Estratégia Saúde da Família em comparação a outras fontes de atenção: Indicadores de uso e qualidade dos serviços de saúde em Belo Horizonte, Minas Gerais, Brasil

Translated title of the contribution: A comparison of the Family Health Strategy to other sources of healthcare: Utilization and quality of health services in Belo Horizonte, Minas Gerais State, Brazil

Maria Fernanda Lima-Costa, Maria Aparecida Turci, James Macinko

Research output: Contribution to journalArticle

Abstract

Indicators of healthcare utilization and quality were compared in a probabilistic sample of adults (N = 7,534) covered by private health plans, the Family Health Strategy (FHS), and "traditional" primary care clinics (UBS) in Belo Horizonte, Minas Gerais State, Brazil. After adjusting for demographics, health conditions, and socioeconomic status, indicators of healthcare utilization (longitudinality, health-seeking, and medical consultations) showed better performance among users of the FHS and private health plans compared to those covered by the UBS. Hospitalizations, preventive tests, and flu vaccinations varied little between sources of care. Quality indicators (difficulty in making an appointment, waiting lines, complaints about obtaining medications, and receiving an appointment within 24 hours) were better among private health plans. Recommending one's healthcare providers to others was more frequent among FHS users (61.9%) and those with private health plans (55.6%), compared to those served by UBS (45.4%).

Translated title of the contributionA comparison of the Family Health Strategy to other sources of healthcare: Utilization and quality of health services in Belo Horizonte, Minas Gerais State, Brazil
Original languagePortuguese
Pages (from-to)1370-1380
Number of pages11
JournalCadernos de saude publica
Volume29
Issue number7
DOIs
StatePublished - Jul 2013

Keywords

  • Health care quality indicators
  • Health services accessibility
  • Prepaid health plans

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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