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Demand for nutritional ambulatory care in a health insurance plan

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Author(s):
Greice Maria Mansini dos Santos
Total Authors: 1
Document type: Master's Dissertation
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Conjunto das Químicas (IQ e FCF) (CQ/DBDCQ)
Defense date:
Examining board members:
Denise Cavallini Cyrillo; Cristina Guimarães Rodrigues; Oswaldo Yoshimi Tanaka
Advisor: Denise Cavallini Cyrillo
Abstract

Introduction - The Brazilian private health sector regulatory agency determined, back in 2008, that the insurance plans should offer six nutrition consultations. Objective - To assess the nutrition consultations demand determinants in health insurance plan between 2009 and 2011. Methods - This is retrospective study performed using data from Sabesp Previdência. We used Tobit model to analyze the expenditure on nutritional consultations and tested demographic, socioeconomic, health status and family influence variables. Results - Family influence, sex, marital status, education and health status were the expenditure main. Income elastic of demand, although statistically significant, wasn\'t expressive when compared to other variables effects. Age had no significant impact on individual nutrition consultation expenditure. The low probability of having expends with nutrition consultations showed it is an underutilized service. Conclusion- The results highlighted the need to stimulate the demand for nutrition consultations, in concordance with a disease prevention, health promotion and healthcare care reduction perspective in private health care sector. (AU)

FAPESP's process: 10/03753-1 - Demand for nutritional care in a health insurance plan.
Grantee:Greice Maria Mansini dos Santos
Support Opportunities: Scholarships in Brazil - Master