Restrepo Sylvia Fortes, Vieira Marlene Rosimar da Silva, Barros Claudia Renata Dos Santos, Bousquat Aylene
Centro de Ciências Sociais Aplicadas e Saúde, Universidade Católica de Santos, Santos, SP, Brazil.
Departamento de Pós-Graduação Stricto Sensu em Saúde Coletiva, Universidade Católica de Santos, Santos, SP, Brazil.
Rev Bras Epidemiol. 2020;23:e200042. doi: 10.1590/1980-549720200042. Epub 2020 May 18.
The acquisition of medicines accounts for a significant proportion of private health expenditures. The objective of this study was to analyse the private spending with the purchase of medicines and the commitment of the family income, by the elderly.
Population survey conducted in Praia Grande, São Paulo, Brazil. The monthly expenditure and the per capita family income commitment with the purchase of medicines were calculated from the information obtained in the interviews. The variables were described in absolute and relative frequencies and the hypothesis test was Pearson's χ2, Student's t and Anova, with a significance level of 5%.
The prevalence of drug use was 61.2%. The average monthly expenditure per capita was R$ 34.59, with significantly higher income impairment for individuals with higher levels of education, without chronic diseases and health plan beneficiaries.
The prevalence of drug use was low. The cost generated by the purchase of medicines is one of the ways in which inequality can manifest in society. The expansion of free drug provision would be necessary to expand access and avoid spending, especially those who have private health plans but cannot afford drug treatment.
药品购置在私人医疗支出中占很大比例。本研究的目的是分析老年人购买药品的私人支出及其家庭收入的承担情况。
在巴西圣保罗的普拉亚格兰德进行了人口调查。根据访谈中获得的信息计算购买药品的月支出和家庭人均收入承担情况。变量用绝对和相对频率进行描述，假设检验采用Pearson卡方检验、Student t检验和方差分析，显著性水平为5%。
药物使用患病率为61.2%。人均月平均支出为34.59雷亚尔，对于教育程度较高、无慢性病且是健康计划受益人的个体，收入受损程度显著更高。
药物使用患病率较低。购买药品产生的费用是社会不平等可能表现出来的方式之一。扩大免费药品供应对于扩大获取途径和避免支出是必要的，特别是对于那些有私人健康计划但负担不起药物治疗的人。
