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The utilization of home care by the elderly in Brazil's primary health care system

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  • Thumé, E.
  • Facchini, L.A.
  • Wyshak, G.
  • Campbell, P.

Abstract

Objectives. We assessed the utilization of home care by the elderly in Brazil after implementation of the Family Health Strategy (FHS). Methods. Data were derived from a cross-sectional study in a southern city in Brazil. Using the c2 test and a logistic regression with different levels of determination, we tested the hypothesis that the FHS increased the utilization of home care compared with utilization under the Traditional Primary Health Care (TPHC) system. Results. We interviewed 1593 residents aged 60 years and older. Home care utilization under the FHS was 2.7 times the rate of utilization under the TPHC (95% confidence interval=1.5, 4.7; P=.001), and utilization increased among the older group, the less educated, those with history of hospitalization, and those with functional limitations. Conclusions. Improvement in access to care resulted in greater utilization of home care. Our findings have policy implications that include expanding the coverage of the FHS throughout big cities where coverage is limited. These findings are important because the population is aging and the family strategy operates in poorer areas; thus, it can promote equity in access to home health care among the elderly.

Suggested Citation

  • Thumé, E. & Facchini, L.A. & Wyshak, G. & Campbell, P., 2011. "The utilization of home care by the elderly in Brazil's primary health care system," American Journal of Public Health, American Public Health Association, vol. 101(5), pages 868-874.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.184648_8
    DOI: 10.2105/AJPH.2009.184648
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    Cited by:

    1. Ting Chen & Jay Pan, 2022. "The Effect of Spatial Access to Primary Care on Potentially Avoidable Hospitalizations of the Elderly: Evidence from Chishui City, China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 645-665, April.
    2. Guogui Huang & Fei Guo & Gong Chen, 2023. "Utilization of Home-/Community-Based Care Services: The Current Experience and the Intention for Future Utilization in Urban China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-34, August.
    3. van Noort, Olivier & Schotanus, Fredo & van de Klundert, Joris & Telgen, Jan, 2018. "Explaining regional variation in home care use by demand and supply variables," Health Policy, Elsevier, vol. 122(2), pages 140-146.

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