巴西卫生服务利用的患病率：系统评价与荟萃分析。
Prevalence of health services utilization in Brazil: a systematic review and meta-analysis.
作者信息
Araújo Maria Elizete de Almeida, Silva Marcus Tolentino, Andrade Keitty Regina Cordeiro de, Galvão Taís Freire, Pereira Maurício Gomes
机构信息
Universidade de Brasília, Programa de Pós-Graduação em Ciências da Saúde, Brasília-DF, Brasil.
Universidade Federal do Amazonas, Faculdade de Medicina, Manaus-AM, Brasil.
出版信息
Epidemiol Serv Saude. 2017 Jul-Sep;26(3):589-604. doi: 10.5123/S1679-49742017000300016.
OBJECTIVE
to analyze the prevalence of use of health services in Brazil.
METHODS
systematic review and meta-analysis of population-based cross-sectional studies; MEDLINE, EMBASE, other sources, and microdata of surveys were searched; two researchers selected the studies, extracted the data and assessed methodological quality to include in the meta-analysis.
RESULTS
from 1,979 retrieved references, 27 studies were included; the prevalence of medical visits in the previous year was 71% (confidence interval of 95% [95%CI] = 69; 73%; I2=99%); the proportion of women in each study (p=0.001; R2=25%) and the recall period (p>0.001; R2= 72%) contributed to the heterogeneity; prevalence of dental consultation was 37% (95%CI = 32; 42%; I2=100%), and of hospitalization, 10% (95%CI = 9; 11%; I2=98%), in the last year.
CONCLUSION
more than half of the population had at least one medical visit, about one-third had a dental consultation and a tenth was hospitalized in the previous year.
目的
分析巴西卫生服务的使用情况。
方法
对基于人群的横断面研究进行系统评价和荟萃分析；检索MEDLINE、EMBASE、其他来源以及调查的微观数据；两名研究人员选择研究、提取数据并评估方法学质量以纳入荟萃分析。
结果
从检索到的1979篇参考文献中，纳入了27项研究；上一年度就诊率为71%（95%置信区间[95%CI]=69；73%；I²=99%）；各研究中女性比例（p=0.001；R²=25%）和回忆期（p>0.001；R²=72%）导致了异质性；上一年度牙科咨询率为37%（95%CI=32；42%；I²=100%），住院率为10%（95%CI=9；11%；I²=98%）。
结论
超过一半的人口上一年至少有一次就诊，约三分之一的人进行了牙科咨询，十分之一的人上一年住过院。
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