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The public-private health care mix in Brazil: descriptive study of the overlapping use of public and private healthcare services by Brazilians and the perspective of users and health care workers
Belgium (BeMSA) - Ghent University, Ghent
Department of Public Health and Primary Care University Hospital,
Sara Willems, Bianca Silva
English, Portuguese (great asset), dutch
Type of Research Project
- Basic science
What is the background of the project?
The Brazilian health care system is a hybrid mix of public and private, the latter including private insurance and out-of-pocket spending. As of September 2018, the private health insurance coverage in Brazil was 24.3%. Health insurance coverage fluctuates according to the country’s economic situation and employment rates. In 2015 the government health spending in Brazil was $607 USD/capita, whereas the total health spending was $1402 USD/capita. The average for Organisation for Economic Co-operation and Development (OECD) countries in government/compulsory health spending for the same period was $2937 USD/capita and a total of $4003 USD/capita. Therefore, despite having around 65% of the population being dependent on public health care services, health spending in the private sector surpass those in the public sector. Being a country of great social and economic differences, with an underfinanced public health care, there is evidence that Brazilians fluctuate between public and private health services, often combining the use of both.
What is the aim of the project?
This study aims to use data from the Pesquisa National de Saude (PNS) - Brazil's healthcare survey - to estimate the magnitude of the overlapping use of public and private healthcare services by Brazilians, focusing on ambulatory care, lab testing and imaging, and to draw a profile of this use.
What techniques and methods are used?
Population: patient data from Brazil's healthcare survey Methods: Advanced statistical analysis: linear and logistic regression analysis, multilevel analysis, data reporting within a scientific work. Statistical Packages for the Social Sciences (SPSS): or R for linear and logistic regression analysis, R or Multilevel Windows Number (MLwiN) for multilevel analysis
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
- To reflect on how to translate research questions related to the use of public and private healthcare services by Brazilians into hypotheses that can be tested using the available database (PNS) - To propose the statistical methods to test the hypotheses - To perform (advanced) statistical analyses on specific variables in the database to answer the aforementioned research questions related to the use of public and private healthcare services by Brazilians - To write down the results of the analysis and the used methodology using his/her scientific writing skills
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - No specific outcome is expected
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Statistical skills (e.g. linear and logistic regression analysis, multilevel analysis), scientific writing skills. Previous experience with advanced statistical analysis in SPSS
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months) - Pre-Medical students from the American-British system - Students in biomedical fields - Dental medicine students (IADS members)
- Viacava; F.; Antunes Dantas de Oliveira; R.; de Campos Carvalho; C.; Laguardia; J.; & Gregório Bellido; J. (2018). SUS: supply; access to and use of health services over the last 30 years. Revista Ciência & Saúde Coletiva; 23(6).
- Viacava; F.; & Bellido; J. G. (2016). Health; access to services and sources of payment; according to household surveys. Ciencia & saude coletiva; 21(2); 351-370.
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