The equity of admissions to the university hospital of Brasilia
MetadataShow full item record
Copyright © 2015 Australasian Medical Journal
Background: Brazil has a highly stratified population with large socioeconomic disparities, as evidenced by marked differentiation in health status and access to health services by the population. In addition, the fact that the universal national health care system and a liberalised private care model exist side by side leads to increasingly inequitable health outcomes. Aims: This study aims to appraise the equity of access to the University Hospital in Brasilia, Brazil, in 2013. Methods: This study was a quantitative analysis of hospital admissions data. The sample included all patients admitted over a six-month period in 2013. Patient data was crossed with socioeconomic data (income and private health insurance status). Frequency tabulations and chi-square calculations were used to describe the patient mix, observe trends and appraise equity of admissions. Results: Analysis of the data showed that the number of patients from each neighbourhood relative to the neighbourhood population was equitable. However, when assessed on the basis of insurance status (i.e., deducting the population covered by private health insurance), a high level of inequity was detected (chi-square 71.828, df 3, p<0,0001) whereby patients from wealthier neighbourhoods were over represented compared to those from poorer neighbourhoods. Conclusion: This study has shown that access to the University Hospital in Brasilia is not equitable when individual access to private health care is accounted for. The results show that dual access to both public and private health care is likely to be common, increasing some of the population’s access to health care while decreasing access for others, and therefore contributing to inequity of access to health care services.
Showing items related by title, author, creator and subject.
Kisley, S.; Smith, M.; Lawrence, David; Cox, M.; Campbell, L.; Maaten, S. (2007)Background: Although universal health care aims for equity in service delivery, socioeconomic status still affects death rates from ischemic heart disease and stroke as well as access to revascularization procedures. We ...
A phenomenological study of the health-care related spiritual needs of multicultural Western AustraliansHawley, Georgina (2002)This study was designed to identify the spiritual needs of multicultural Australians with a health problem, in order to understand the educational implications for health care professionals. The rationale for the research ...
Thoresen, Stian; Fielding, Angela (2010)Objective. To investigate the impact of the universal health care policy from the perspective of Thai health care professionals. Methods. Semi-structured interviews with purposively selected health care professionals and ...