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Use of health service by diabetic and hypertensive patients in the city of São Paulo - 2003/2008: population-based surveys

Grant number: 12/14153-0
Support type:Scholarships in Brazil - Doctorate
Effective date (Start): October 01, 2012
Effective date (End): June 30, 2016
Field of knowledge:Health Sciences - Collective Health - Epidemiology
Principal researcher:Moisés Goldbaum
Grantee:Camila Nascimento Monteiro
Home Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Associated scholarship(s):13/26687-2 - Access and health services use by arterial hypertension and diabetes mellitus patients - population-based surveys, BE.EP.DR


The hypertension and diabetes, chronic non-communicable diseases, are important health problems in Brazil. The control of disease is a challenge to health services in this country. Health services include hospitalizations, preventive and diagnosis exams, vaccination and supply of medicines. The preventive exams aim to reduce the mortality and the incidence of hospitalizations. Hospitalizations are very important in health care, due the complexity of actions and the financial resource applied. There are strategies to reduce the incidence of hospitalizations, for example, the vaccination, performed by the health service. Vaccination in vulnerable groups such as patients with diabetes and hypertension is an intervention aimed health promotion, which is also related to access to medicines. Since the establishment of the Unified Health System in Brazil to current day, there was an increase in the supply of medicines by the health service. For this supply and monitoring data of patients with diabetes and hypertension is necessary information, we can obtain the information by health surveys. Population-based Health Surveys provide important information about access and use of health services. Information about the use of health services by the population with diabetes mellitus and/or hypertension can provide a base for planning and actions in the Health Policy. The present study aims to analyze trends in the use of Health Services in the population of the city of São Paulo with arterial hypertension and/or diabetes mellitus self-reported, between 2003 and 2008, analyzing the use of health services for the supply of medicines, vaccination against influenza and/or pneumonia and preventive exams and hospitalization and to describe the sources of payment for health services by this population. Data will be used by ISA-Capital survey 2003 and 2008. The surveys were funded by the Municipal Health Department of São Paulo and Fapesp. The present project will be considered use of health services for individuals older than 20 years, female and male and with diabetes and/or hypertension self-reported. Will be made descriptive analyzes of the population and analyzes of spending, vaccination, preventive exams, hospitalization, morbidity in 15 days and health service coverage for essential medicines in this population. The association between the variables will be verified by Ç2 test (p <0.05). Prevalence ratios are calculated by Poisson regression. Will be made comparisons between ISA Capital 2003 and 2008 about the utilization of health services in this population. Data will be analyzed using module survey of STATA 12.0. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MONTEIRO, CAMILA NASCIMENTO; BEENACKERS, MARIELLE A.; GOLDBAUM, MOISES; DE AZEVEDO BARROS, MARILISA BERTI; GIANINI, REINALDO JOSE; GALVAO CESAR, CHESTER LUIZ; MACKENBACH, JOHAN P. Use, access, and equity in health care services in Sao Paulo, Brazil. Cadernos de Saúde Pública, v. 33, n. 4 2017. Web of Science Citations: 1.
CAMILA NASCIMENTO MONTEIRO; REINALDO JOSÉ GIANINI; NEUBER JOSÉ SEGRI; MOISÉS GOLDBAUM; MARILISA BERTI DE AZEVEDO BARROS; CHESTER LUIZ GALVÃO CESAR. Utilização de medicamentos genéricos no município de São Paulo em 2003: estudo de base populacional. Epidemiol. Serv. Saúde, v. 25, n. 2, p. 251-258, 2016-06-00.
CAMILA NASCIMENTO MONTEIRO; REINALDO JOSÉ GIANINI; MARILISA BERTI DE AZEVEDO BARROS; CHESTER LUIZ GALVÃO CESAR; MOISÉS GOLDBAUM. Acesso a medicamentos pelo Sistema Único de Saúde e equidade: inquéritos de base populacional em São Paulo, Brasil. Revista Brasileira de Epidemiologia, v. 19, n. 1, p. 26-37, 2016-03-00.
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
MONTEIRO, Camila Nascimento. Access, use and equity in health care services in São Paulo, Brazil - populational household surveys. 2016. Doctoral Thesis - Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD) São Paulo.

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