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– The Brazilian health system is constituted by a universal public system and a private system. The city of Sao Paulo has a large insurance coverage but there are few local studies on the influence of this factor on health services utilization. Smaller geographic area research allows for better understanding of the local setting. Objective – To analyze health services utilization according to private health insurance ownership in Sao Paulo. Method – We performed a trans-sectional study, based on data from a health household survey performed in 2008 in Sao Paulo. We analyzed health services utilization in acute health issues, chronic disease followup, cancer early detection and hospitalization. We verified the association between each outcome and the ownership of private health insurance using multiple logistic regression, taking in account adjustment factors as demographic and socioeconomic characteristics and health condition. We estimated the Odds Ratio. Results – People without private health insurance had bigger chances of using emergency services. People owning insurance had bigger chances of using ambulatory services and bigger chances of using services for hypertension follow-up and for cancer early detection and hospitalization. Conclusions –Private health insurance ownership engendered differences in health services utilization and there are socio-economic related inequalities in Sao Paulo.

Uso de serviços segundo a posse de plano privado de saúde no município de São Paulo