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巴西的私人牙科保险支出。

Private dental insurance expenditure in Brazil.

作者信息

Cascaes Andreia Morales, Camargo Maria Beatriz Junqueira de, Castilhos Eduardo Dickie de, Silva Lexandre Emídio Ribeiro, Barros Aluísio J D

机构信息

Departamento de Odontologia Social e Preventiva, Faculdade de Odontologia, Universidade Federal de Pelotas, Pelotas, RS, Brasil.

Centro de Pesquisas Epidemiológicas, Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brasil.

出版信息

Rev Saude Publica. 2018;52:24. doi: 10.11606/s1518-8787.2018052000340. Epub 2018 Feb 26.

DOI:10.11606/s1518-8787.2018052000340
PMID:29489995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5825130/
Abstract

OBJECTIVE To quantify the household expenditure per capita and to estimate the percentage of Brazilian households that have spent with dental insurance. METHODS We analyzed data from 55,970 households that participated in the research Pesquisa de Orçamentos Familiares in 2008-2009. We have analyzed the annual household expenditure per capita with dental insurance (business and private) according to the Brazilian states and the socioeconomic and demographic characteristics of the households (sex, age, race, and educational level of the head of the household, family income, and presence of an older adult in the household). RESULTS Only 2.5% of Brazilian households have reported spending on dental insurance. The amount spent per capita amounted to R$5.10 on average, most of which consisted of private dental insurance (R$4.70). Among the characteristics of the household, higher educational level and income were associated with higher spending. São Paulo was the state with the highest household expenditure per capita (R$10.90) and with the highest prevalence of households with expenditures (4.6%), while Amazonas and Tocantins had the lowest values, in which both spent less than R$1.00 and had a prevalence of less than 0.1% of households, respectively. CONCLUSIONS Only a small portion of the Brazilian households has dental insurance expenditure. The market for supplementary dentistry in oral health care covers a restricted portion of the Brazilian population.

摘要

目的

量化人均家庭支出,并估算购买了牙科保险的巴西家庭的比例。方法:我们分析了2008 - 2009年参与家庭预算调查(Pesquisa de Orçamentos Familiares)的55970个家庭的数据。我们根据巴西各州以及家庭的社会经济和人口特征(户主的性别、年龄、种族和教育水平、家庭收入以及家中是否有老年人),分析了家庭人均年度牙科保险支出(商业和私人)。结果:只有2.5%的巴西家庭报告有牙科保险支出。人均支出平均为5.10雷亚尔,其中大部分为私人牙科保险支出(4.70雷亚尔)。在家庭特征方面,较高的教育水平和收入与较高的支出相关。圣保罗是人均家庭支出最高的州(10.90雷亚尔),也是有支出家庭患病率最高的州(4.6%),而亚马孙州和托坎廷斯州的数值最低,这两个州的支出均低于1.00雷亚尔,家庭患病率分别低于0.1%。结论:只有一小部分巴西家庭有牙科保险支出。口腔卫生保健中的补充牙科市场覆盖的巴西人口比例有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70a/5825130/5af413a05cab/0034-8910-rsp-S1518-52-87872018052000340-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70a/5825130/5156614b3828/0034-8910-rsp-S1518-52-87872018052000340-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70a/5825130/5af413a05cab/0034-8910-rsp-S1518-52-87872018052000340-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70a/5825130/5156614b3828/0034-8910-rsp-S1518-52-87872018052000340-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c70a/5825130/5af413a05cab/0034-8910-rsp-S1518-52-87872018052000340-gf02.jpg

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本文引用的文献

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[Private spending on oral health in Brazil: analysis of data from the Family Budgets Survey, 2008-2009].[巴西口腔健康的私人支出:2008 - 2009年家庭预算调查数据分析]
Cad Saude Publica. 2017 Dec 1;33(1):e00148915. doi: 10.1590/0102-311X00148915.
2
[Spending on private health insurance plans of Brazilian families: a descriptive study with data from the Family Budget Surveys 2002-2003 and 2008-2009].[巴西家庭私人医疗保险计划支出:基于2002 - 2003年和2008 - 2009年家庭预算调查数据的描述性研究]
Cien Saude Colet. 2015 May;20(5):1425-34. doi: 10.1590/1413-81232015205.07092014.
3
Socioeconomic inequality in catastrophic health expenditure in Brazil.
从心理计量网络角度看口腔健康素养:在巴西普通人群和老年人中检验网络特征的可重复性。
J Public Health Dent. 2022 Jun;82(3):321-329. doi: 10.1111/jphd.12539. Epub 2022 Jul 14.
4
Dental Infection and Resistance-Global Health Consequences.牙齿感染与抗药性——对全球健康的影响
Dent J (Basel). 2019 Mar 1;7(1):22. doi: 10.3390/dj7010022.
巴西灾难性卫生支出中的社会经济不平等。
Rev Saude Publica. 2014 Aug;48(4):632-41. doi: 10.1590/s0034-8910.2014048005111.
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[Brazilian family spending on medicines: an analysis of data from the Family Budget Surveys, 2002-2003 and 2008-2009].[巴西家庭药品支出:对2002 - 2003年和2008 - 2009年家庭预算调查数据的分析]
Cad Saude Publica. 2013 Aug;29(8):1605-16. doi: 10.1590/0102-311x00070912.
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[Dentistry and supplementary health: regulatory framework, health promotion policies and quality of care].[牙科与补充健康:监管框架、健康促进政策与护理质量]
Cien Saude Colet. 2013 Feb;18(2):441-52. doi: 10.1590/s1413-81232013000200015.
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[Inequalities in access to and utilization of dental care in Brazil: an analysis of the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL 2009)].巴西牙科护理获取与利用方面的不平等:基于慢性病风险与保护因素电话调查监测系统(VIGITEL 2009)的分析
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Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution.巴西医疗保健的灾难性支出:私人医疗保险似乎并不是解决方案。
Cad Saude Publica. 2011;27 Suppl 2:S254-62. doi: 10.1590/s0102-311x2011001400012.
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[Health care plans: interfaces between the public and private system in the dental sector].[医疗保健计划:牙科领域公私系统之间的接口]
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[Professional strategy and institutional isomorphism: the dental health insurance industry in Brazil].[专业策略与制度同构:巴西的牙科健康保险行业]
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[The public-private mix in the Brazilian Health System: financing, delivery and utilization of health services].[巴西卫生系统中的公私合作:卫生服务的融资、提供与利用]
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