التفاصيل البيبلوغرافية
| العنوان: |
Impact of health services delivery on hospital admission utilization in Brazil ; Efeito da oferta de serviços de saúde no uso de internações hospitalares no Brasil |
| المؤلفون: |
Castro, Mônica Silva Monteiro, Travassos, Cláudia, Carvalho, Marilia Sá |
| المصدر: |
Revista de Saúde Pública; Vol. 39 No. 2 (2005); 277-284 ; Revista de Saúde Pública; Vol. 39 Núm. 2 (2005); 277-284 ; Revista de Saúde Pública; v. 39 n. 2 (2005); 277-284 ; 1518-8787 ; 0034-8910 |
| بيانات النشر: |
Universidade de São Paulo. Faculdade de Saúde Pública |
| سنة النشر: |
2005 |
| المجموعة: |
Universidade de São Paulo: Portal de Revistas da USP |
| مصطلحات موضوعية: |
Serviços de saúde^i1^sutiliza, Serviços de saúde^i1^sprovisão & distribui, Hierarquia social, Necessidades e demanda de serviços de saúde, Pacientes internados^i1^sestatísticas & dados numéri, Hospitais^i1^sutiliza, Health services^i2^sutilizat, Health services^i2^sdelivery & distribut, Hierarchy^i2^ssoc, Health services needs and demand, Inpatients^i2^sstatistics & numerical d, Hospitals, utilization |
| الوصف: |
OBJECTIVE: To assess hospital services utilization in Brazil incorporating information about health services delivery. METHODS: Data from the National Household Survey carried out by Brazilian Institute of Statistics and Geography (IBGE) in 1998 and from other sources were collected. Hierarchical models having the individual in the first level and the state of residence in the second level were used. Two models were separately adjusted for adults and children: logistic regression was used when to have been or not admitted was the response variable, and Poisson's regression was used when the number of admissions was the response variable. This last model was adjusted only for those individuals who had been admitted at least once. RESULTS: The main determinant of hospital admissions was health need. Poor people were more likely to be admitted when controlling for health needs and enabling factors (health insurance coverage and regular health service). Only 1 to 3% of the variability in hospital admission utilization could be attributed to differences in services delivery at the state level. In the logistic models, the number of beds was positively associated and the number of doctors was negatively associated with the likelihood of admission. Poisson's models did not show any delivery variables associated with the likelihood of admission. CONCLUSIONS: These results suggest a delivery-induced demand impact concerning hospital beds. The inverse association of the number of doctors and hospital admissions suggests the impact of outpatient care on hospital utilization. ; OBJETIVO: Analisar o uso de serviços hospitalares no Brasil, incorporando informações sobre a oferta de serviços de saúde. MÉTODOS: Foram analisados dados da Pesquisa Nacional por Amostra de Domicílios, realizada pelo Instituto Brasileiro de Geografia e Estatística (IBGE) em 1998, e também de outras fontes. Foram utilizados modelos hierárquicos, sendo a pessoa o primeiro nível e a unidade da federação de residência, o segundo. Dois modelos foram ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
Portuguese |
| Relation: |
https://www.revistas.usp.br/rsp/article/view/31864/33825; https://www.revistas.usp.br/rsp/article/view/31864 |
| الاتاحة: |
https://www.revistas.usp.br/rsp/article/view/31864 |
| Rights: |
Copyright (c) 2017 Revista de Saúde Pública |
| رقم الانضمام: |
edsbas.1C54A83F |
| قاعدة البيانات: |
BASE |