Abstract
Compare the demand and use of health services between 2013 and 2019, and analyze the associated sociodemographic and health variables in 2019. Cross-sectional study with data from the National Health Survey (PNS) 2013 and 2019. The prevalence and 95% confidence intervals (95% CI) for the demand and use of health services were estimated. In 2019, the differences in the indicators were analyzed according to sociodemographic variables and the crude and adjusted by sex and age prevalence ratios (RP) were estimated. There was an increase of 22% in the demand for health care in the last two weeks, going from 15.3% (95%CI 15.0-15.7) in 2013 to 18.6% (95%CI 18.3-19.0) in 2019. There was a reduction in use in the last two weeks, from 97% (95%CI 96.6-97.4) in 2013 to 86.1% (95%CI 85.4-86.8) in 2019, which was observed for most Federation Units. In 2019, the demand for care was greater among women, the elderly, those with high schooling, individuals with health insurance and poor self-rated health. They obtained greater access to health services in the fifteen days prior to the survey: men, children or adolescents up to 17 years of age, people with health insurance and poor health self-assessment. The demand for health services has grown and reduced access in the last 15 days between 2013 and 2019. These differences may have been exacerbated by the austerity measures implemented in the country.
Highlights
Access to health services is a constitutional right of the Brazilian population, guaranteed with the creation of the Unified Health System (SUS)[1,2,3]
Between 1998 and 2013, there was an increase in access to health services, indicating advances in the performance of the public health system[4,5], as a result of the expansion and consolidation of the SUS
In 2019, 18.6% sought health services, 73.6% were attended in the first time, 2.4% did not go, and 24% were scheduled for another date/place
Summary
Access to health services is a constitutional right of the Brazilian population, guaranteed with the creation of the Unified Health System (SUS)[1,2,3]. The use of health services is an important object of investigation in population surveys, aiming to capture the demand of users regarding health needs[6,7]. Access is understood as an important determinant of use; the effective use of health services results from a multiplicity of conditions, which include health needs, self-care or the existence of the disease, as well as the severity and urgency of this health problem[7,8,9]
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Schedule a callMore From: Revista brasileira de epidemiologia = Brazilian journal of epidemiology
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