Access and health services use by arterial hypertension and diabetes mellitus patients - population-based surveys

• Grant number: 13/26687-2
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate
• Start date: June 01, 2014
• End date: November 30, 2014
• Field of knowledge: Health Sciences - Collective Health - Epidemiology
• Principal Investigator: Moisés Goldbaum
• Grantee: Camila Nascimento Monteiro
• Supervisor: Johan P. Mackenbach
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Institution abroad: Erasmus University Rotterdam (EUR), Netherlands
• Associated to the scholarship: 12/14153-0 - Use of health service by diabetic and hypertensive patients in the city of São Paulo - 2003/2008: population-based surveys, BP.DR

Abstract

Chronic non-communicable diseases, specifically arterial hypertension and diabetes mellitus, represent important health problem in Brazil. The diseases' control is a challenge to Health services. Health services include hospitalization, preventive examinations, vaccination and medicines supply. Hospitalizations represent a significant portion of Health Service, because the complexity of actions and the economic impact. There are strategies to decrease the incidence of hospitalizations for diseases, for example, the vaccination. Vaccination against communicable diseases in diabetes and hypertension patients is an intervention aimed at improving living conditions, which is also related to access to medicines. Since the creation of the Health System in Brazil in 1988 to nowadays, there is an increase in the supply of drugs by the Health Service. For the medicines supply and the monitoring diabetes and hypertension patients are necessary information, the informations can be obtained through Health Surveys. The population-based surveys provide important information about the access and use of Health Services. Information of the Health Services' use by diabetes mellitus and hypertension population and the evaluating of changes since 2003 in the city of São Paulo may provide bases for planning and implementing actions Policies Health. This study aims to analyze the trend of use of health services in this population, to analyse the supply medicines, the vaccination against influenza and pneumonia, and preventive examinations and hospitalization; and to describe sources of payment for Health Services. Data will be used by population-based surveys named ISA - Capital 2003 and ISA-Capital 2008. The surveys were funded by the Municipal Health Secretary of São Paulo and by FAPESP. The association between the variables will be verified by x2 test, the level of significance p <0.05. Prevalence Ratios are calculated by Poisson regression and will be made logistic model using Health Service Use as dependent variable and socio-demographic and socioeconomic characteristics as independent variables. Comparisons will be made between the ISA-Capital 2003, ISA-Capital 2--8 and ISA-Capital 2013 about the use of Health Services by arterial hypertension and diabetes mellitus patients. Data will be analysed by STATA version 12.0. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

MONTEIRO, CAMILA NASCIMENTO; BEENACKERS, MARIELLE A.; GOLDBAUM, MOISES; DE AZEVEDO BARROS, MARILISA BERTI; GIANINI, REINALDO JOSE; GALVAO CESAR, CHESTER LUIZ; MACKENBACH, JOHAN P.. Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003-2008. BMC HEALTH SERVICES RESEARCH, v. 16, DEC 7 2016. (13/26687-2)

MONTEIRO, CAMILA NASCIMENTO; BEENACKERS, MARIELLE A.; GOLDBAUM, MOISES; DE AZEVEDO BARROS, MARILISA BERTI; GIANINI, REINALDO JOSE; GALVAO CESAR, CHESTER LUIZ; MACKENBACH, JOHAN P.. Use, access, and equity in health care services in Sao Paulo, Brazil. Cadernos de Saúde Pública, v. 33, n. 4, 2017. (13/26687-2, 12/14153-0)