With free health services, why does the Brazilian working class delay in seeing the doctor?
Trop Doct
; 19(3): 120-3, 1989 Jul.
Article
em En
| MEDLINE
| ID: mdl-2773050
ABSTRACT
PIP: This study was conducted on the Brazilian working class to identify why sick people delayed in seeking medical attention despite free health services. The study was performed in a shanty-town community located on the urban fringe of Brasilia. 245 residents were interviewed by health professionals. Demographic data collected included the floor space of the houses, number of residents, age of head of household, monthly family income, and educational status of interviewee. The interviewee were asked to describe their last visit to a doctor, motives for their visit, and the time span between recognition of a medical symptom and seeing a doctor. The results of the study suggested that the vast majority waited for more than 3 months before seeking medical attention. In addition, the length of time a client waited to see a doctor was not related to the motive of the visit and most people made their own decision as to when they should see a doctor. The most common reason for delay in seeking medical attention was the inconvenience involved in making the initial contact with a doctor; this either involved waiting too long in line to be seen at an outpatient clinic or it was too much trouble to be seen by a doctor. From this study it seemed clear that efforts to promote the timeliness of medical care in this community should focus on the doctor-patient relationship and not just on the material side of health services.
Palavras-chave
Americas; Behavior; Brazil; Data Collection; Delivery Of Health Care; Demographic Factors; Developing Countries; Economic Factors; Geographic Factors; Health; Health Facilities; Health Personnel; Health Services Evaluation; Interviews; Latin America; Low Income Population; Motivation; Obstacles; Organization And Administration; Outpatient Clinic; Physicians; Population; Population Dynamics; Program Acceptability; Program Evaluation; Programs; Psychological Factors; Research Methodology; Research Report; Slums; Social Class; Socioeconomic Factors; Socioeconomic Status; South America; Spatial Distribution; Time Factors; Urban Spatial Distribution; Urbanization
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde
Tipo de estudo:
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Humans
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Trop Doct
Ano de publicação:
1989
Tipo de documento:
Article
País de publicação:
Reino Unido