TITLE

Analysis of the evolution and determinants of income-related inequalities in the Brazilian health system, 1998-2008

AUTHOR(S)
Almeida, Gisele; Sarti, Flavia Mori; Ferreira, Fernando Fagundes; Diaz, Maria Dolores Montoya; Campino, Antonio Carlos Coelho
PUB. DATE
February 2013
SOURCE
Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p90
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective. To analyze the evolution and determinants of income-related inequalities in the Brazilian health system between 1998 and 2008. Methods. Data from the National Household Sampling Surveys of 1998, 2003, and 2008 were used to analyze inequalities in health and health care. Health was measured by self-reported health status, physical limitations, and chronic illness. Hospitalization and physician and dentist visits were proxies for health care utilization. Income was a proxy for socioeconomic status. Concentration indices were calculated before and after standardization for all dependent variables. Decomposition analysis was used to identify the main determinants of inequality in health care utilization. Results. In all three periods analyzed, the poor reported worse health status, while the wealthy reported more chronic diseases; health care utilization was pro-rich for medical and dental services. Yet, income-related inequality in health care utilization has been declining. Private health insurance, education, and income are the major contributors to the inequalities identified. Conclusions. Income-related inequality in the use of medical and dental health care is gradually declining in Brazil. The decline is associated with implementation of pro-equity policies and programs, such as the Community Health Agents Program and the Family Health Program.
ACCESSION #
85964278

 

Related Articles

  • Income-related inequality in health and health care utilization in Chile, 2000-2009. Vásquez, Felipe; Paraje, Guillermo; Estay, Manuel // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p98 

    Objective. To measure and explain income-related inequalities in health and health care utilization in the period 2000-2009 in Chile, while assessing variations within the country and determinants of inequalities. Methods. Data from the National Socioeconomic Characterization Survey for 2000,...

  • Measuring and explaining health and health care inequalities in Jamaica, 2004 and 2007. Scott, Ewan; Theodore, Karl // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p116 

    Objective. This study addresses the need to measure and explain the inequalities and inequities of Jamaica's health system to generate evidence to support policy development, monitoring, and evaluation. Methods. The nationally representative Jamaica Survey of Living Conditions data sets for 2004...

  • Equity in health and health care in Peru, 2004-2008. Petrera, Margarita; Valdivia, Martín; Jimenez, Eduardo; Almeida, Gisele // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p131 

    Objective. This study evaluates whether recent positive economic trends and pro-poor health policies have resulted in more health equity and explores key factors that explain such change. Methods. This study focuses on the evolution of measures of health status (self-reported morbidity) and use...

  • Income-related inequalities and inequities in health and health care utilization in Mexico, 2000-2006. Barraza-Lloréns, Mariana; Panopoulou, Giota; Díaz, Beatriz Yadira // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p122 

    Objective. To measure income-related inequalities and inequities in the distribution of health and health care utilization in Mexico. Methods. The National Health Survey (NHS) 2000 and the National Health and Nutrition Survey (NHNS) 2006 were used to estimate concentration indices for health...

  • Colombian health care system: results on equity for five health dimensions, 2003-2008. Gómez, Fernando Ruiz; Jaramillo, Teana Zapata; Beltrán, Liz Garavito // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p107 

    Objective. To assess the change in five health equity dimensions for the Colombian health system: health condition, social health insurance coverage, health services utilization, quality, and health expenditure. Methods. A common standardization methodology was used to assess equity in countries...

  • Socioeconomic inequalities in dental services utilisation in a Norwegian county: The third Nord-Trøndelag Health Survey. Vikum, Eirik; Krokstad, Steinar; Holst, Dorthe; Westin, Steinar // Scandinavian Journal of Public Health;Nov2012, Vol. 40 Issue 7, p648 

    Aim: To assess the level of socioeconomic inequity in dental care utilisation in Norway and enable comparison with recent international comparative studies. Methods: We studied dental care utilisation among 17,136 men and 21,414 women in the third Nord-Trøndelag Health Survey...

  • Socio-economic inequalities in Norwegian health care utilization over 3 decades: the HUNT Study. Vikum, Eirik; Bjørngaard, Johan Håkon; Westin, Steinar; Krokstad, Steinar // European Journal of Public Health;Dec2013, Vol. 23 Issue 6, p1003 

    Background: The aim of this study was to investigate socio-economic inequalities in health care utilization from the 1980s and through the last 3 decades in a Norwegian county population. Methods: Altogether, 166 758 observations of 97 251 individuals during surveys in 1984–86 (83%...

  • Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries. Almeida, Gisele; Sarti, Flavia Mori // Pan American Journal of Public Health;Feb2013, Vol. 33 Issue 2, p83 

    Objective. To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. Methods. Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica,...

  • Income and economic exclusion: do they measure the same concept?  // International Journal for Equity in Health;2012, Vol. 11 Issue 1, p4 

    The article presents a study examining the relation between income and index of economic exclusion and its association with health in Canada. As mentioned, after surveying households in Canada, it was found that economic exclusion is inversely correlated with both individual and household...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics