ArticleSao Paulo medical journal = Revista paulista de medicina
Determinants of outpatient expenditure within primary care in the Brazilian National Health System.
Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Economics of physical activity in low-income and middle- income countries: a systematic review.BMJ open · 2021Pooled it
- Effect of Physical Activity on Drug Expenditures for the Physical and Mental Health of Primary Care Users.International journal of environmental research and public health · 2026Article
- Combined association of insufficient physical activity and sleep problems with healthcare costs: a longitudinal study.Sao Paulo medical journal = Revista paulista de medicina · 2024Article
- Burden of metabolic syndrome on primary healthcare costs among older adults: A cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina · 2024Article
- Impact of cycling and walking on adiposity and healthcare costs among adults: longitudinal study.Cadernos de saude publica · 2024Article
- Determinants of government spending on primary healthcare: a global data analysis.BMJ global health · 2023Article
- Interrelationship between arterial hypertension, health service costs, therapeutic treatment and physical activity.BMC primary care · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CONTEXT AND
objective: One of the big challenges facing governments worldwide is the financing of healthcare systems. Thus, it is necessary to understand the factors and key components associated with healthcare expenditure. The aim here was to identify demographic, socioeconomic, lifestyle and clinical factors associated with direct healthcare expenditure within primary care, among adults attended through the Brazilian National Health System in the city of Bauru. DESIGN AND
setting: Cross-sectional study conducted in five primary care units in Bauru (SP), Brazil.
methods: Healthcare expenditure over the last 12 months was assessed through medical records of adults aged 50 years or more. Annual healthcare expenditure was assessed in terms of medication, laboratory tests, medical consultations and the total. Body mass index, waist circumference, hypertension, age, sex, physical activity and smoking were assessed through face-to-face interviews.
results: The total healthcare expenditure for 963 participants of this survey was US$ 112,849.74 (46.9% consultations, 35.2% medication and 17.9% laboratory tests). Expenditure on medication was associated with overweight (odds ratio, OR = 1.80; 95% confidence interval, CI: 1.07-3.01), hypertension (OR = 3.04; 95% CI: 1.91-4.82) and moderate physical activity (OR = 0.56; 95% CI: 0.38-0.81). Expenditure on consultations was associated with hypertension (OR = 1.67; 95% CI: 1.12-2.47) and female sex (OR = 1.70; 95% CI: 1.14-2.55).
conclusions: Our results showed that overweight, lower levels of physical activity and hypertension were independent risk factors associated with higher healthcare expenditure within primary care.
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