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Perceptions and Uses of Public and Private Health Care in a Brazilian Favela
Journal article   Open access   Peer reviewed

Perceptions and Uses of Public and Private Health Care in a Brazilian Favela

Débora Castiglione, Gina S Lovasi and Marilia S Carvalho
Qualitative health research, v 28(1), pp 159-172
Jan 2018
DOI: https://doi.org/10.1177/1049732317739611
PMID: 29134851
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
http://americanae.aecid.es/americanae/es/registros/registro.do?tipoRegistro=MTD&idBib=2313474View
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Abstract

Adult Attitude to Health Brazil Delivery of Health Care - utilization Female Health Policy Health Services Accessibility Humans Interviews as Topic Male Middle Aged Physician-Patient Relations Poverty Areas Private Sector - utilization Public Sector - utilization Young Adult
Since 1988, Brazil has reorganized and expanded its public health care system, defining access to health care as a right of every citizen. In parallel, the private health care sector grew rapidly to become one of the largest in the world. We explore the use of public and private health care by a low-income population living in a favela, Rio das Pedras, in Rio de Janeiro. At the time of data collection, only part of the community was covered by the primary health care program. We conducted semistructured interviews with 14 adults, both with and without access to the public primary care program. Regardless of program coverage, participants noted barriers and negative experiences while accessing public health care. The perceived inability of health professionals to deal compassionately with a low-income population was prominent in their narratives, and in the expressed motivation for pursuing private sector health care alternatives. We explore the tension arising from the more recent rights-based health care provision and historic social control and assistentialist framing of state intervention in Brazilian favelas.

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14 Record Views
15 citations in Web of Science
14 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Information Science & Library Science
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Social Sciences, Interdisciplinary
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