title: [Patterns in the use of outpatient care in Brazil by patients treated through the Brazilian Unified National Health System, private health insurance, and out-of-pocket medical care].
abstract: Indicators of supply, access, and use of healthcare are helpful for characterizing services, planning activities, and organizing demand. This study describes patterns of use of outpatient care and the associations with demographic and socioeconomic factors, morbidity, population size of the municipality and region, and administrative and financial classification of the provider. This was a population-based cross-sectional study with a sample of 12,402 Brazilian adults from 20 to 59 years of age living in urban areas of 100 municipalities from five regions. Prevalence of outpatient care in the three months prior to the interview was 34.6%. The Brazilian Unified National Health System (SUS) accounted for more than half (53.6%) of the cases, health insurance was used by 34% of the sample, and out-of-pocket services 12.4%, regardless of region, population size, and morbidity profile. Patterns of use of health services remain socially determined, resulting from the supply, demographic and socioeconomic characteristics, and health profile of users.
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Alitéia Santiago
authors.initials: AS
authors.lastname: Dilélio
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Tomasi
authors.affiliation: Programa de Pós-graduação em Enfermagem, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Elaine
authors.initials: E
authors.lastname: Thumé
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Denise Silva da
authors.initials: DS
authors.lastname: Silveira
authors.affiliation: Programa de Pós-graduação em Educação Física, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Fernando Carlos Vinholes
authors.initials: FC
authors.lastname: Siqueira
authors.affiliation: Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Roberto Xavier
authors.initials: RX
authors.lastname: Piccini
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Suele Manjourany
authors.initials: SM
authors.lastname: Silva
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Bruno Pereira
authors.initials: BP
authors.lastname: Nunes
authors.affiliation: Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil.
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Facchini
mesh_terms: D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000145:classification / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009313:National Health Programs; D012959:Socioeconomic Factors; D055815:Young Adult