Determinants of outpatient expenditure within primary care in the Brazilian National Health System

摘要: CONTEXT AND OBJECTIVE: One of the big challenges facing governments worldwide is financing healthcare systems. Thus, it necessary to understand factors and key components associated with expenditure. The aim here was identify demographic, socioeconomic, lifestyle clinical direct expenditure within primary care, among adults attended through Brazilian National Health System in city Bauru. DESIGN SETTING: Cross-sectional study conducted five care units Bauru (SP), Brazil. METHODS: Healthcare over last 12 months assessed medical records aged 50 years or more. Annual terms medication, laboratory tests, consultations total. Body mass index, waist circumference, hypertension, age, sex, physical activity smoking were face-to-face interviews. RESULTS: total for 963 participants this survey US$ 112,849.74 (46.9% consultations, 35.2% medication 17.9% tests). Expenditure on overweight (odds ratio, OR = 1.80; 95% confidence interval, CI: 1.07-3.01), hypertension (OR 3.04; 1.91-4.82) moderate 0.56; 0.38-0.81). 1.67; 1.12-2.47) female sex 1.70; 1.14-2.55). CONCLUSIONS: Our results showed that overweight, lower levels independent risk higher care.