The equity of admissions to the University Hospital of Brasilia.
BACKGROUND
Brazil has a highly stratified population with large socioeconomic disparities, as evidenced by marked differentiation in health status and access to health services by the population. In addition, the fact that the universal national healthcare system and a liberalised private care model exist side by side leads to increasingly inequitable health outcomes.


OBJECTIVE
This study aims to appraise the equity of access to the University Hospital in Brasilia, Brazil, in 2013.


METHODS
This study was a quantitative analysis of hospital admissions data. The sample included all patients admitted over a six-month period in 2013. Patient data was crossed with socioeconomic data (income and private health insurance status). Frequency tabulations and chi-square calculations were used to describe the patient mix, observe trends and appraise equity of admissions.


RESULTS
Analysis of the data showed that the number of patients from each neighbourhood relative to the neighbourhood population was equitable. However, when assessed on the basis of insurance status (i.e., deducting the population covered by private health insurance), a high level of inequity was detected (chi-square 71.828, df 3, p<0,0001) whereby patients from wealthier neighbourhoods were overrepresented compared to those from poorer neighbourhoods.


CONCLUSIONS
This study has shown that access to the University Hospital in Brasilia is not equitable when individual access to private healthcare is accounted for. The results show that dual access to both public and private healthcare is likely to be common, increasing some of the population's access to healthcare while decreasing access for others, and therefore contributing to inequity of access to healthcare services.
International Health Programme, School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia.
Megan
M
Ireland
Faculdade de Ciências Exatas, Universidade de Brasília, Brasília, Distrito Federal, Brasil.
Maircon Batista
MB
Ribeiro
International Health Programme, School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, Australia.
Mohammed
M
Ali
Brazil; Equity; Sistema Único de Saúde; patient admission