽  
Michael E. Martinez ◽  
Jane F. Gentleman ◽  
Claudia Sanmartin ◽  
Jean-Marie Berthelot
Keyword(s):  
United States ◽  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
The United States ◽  
Care Services

Socioeconomic Status and Utilization of Health Care Services Among Asthmatic Children

2002 ◽  
Vol 39 (7) ◽  
pp. 625-631 ◽  
Author(s):  
Devendra Krishna Amre ◽  
Claire Infante-Rivard ◽  
Denyse Gautrin ◽  
Jean-Luc Malo
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Asthmatic Children ◽  
Care Services

scholarly journals Perceptions and utilisation of complementary and alternative medicine practices among hospital patients in Bangladesh

2021 ◽  
Author(s):  
MD. SHAHJALAL ◽  
Jeffrey Gow ◽  
Md. Ashfikur Rahman ◽  
Md. Jakir Hossain ◽  
Md. Nafiul Alam Khan ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Services ◽  
Universal Access ◽  
Health Benefits ◽  
Cross Sectional ◽  
Care Services ◽  
Complementary And Alternative

Abstract Background Complementary and alternative medicine (CAM) has played an important role in providing universal access to essential health care services globally. Conventional medicine (CM) driven health care practices are well-developed in Bangladesh; however, millions of people utilise CAM-based healthcare services for specific health conditions or health benefits due to high out-of-pocket payment (74%) in Bangladesh, while the global average is only 32%. Lack of evidence exists about the perception and utilisation of CAM in Bangladesh. This study aimed to estimate the prevalence correlates of the perception and utilisation of CAM among patients who received health care at a tertiary hospital, Bangladesh. MethodsThis study comprised a cross-sectional study with 1,183 individuals from the cross-sectional survey among patients who received health care from Government Unani and Ayurvedic Medical College Hospital in Dhaka, Bangladesh. Logistic regression analyses were employed to estimate the adjusted effect of independent factors on CAM health care services utilisation. Results Thirty-three percent of patients utilised CAM health care services, while 67% of patients sought conventional treatment before turning to CAM. CAM health care utilisation was significantly associated with young adult patients aged 26 to 45 years (AOR=6.26, 95% CI:3.24-12.07), patients without education (AOR=2.99, 1.81-4.93), and being married (AOR=1.79, 1.08-2.97). The apparent effectiveness, lower side effects, adequate patient satisfaction, and recommendations from others were the most prevalent reasons for using CAM.ConclusionCM plays a dominant role in health care provision in Bangladesh, with high-level patient satisfaction and health benefits. These results could be valuable for health policymakers as they explore prospects for integrating CAM and conventional medical services.

scholarly journals UNIVERSALIDADE DO ATENDIMENTO À SAÚDE NO BRASIL: impasses e perspectivas

2016 ◽  
Vol 20 (1) ◽  
pp. 201
Author(s):  
Janine Vieira Teixeira ◽  
César Albenes de M. Cruz ◽  
Ana Paula Azevedo
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Universal Access ◽  
Health Care Financing ◽  
Political Consequences ◽  
Care Services ◽  
Unified Health System

O artigo discute sobre o acesso universal e o seu impedimento no âmbito do sistema de saúde brasileiro. Considera que o SUS tem sido atingido por ações administrativas comprometidas com a gestão capitalista, o que inviabiliza sua plena implementação. Destaca que o acesso universal enfrenta problemas como a dicotomia entre as ações curativas e as ações preventivas, e que as alterações na Lei Orgânica da Saúde e na Constituição de 1988, para introdução do capital estrangeiro, promovem atrasos que fazem com que o sistema seja derrotado, inclusive em seu sentido simbólico. Mostra que o aumento da participação da iniciativa privada na saúde, além de retardar todo processo de construção plena do SUS, traz ainda consequências políticas, pois as empresas de saúde são financiadoras de campanhas eleitorais. O Estado prioriza o repasse de dinheiro público para o setor privado. Conclui que os gastos públicos com a saúde, representados no PIB, não chegam à metade dos gastos totais em saúde. Mesmo assim, os recursos são gastos somente com a parcela mais pobre da população.Palavras-chave: Sistema Único de Saúde (Brasil), Financiamento da Assistência à Saúde, Acesso Universal aos Serviços de Saúde.HEALTH SERVICES ACCESSIBILITY IN BRAZIL: impasses and perspectives Abstract: The article discusses on the universal access to the Brazilian health system and its impediment. The Unified Health System (Sistema Único de Saúde; SUS) has been administrated by actions committed to capitalist management which impedes its full implementation. The universal access face problems as the dichotomy between the curative and preventive actions. The changes in the Health Law and in the Constitution (1988), for the introduction of the foreign capital, promote delays that cause failure in the system and leads to a defeated in the hearts and minds of the Brazilians. The increase in the private sector participation brings political consequences to the health system, because healthcare companies finance election campaigns. The state prioritizes the transfer of public money to the private sector. It concludes that public spending with health represented in the Gross National Product (Produto Interno Bruto, PIB) do not reach half of the total spending on health. Nevertheless, resources are expended only with the poorest part of the population. Key words: Unified Health System, Health care Financing, Universal access to Health Care services.

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