Evidence map›Paper›PMID 37231427›Full record

ArticleBMC health services research2023

Socioeconomic inequities in specialized health services use following COVID-19 in individuals from Southern Brazil.

Yohana Pereira Vieira, Juliana Quadros Santos Rocha, Rinelly Pazinato Dutra, Lorrany da Silva Nunes, Suele Manjourany Silva Duro, Mirelle de Oliveira Saes

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. COPD in Brazil: where there's smoke….Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
  4. Observational
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Yohana Pereira VieiraPostgraduate Programme in Health sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil. yohanavieira00@gmail.com.ORCID http://orcid.org/0000-0003-4828-8210
Juliana Quadros Santos RochaPostgraduate Programme in Health sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-9743-6331
Rinelly Pazinato DutraPostgraduate Programme in Public Health, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-9902-2052
Lorrany da Silva NunesPostgraduate Programme in Nursing, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0002-3393-5844
Suele Manjourany Silva DuroPostgraduate Programme in Nursing, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0001-5730-0811
Mirelle de Oliveira SaesPostgraduate Programme in Health sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-7225-1552
Universidade Federal de Pelotas · BRUniversity of Rio Grande and Rio Grande Community College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on inequalities in the health services use is important for public policy formulation, even more so in a pandemic context. The aim of this study was to evaluate socioeconomic inequities in the specialized health use services according to health insurance and income, following COVID-19 in individuals residing in Southern Brazil.

methodsThis was a cross-sectional telephone survey with individuals aged 18 years or older diagnosed with symptomatic COVID-19 using the RT-PCR test between December 2020 and March 2021. Questions were asked about attendance at a health care facility following COVID-19, the facilities used, health insurance and income. Inequalities were assessed by the following measures: Slope Index of Inequality (SII) and Concentration Index (CIX). Adjusted analyses were performed using Poisson regression with robust variance adjustment using the Stata 16.1 statistical package.

results2,919 people (76.4% of those eligible) were interviewed. Of these, 24.7% (95%CI 23.2; 36.3) used at least one specialized health service and 20.3% (95%CI 18.9; 21.8) had at least one consultation with specialist doctors after diagnosis of COVID-19. Individuals with health insurance were more likely to use specialized services. The probability of using specialized services was up to three times higher among the richest compared to the poorest.

conclusionsThere are socioeconomic inequalities in the specialized services use by individuals following COVID-19 in the far south of Brazil. It is necessary to reduce the difficulty in accessing and using specialized services and to extrapolate the logic that purchasing power transposes health needs. The strengthening of the public health system is essential to guarantee the population's right to health.

Indexed as

COVID-19Healthcare DisparitiesBrazilCross-Sectional StudiesHealth ServicesHumansSocioeconomic FactorsAccessBrazilCOVID-19Health Inequality MonitoringHealth ServicesHealth Status Disparities

Identifiers

PMID37231427
PMCPMC10209926
OpenAlexW4378222262

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.