A equidade na cobertura da Estratégia Saúde da Família em Minas Gerais, Brasil

Andrade, Mônica Viégas; Noronha, Kenya; Barbosa, Allan Claudius Queiroz; Rocha, Thiago Augusto Hernandes; Silva, Núbia Cristina da; Calazans, Júlia Almeida; Souza, Michelle Nepomuceno; Carvalho, Lucas Resende de; Souza, Aline de

doi:10.1590/0102-311x00130414

Cited by 27 publications

(34 citation statements)

References 19 publications

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“…Among the main empirical investigations in health economics in Brazil, many of them focused on public health issues. Although they have discussed public policies (Andrade et al, 2015;Ferreira, Magalhães, Corrrêa, Rodrigues, & Viegas, 2014;Andrade, Chein, Souza, & Puig-Junoy, 2012;Cherchiglia et al, 2010), they do not address issues of spatial interaction. However, by using exploratory spatial data analysis, Rodrigues, Amaral, & Simões (2007) found that Brazilian public health network is superposed and poorly distributed among regions.…”

Section: Introductionmentioning

confidence: 99%

Elections and externalities of health expenditures

Ferreira

Alves

Caldeira

2018

JES

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Purpose The purpose of this paper is to examine the determinants of local public health expenditure in a decentralized health system, taking into account the electoral calendar and the effect of central and local elections, besides spatial interaction among municipalities and political alignment. The authors state that the expenditure in public health at the local level is positively influenced by vicinity and by elections calendar. Design/methodology/approach The authors performed a Spatial Durbin Model with a balanced panel using the data from 399 Brazilian municipalities from 2005 to 2012. The authors use a distance-based spatial matrix, whose choose was based on simplicity and relevance of Moran’s I and Geary’s C coefficients for spatial autocorrelation. The authors also cluster the data in the estimations, according to the distribution of regional facilities in the entire period and considering the occurrence of regionalization in public health services. Findings The empirical contribution lies in four issues: first, the authors demonstrate a positive spatial effect in the public health expenditure. Second, the estimations show that election-year shifts public spent, as a response for vote-seeking incumbents’ behavior. Third, reelected mayors increase local public health allocations, as well as single candidates and incumbents from the same party of central governments. Finally, populational concentration directly decreases health expenditure (even if those municipalities represent a lower unit cost of acquiring votes, the optimization of public health infrastructure and mobility in achieving public health services negatively affect health spent). Originality/value This study supports the statement that public health spent at local level is positively influenced by vicinity and by occurrence of elections.

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Section: Introductionmentioning

confidence: 99%

Elections and externalities of health expenditures

Ferreira

Alves

Caldeira

2018

JES

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“…A partir do mapeamento das unidades básicas de saúde (UBS), foram criadas áreas de abrangência potencial, refletindo uma porção de território de responsabilidade de cada UBS do país. Essa metodologia já foi utilizada no passado com relativo sucesso em um estudo destinado a avaliar a equidade no acesso a serviços de atenção básica (22). Uma vez definida essa área, é possível obter dados dos setores censitários incluídos em cada área potencial.…”

Section: Premência Na Geração De Evidências Sobre Os Resultados Do Pmmunclassified

Programa Mais Médicos: como avaliar o impacto de uma abordagem inovadora para superação de iniquidades em recursos humanos

Barbosa

Amaral

Francesconi

et al. 2018

Rev Panam Salud Publica

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RESUMO Apesar de decorridos 40 anos da divulgação dos princípios de Alma-Ata, ainda persistem desafios para a consolidação da atenção primária à saúde (APS) como eixo norteador dos sistemas de saúde ao redor do globo. Dentre os desafios ainda presentes, merecem destaque as questões associadas à iniquidade na distribuição de recursos humanos em saúde. A experiência do Programa Mais Médicos (PMM) no Brasil é um exemplo de proposta voltada para a abordagem dessa agenda inconclusa de Alma-Ata. Ao modificar aspectos centrais da formação, provimento e alocação de profissionais médicos, o PMM mostrou-se uma saída viável para minimizar os desafios de escassez de profissionais. As avaliações do PMM, embora incipientes, produziram evidências positivas quanto a ampliação do acesso e melhoria da qualidade da APS no Brasil, um país de médio desenvolvimento econômico. Apesar disso, é premente a geração de evidências mais sólidas a respeito do impacto do PMM sobre indicadores de desempenho da APS. O debate apresentado ao longo deste trabalho discute a necessidade de se viabilizar estudos quase-experimentais capazes de mensurar o impacto do PMM junto à saúde da população. O artigo propõe, então, um conjunto de diretrizes que pode se configurar como um modelo aplicável para abordar desafios associados à escassez de profissionais em países de médio e baixo desenvolvimento econômico.

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“…Despite these difficulties, the FHS has been able to minimize longstanding inequalities in access. It is believed that for a positive impact on access to be perceived by the population, more time will be needed for the FHS to become fully established 33 .…”

Section: Discussionmentioning

confidence: 99%

Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors

Cruz

Vieira

Carneiro

et al. 2020

Rev. bras. geriatr. gerontol.

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Objective: To estimate the prevalence and factors associated with the difficulties of access to health services among non-institutionalized older adults in the town of Montes Claros, Minas Gerais, Brazil. Method: A cross-sectional study nested in a population-based cohort of community-dwelling older adults was carried out in Montes Claros, Minas Gerais, Brazil. Data collection was performed in the homes of the older adults between November 2016 and February 2017. Demographic, socioeconomic, and health-related variables and access to and use of health services were evaluated. Bivariate analyzes (Pearson’s chi-squared test) were conducted, adopting a level of significance lower than 0.20 for inclusion of the independent variables in the multiple model. The final model was generated by Poisson regression analysis, with robust variance, and the variables maintained were associated with difficulty in using the health services up to a level of significance of 0.05 (p<0.05). Results: 394 older adults participated in this study, 33% of whom reported difficulties with access. In multiple analysis, greater difficulty of access was registered among older adults without a partner; who could not read; were frail and had a negative self-perception of health. Older adults face greater difficulties with access when seeking public services. Conclusion: A high perception of difficulty with access was identified, determined by social and physical aspects inherent to aging, and which may be worsened by the characteristics of public services. There is a need for investments in the health care of older adults, in order to guarantee care that promotes healthy aging.

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A equidade na cobertura da Estratégia Saúde da Família em Minas Gerais, Brasil

Cited by 27 publications

References 19 publications

Elections and externalities of health expenditures

Elections and externalities of health expenditures

Programa Mais Médicos: como avaliar o impacto de uma abordagem inovadora para superação de iniquidades em recursos humanos

Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors

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