Disparity in Health Screening and Health Utilization according to Economic Status / 가정의학회지
Korean Journal of Family Medicine
; : 220-225, 2017.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-10142
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Cardiovascular disease (CVD) has become the most common cause of mortality and morbidity worldwide. Health screening is associated with higher outpatient visits for detection and treatment of CVD-related diseases (diabetes mellitus, hypertension, and dyslipidemia). We examined the association between health screening, health utilization, and economic status.METHODS:
A sampled cohort database from the National Health Insurance Corporation was used. We included 306,206 participants, aged over 40 years, without CVD (myocardial infarction, stroke, and cerebral hemorrhage), CVD-related disease, cancer, and chronic renal disease. The follow-up period was from January 1, 2003 through December 31, 2005.RESULTS:
Totally, 104,584 participants received at least one health screening in 2003–2004. The odds ratio of the health screening attendance rate for the five economic status categories was 1.27 (95% confidence interval [CI], 1.24 to 1.31), 1.05 (95% CI, 1.02 to 1.08), 1, 1.16 (95% CI, 1.13 to 1.19) and 1.50 (95% CI, 1.46 to 1.53), respectively. For economic status 1, 3, and 5, respectively, the diagnostic rate after health screening was as follows diabetes mellitus 5.94%, 5.36%, and 3.77%; hypertension 32.75%, 30.16%, and 25.23%; and dyslipidemia 13.43%, 12.69%, and 12.20%. The outpatient visit rate for attendees diagnosed with CVD-related disease was as follows for economic status 1, 3, and 5, respectively diabetes mellitus 37.69%, 37.30%, and 43.70%; hypertension 34.44%, 30.09%, and 32.31%; and dyslipidemia 18.83%, 20.35%, and 23.48%.CONCLUSION:
Thus, higher or lower economic status groups had a higher health screening attendance rate than the middle economic status group. The lower economic status group showed lower outpatient visits after screening, although it had a higher rate of CVD diagnosis.
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
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ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Objetivo 1: Acesso equitativo aos serviços de saúde
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Meta 3.8 Atingir a cobertura universal de saúde
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Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
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Hipertensão Arterial
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Doença Cardiovascular
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Doença Cerebrovascular
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Doença Renal Crônica
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Doenças do Sistema Endócrino
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
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Doenças Cardiovasculares
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Razão de Chances
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Programas de Rastreamento
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Estudos de Coortes
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Seguimentos
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Mortalidade
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Acidente Vascular Cerebral
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Diabetes Mellitus
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Diagnóstico
Tipo de estudo:
Estudo diagnóstico
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Estudo de etiologia
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Avaliação econômica em saúde
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Estudo de incidência
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Estudo observacional
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Estudo prognóstico
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Fatores de risco
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Estudo de rastreamento
Aspecto:
Pesquisa de implementação
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Family Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo