scholarly journals Evaluating the impact of contracting out basic health care services in the state of São Paulo, Brazil

2017 ◽  
Vol 32 (7) ◽  
pp. 923-933 ◽  
Author(s):  
Jane Greve ◽  
Vera Schattan Ruas Pereira Coelho
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Contracting Out ◽  
Basic Health ◽  
Care Services ◽  
Basic Health Care ◽  
The Impact

scholarly journals COVID-19 pandemic impact on dentists in Latin America’s epicenter: São-Paulo, Brazil

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256092
Author(s):  
Tatiane Fernandes Novaes ◽  
Maisa Camillo Jordão ◽  
Carlos Felipe Bonacina ◽  
André Oswaldo Veronezi ◽  
Carlos Ariel Rodrigues de Araujo ◽  
...  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Sao Paulo ◽  
The State ◽  
Financial Impact ◽  
São Paulo ◽  
Ordinal Logistic Regression Analysis ◽  
The Impact

The state of São Paulo, Brazil, where more than 94.000 dentists are currently registered, has become the epicenter of COVID-19 in Latin America. The aim of this cross-sectional study was to evaluate the impact of COVID-19 pandemic on dentists in this state. A semi-structured questionnaire was sent via e-mail to 93.280 dentists with active registration in the Dental Council of São Paulo (CROSP). The impact of COVID-19 pandemic was assessed through questions related to demographic, socioeconomic, dental practice characteristics and personal protective equipment (PPE) use. Ordinal logistic regression analysis was performed to investigate the association between all the variables (p<0.05). Over 8 days, 2113 responses were received. Only 26.52% of the sample reported a low-income reduction (from 0–10%), while the majority of dentists reported a more negative financial impact, 35.6% with a reduction of more than 50% of their monthly income. Dentists who worked in the private sector and at the capital had a greater financial impact when compared to those of the public sector and countryside of the state (p<0.05). Furthermore, about 83% reported not having received any specific training to control the transmission of coronavirus in the health area. This study provides evidence of the negative impact of the COVID-19 pandemic on the routine of dentists in the state of São Paulo, Brazil. Hopefully, this study will help dental and other health care professionals to better understand the consequences of disease in dental settings and strengthen preparedness throughout the dental health care system.

Providing Housing and Care to Elderly Homeless Men and Women in Australia

2003 ◽  
Vol 4 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Bryan Lipmann
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
The Elderly ◽  
Government Agencies ◽  
Men And Women ◽  
Basic Health ◽  
Care Services ◽  
Basic Health Care ◽  
Adequate Food ◽  
Homeless Men

People who are unemployed and who lack the resources to buy adequate food, shelter, or basic health care services face an endless struggle to survive. It is frequently a degrading and humiliating experience. The elderly homeless, who are often frail and sick, are particularly disadvantaged in this struggle. Yet resources are often available to welfare providers to care for the aged homeless. All that is needed is a willingness for providers and government agencies to acknowledge the existence of homelessness among the elderly and be prepared to alleviate the problem.

scholarly journals UNIVERSAL HEALTH CARE AND ENFORCED BENEFICENCE

2019 ◽  
Vol 2 ◽  
Author(s):  
Christoph Hanisch
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Information Service ◽  
Universal Health Care ◽  
Coordination Problem ◽  
Basic Health ◽  
Care Services ◽  
Basic Health Care ◽  
Universal Health

I examine Allen Buchanan’s arguments for enforced beneficence andexpress a number of worries concerning his attempt to justify coercive distributivepolicies that guarantee (basic) health care services for all citizens. The centralobjection questions whether, given Buchanan’s own stipulation of universallyinstantiatedattitudes of moral beneficence amongst all society members, hisarguments from, first, the coordination problem and, second, the assuranceproblem successfully establish a justification of enforced contribution. I defendalternative, non-coercive, responses to the aforementioned problems and show thata particular kind of institution (an “information service”) provides all citizens withthe sufficient and reliable epistemic resources so that they can effectively help thesick and needy. I notice that Buchanan’s difficulties with justifying coercion can beregarded as providing indirect support for the view that developing a justice-basedconception of moral health care rights remains, pace Buchanan, an important taskto be completed.

scholarly journals Determinants of the use of health care services: multilevel analysis in the Metropolitan Region of Sao Paulo

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Alexandre Dias Porto Chiavegatto Filho ◽  
Yuan-Pang Wang ◽  
Ana Maria Malik ◽  
Julia Takaoka ◽  
Maria Carmen Viana ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Sao Paulo ◽  
Individual Characteristics ◽  
Metropolitan Region ◽  
São Paulo ◽  
Care Services ◽  
Contextual Determinants ◽  
The Individual ◽  
Use Of Health Care

OBJECTIVE To evaluate the individual and contextual determinants of the use of health care services in the metropolitan region of Sao Paulo.METHODS Data from the Sao Paulo Megacity study – the Brazilian version of the World Mental Health Survey multicenter study – were used. A total of 3,588 adults living in 69 neighborhoods in the metropolitan region of Sao Paulo, SP, Southeastern Brazil, including 38 municipalities and 31 neighboring districts, were selected using multistratified sampling of the non-institutionalized population. Multilevel Bayesian logistic models were adjusted to identify the individual and contextual determinants of the use of health care services in the past 12 months and presence of a regular physician for routine care.RESULTS The contextual characteristics of the place of residence (income inequality, violence, and median income) showed no significant correlation (p > 0.05) with the use of health care services or with the presence of a regular physician for routine care. The only exception was the negative correlation between living in areas with high income inequality and presence of a regular physician (OR: 0.77; 95%CI 0.60;0.99) after controlling for individual characteristics. The study revealed a strong and consistent correlation between individual characteristics (mainly education and possession of health insurance), use of health care services, and presence of a regular physician. Presence of chronic and mental illnesses was strongly correlated with the use of health care services in the past year (regardless of the individual characteristics) but not with the presence of a regular physician.CONCLUSIONS Individual characteristics including higher education and possession of health insurance were important determinants of the use of health care services in the metropolitan area of Sao Paulo. A better understanding of these determinants is essential for the development of public policies that promote equitable use of health care services.

scholarly journals The role of drug vendors in improving basic health-care services in Nigeria

2016 ◽  
Vol 94 (4) ◽  
pp. 267-275 ◽  
Author(s):  
Jenny Liu ◽  
Lisa M Prach ◽  
Emily Treleaven ◽  
Mara Hansen ◽  
Jennifer Anyanti ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Basic Health ◽  
Care Services ◽  
Basic Health Care

scholarly journals Utilization pattern of health care services at a peripheral health care facility of Nepal

2017 ◽  
Vol 13 (2) ◽  
pp. 160-163 ◽  
Author(s):  
Bihungam Bista ◽  
D Rai ◽  
RA Sagtani ◽  
SS Budhathoki
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quantitative Methods ◽  
Care Facility ◽  
Health Management Information System ◽  
Health Post ◽  
Utilization Pattern ◽  
Basic Health ◽  
Care Services ◽  
Basic Health Care

Background: In Nepal, basic health care services at the grass root level are delivered by Subhealth Posts (SHPs) and Health Posts (HPs). The basic aim of these institutions is to deliver essential health care services. In accordance of the Alma Ata declaration on primary health care (PHC) Government of Nepal (GoN) adopted free health care policy on 2006 A.D. to make basic health care services accessible, affordable and available. Thus, SHPs and HPs offer free of cost services to every Nepali citizen. The current study was conducted with the aim of finding utilization pattern of health care services in a peripheral level institution of Sunsari District.Methods: A descriptive study was carried out in Panchkanaya, a sub- health post of Sunsari district utilizing both qualitative and quantitative methods. Data was collected through face to face structured interviews with fifty patients and an in depth interview with in charge of the sub health post. Furthermore, secondary data from records of Health Management Information System (HMIS) of Nepal were also utilized.Results: Out of total patients, most of them were female (67.4%) and majority of patients were from higher age group (>50years).Most of the patients were involved with agriculture as their occupation. Regarding accessibility of health services, most of the respondents could reach sub- health post via walking within 15 minutes. Fifty percent of the patients were satisfied with services provided by the sub-health post. From qualitative aspect, health careservices were under utilized by the people from the northern side of VDC due to inappropriate location of the health post.Conclusion: Health care services were easily accessible although only fifty percent of patients were satisfied by the services.Health Renaissance 2015;13(2): 160-163

scholarly journals Physical and financial participation of teaching hospitals in private care in São Paulo - Brasil

2020 ◽  
Vol 66 (6) ◽  
pp. 806-811
Author(s):  
Olímpio José Nogueira Viana Bittar ◽  
Carolina Zanatta ◽  
Renato Ribeiro Nogueira Ferraz
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Sao Paulo ◽  
The State ◽  
Teaching Hospitals ◽  
São Paulo ◽  
Financial Return ◽  
Private Care ◽  
Financial Participation

SUMMARY OBJECTIVE To evaluate the physical and financial participation of private health insurance beneficiaries in the TH located in the State of Sao Paulo, regarding the care of Brazilian Unique Health System patients, in the year 2017. METHODS The research data were obtained from the System of Evaluation of the Teaching Hospitals (SAHE), of the State Department of Health of São Paulo (SES/SP). RESULTS It was observed that, on average, the TH analyzed provide 17% of their operational vacancies for the Supplementary Health System, and that the financial return is better in the philanthropic ones. CONCLUSIONS The health care services provided by TH deserve to be deepened, evaluating the real advantages obtained in the provision of services, given that supplementary health care requires differentiated infrastructure, and mainly the knowledge of operational costs in order to stipulate the procedures’ price.

scholarly journals Satisfaction with the use of contraceptive methods among women from primary health care services in the city of São Paulo, Brazil

2017 ◽  
Vol 17 (4) ◽  
pp. 749-756 ◽  
Author(s):  
Ana Luiza Vilela Borges ◽  
Osmara Alves dos Santos ◽  
Karina Simão Araújo ◽  
Renata Ferreira Sena Gonçalves ◽  
Patricia Lima Ferreira Santa Rosa ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Contraceptive Method ◽  
Health Care Services ◽  
Sao Paulo ◽  
Health Care Facilities ◽  
São Paulo ◽  
Contraceptive Methods ◽  
Care Services ◽  
Primary Health

Abstract Objectives: to assess satisfaction with the use of contraceptive methods among women attending primary health care services in São Paulo, Brazil. Methods: crosssectional study conducted with a sample of 668 women aged 1849 years, who were enrolled in 38 primary health care facilities in São Paulo city, Brazil, in 2015. Exclusion criteria were no sexual initiation, use of irreversible contraceptive methods for more than five years, pregnancy and no contraceptive method use. Data were analyzed using chisquare and multivariate logistic regression. Results: in general, women were satisfied with current contraceptive method (78.7%). The higher percentage of satisfaction was observed among IUD users (94.7%), and female and male sterilization users (93.5% and 91.7%, respectively). Withdrawal users were less satisfied (52.9%). Contraceptive method itself was the only factor associated with satisfaction. Barrier or traditional method users were less likely to be satisfied with their contraceptive methods than irreversible method users. Conclusions: long acting contraceptive method and irreversible method users were more satisfied with their contraceptive methods. Efforts should be undertaken in order to make these contraceptives available and accessible in primary health care facilities in Brazil.

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