Análise da demanda e acesso aos serviços nas últimas duas semanas, Pesquisa Na-cional de Saúde 2013 e 2019

Deborah Carvalho  Malta; Crizian Saar Gomes; Elton Junior Sady Prates; Fausto Pereira dos Santos; Wanessa da Silva de Almeida; Sheila Rizato Stopa; Cimar Azeredo Pereira; Célia Landmann Szwarcwald

doi:10.1590/1980-549720210002.supl.2

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Deborah Carvalho Malta Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enferma-gem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil https://orcid.org/0000-0002-8214-5734
Crizian Saar Gomes Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil https://orcid.org/0000-0001-6586-4561
Elton Junior Sady Prates Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil https://orcid.org/0000-0002-5049-186X
Fausto Pereira dos Santos Instituto René Rachou, Fundação Oswaldo Cruz - Belo Horizonte (MG), Brasil
Wanessa da Silva de Almeida Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil
Sheila Rizato Stopa Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis, Se-cretaria de Vigilância em Saúde, Ministério da Saúde. Brasília (DF), Brasil
Cimar Azeredo Pereira Diretoria de Pesquisas, Instituto Brasileiro de Geografia e Estatística - Rio de Janeiro (RJ), Brasil
Célia Landmann Szwarcwald Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil

DOI:

https://doi.org/10.1590/1980-549720210002.supl.2

Keywords:

Access to Health Services, Health Indicators, Health Services, Cross-Sectional Studies, Public Health; Brazil

Abstract

Objective: Compare the demand and use of health services between 2013 and 2019, and analyze the associated sociodemographic and health variables in 2019. Methods: Cross-sectional study with data from the National Health Survey (PNS) 2013 and 2019. The prevalence and 95% confidence intervals (95% CI) for the demand and use of health services were estimated. In 2019, the differences in the indicators were analyzed according to sociodemographic variables and the crude and adjusted by sex and age prevalence ratios (RP) were estimated. Results: There was an increase of 22% in the demand for health care in the last two weeks, going from 15.3% (95% CI: 15.0-15.7) in 2013 to 18.6% (95% CI: 18.3 -19.0) in 2019. There was a reduction in use in the last two weeks, from 97% (95% CI: 96.6-97.4) in 2013 to 86.1% (95% CI: 85.4-86.8) in 2019, which was observed for most Federation Units. In 2019, the demand for care was greater among women, the elderly, those with high schooling, individuals with health insurance and poor self-rated health. They obtained greater access to health services in the fifteen days prior to the survey: men, children or adolescents up to 17 years of age, people with health insurance and poor health self-assessment. Conclusion: The demand for health services has grown and reduced access in the last 15 days between 2013 and 2019. These differences may have been exacerbated by the austerity measures implemented in the country.