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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/63379
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dc.creatorAlexandre Moreira de Melo Silvapt_BR
dc.creatorJuliana Vaz de Melo Mambrinipt_BR
dc.creatorSergio William Viana Peixotopt_BR
dc.creatorDeborah Carvalho Maltapt_BR
dc.creatorMaria Fernanda Lima-costapt_BR
dc.date.accessioned2024-01-25T18:51:26Z-
dc.date.available2024-01-25T18:51:26Z-
dc.date.issued2017-
dc.citation.volume51pt_BR
dc.citation.issueSuppl 1 5spt_BR
dc.citation.spage1spt_BR
dc.citation.epage9spt_BR
dc.identifier.doi10.1590/s1518-8787.2017051000243pt_BR
dc.identifier.issn00348910pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/63379-
dc.description.resumoOBJECTIVE: To analyze the use of health services and the quality of medical care received by Brazilian older adults with and without functional limitation. METHODS: The main analyses were based on a national sample representing 23,815 participants of the National Survey on Health (PNS) aged 60 years or older. Functional limitation was defined by the difficulty to perform at least one out of ten basic or instrumental activities of daily living. Potential confounding variables included predisposing and enabling factors of the use of health services.RESULTS: The prevalence of functional limitation was 30.1% (95%CI 29.2–31.4). The number of doctor visits and hospitalizations in the past 12 months showed statistically significant associations with functional limitation, both for users of the public system (OR = 2.48 [95%CI 2.13–2.88] for three or more doctor visits and OR = 2.58 [95%CI 2.15–3.09] for one or more hospitalizations) and of the private system (OR = 2.56 [95%CI 1.50–4.36] and OR = 2.22 [95%CI 1.64–3.00], respectively). The propensity to use basic health units was higher among users of the private system with functional limitations (OR = 2.01 [95%CI1.12–3.59]). Only two out of seven indicators of the quality of medical care received were associated with functional limitation, in the perception of users of public and private systems. The public system users with functional limitations did worse evaluation of the freedom for choosing the doctor and waiting time for an appointment, when compared with users of the same system without these limitations (OR = 0.81 [95%CI 0.67–0.99] and OR = 0.76 [95%CI 0.62–0.93], respectively).CONCLUSIONS: Older adults with functional limitations use more health services in comparison with those without such limitations. The magnitude of the association between functional limitation and number of doctor visits and hospitalizations was similar in the public and private health systemspt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofRevista de Saúde Pública-
dc.rightsAcesso Abertopt_BR
dc.subjectAgedpt_BR
dc.subjectFrail Elderlypt_BR
dc.subjectDisabled Personspt_BR
dc.subjectActivities of Daily Livingpt_BR
dc.subjectQuality of Health Carept_BR
dc.subjectHealth Services for the Aged.pt_BR
dc.subject.otherAgedpt_BR
dc.subject.otherFrail Elderlypt_BR
dc.subject.otherDisabled Persons.pt_BR
dc.subject.otherActivities of Daily Livingpt_BR
dc.subject.otherHealth Services for the Agedpt_BR
dc.subject.otherQuality of Health Carept_BR
dc.titleUse of health services by brazilian older adults with and without functional limitationpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://doi.org/10.1590/S1518-8787.2017051000243pt_BR
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