{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:51:29Z","timestamp":1772232689472,"version":"3.50.1"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo A equidade horizontal no uso de cuidados de sa\u00fade requer igual uso para igual necessidade, independentemente de outros fatores - predisponentes ou de capacita\u00e7\u00e3o (modelo de Andersen). O objetivo \u00e9 avaliar a equidade no uso de consultas m\u00e9dicas em Portugal em 2019, comparando os resultados com os obtidos em estudo anterior, com dados de 2014. Os dados v\u00eam do Inqu\u00e9rito Nacional de Sa\u00fade 2019. O uso de cuidados \u00e9 medido pelo n\u00famero de consultas. Para avaliar as determinantes da utiliza\u00e7\u00e3o, adota-se o modelo binomial negativo. Para quantificar a desigualdade\/iniquidade relacionada com o rendimento, calcula-se o \u00edndice de concentra\u00e7\u00e3o. Face a 2014, os efeitos do estado de sa\u00fade autoavaliado, limita\u00e7\u00e3o nas atividades di\u00e1rias e problema de sa\u00fade prolongado s\u00e3o mais pronunciados e, a regi\u00e3o, rendimento, tipo de agregado e estado civil s\u00e3o significativos, nas consultas de medicina geral e familiar. Nas outras consultas, o seguro perdeu signific\u00e2ncia estat\u00edstica e o efeito educa\u00e7\u00e3o foi atenuado, mas emergiu um efeito rendimento. O \u00edndice de iniquidade n\u00e3o \u00e9 significativo nas consultas de medicina geral e familiar, como em 2014, mas o valor (significativo) desse \u00edndice aumentou para as consultas de outras especialidades.<\/jats:p>","DOI":"10.1590\/1413-81232023281.07762022","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T15:03:41Z","timestamp":1673276621000},"page":"107-107","source":"Crossref","is-referenced-by-count":1,"title":["Acesso para quem quer ou para quem pode? 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