Abstract
The scope of this study was to establish the influence of the Family Healthcare Strategy (FHS) in the use of health services for Brazilian children under 5 years of age interviewed in the 2013 National Health Survey (NHS). The Propensity Score Matching (PSM) method was used to correct the lack of comparability between the groups of children under scrutiny. The PSM was estimated by logistic regression and reflects the conditional probability of receiving registration in the FHS given a set of covariates that depict the socioeconomic, demographic, sanitary and health aspects of children and families who comprise same. The prevalence of medical visits and hospitalizations were estimated and incorporate the effects of the complex sample of NHS on all phases of analysis. It was found that children living in households with FHS coverage have worse socioeconomic, sanitary and health conditions, although they had options of medical appointments and hospitalizations close to the children without this healthcare link. The data suggest that the FHS can correct individual and contextual inequalities that impact the health of Brazilians by promoting the use of health services for children even when they have worse living and health conditions.
Highlights
Resumo Este estudo verificou a influência da Estratégia Saúde da Família (ESF) no uso de serviços de saúde por crianças brasileiras menores de 5 anos de idade entrevistadas na Pesquisa Nacional de Saúde (PNS) 2013
The scope of this study was to establish the influence of the Family Healthcare Strategy (FHS) in the use of health services for Brazilian children under 5 years of age interviewed in the 2013 National Health Survey (NHS)
The Propensity Score Matching (PSM) was estimated by logistic regression and reflects the conditional probability of receiving registration in the FHS given a set of covariates that depict the socioeconomic, demographic, sanitary and health aspects of children and families who comprise same
Summary
Esses dois indicadores foram obtidos a partir da conversão do número de consultas e internações hospitalares em variáveis dicotômicas (Sim = 1 ou Não = 0), sendo que em ambos os desfechos a realização de ≥ 1 consulta médica ou ≥ 1 internação hospitalar foi considerada como resposta afirmativa. A hipótese a ser testada foi de que crianças menores de 5 anos de idade residentes em domicílios cadastrados na ESF realizaram maior número de consultas médicas nos 12 meses anteriores à entrevista na PNS e que houve benefícios à saúde desses moradores associados a esse cadastrado que fizeram eles terem menores chances de internação por mais de 24 horas, também no mesmo período que antecedeu a entrevista na PNS
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call