Pilotto Luciane Maria, Celeste Roger Keller
Centro Universitário Univates. Av. Avelino Talini 171, Bairro Universitário. 95900-000 Lajeado RS Brasil. lutipilotto @yahoo.com.br.
Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul Porto Alegre RS Brasil.
Cien Saude Colet. 2019 Jul 22;24(7):2727-2736. doi: 10.1590/1413-81232018247.24112017.
To describe the last place of medical and dental health service used in relation to private health plans, and examine the effect of being registered in the primary healthcare system through the Family Health Strategy (FHS). This was a cross-sectional study using data from Brazil's 2008 National Household Survey. Multinomial logistic regression was performed to analyze how a private health plan and enrollment in the FHS influenced the use of health services. Results showed that individuals with a private health plan tend to use medical and dental services more than individuals without such a plan. However, many individuals with a private health plan used public services or paid out-of-pocket services, mainly for dental care. Among individuals without a private plan, being enrolled in the FHS reduced the use of out-of-pocket private services, regardless of age, income or educational level. Enrollment in the FHS increased the chances of using public services, and the effect of this enrollment is greater among those who have a private plan. Policies to strengthen public primary healthcare and to expand the FHS should be encouraged within the universal health system.
描述与私人健康保险计划相关的最后使用的医疗和牙科保健服务场所，并研究通过家庭健康战略（FHS）在初级医疗保健系统中注册的影响。这是一项横断面研究，使用了巴西2008年全国住户调查的数据。进行多项逻辑回归分析，以分析私人健康保险计划和FHS注册如何影响医疗服务的使用。结果表明，拥有私人健康保险计划的个人比没有该计划的个人更倾向于使用医疗和牙科服务。然而，许多拥有私人健康保险计划的个人使用公共服务或自掏腰包支付服务费用，主要用于牙科护理。在没有私人保险计划的个人中，无论年龄、收入或教育水平如何，参加FHS都减少了自掏腰包支付私人服务的使用。参加FHS增加了使用公共服务的机会，并且这种注册在拥有私人保险计划的人群中的效果更大。在全民健康系统内，应鼓励加强公共初级医疗保健和扩大FHS的政策。
