Inequalities in the provision of hospital care in the Covid-19 pandemic in Brazil: an integrative review

Abstract

The Covid-19 pandemic raises concern about global health systems’ response capacity and resilience. In Brazil, several studies analyzed this issue of providing health services and resources to meet the Sars-CoV-2 cases. This study aims to understand and analyze the inequalities in providing hospital care of the Brazilian Unified Health System (SUS) to care for severe Covid-19 cases. An integrative literature review was carried out from March to December 2020, mainly in Public Health, focusing on the regional distribution and the public-private relationship of hospital care. We employed databases BVS and SciELO and institutional sources. Forty-two studies were analyzed from geographic space, seen by socio-spatial inequalities, and from the social protection system in health, through public-private relationships. The studies indicate significant inequalities in public-private arrangements and the regional distribution of the supply of resources analyzed in the most diverse spatial scales. Inequalities are significant even in regions historically privileged by hospital resources. Supply segmentation and interdependence between the public and private sectors impose severe limitations to combat Covid-19 in Brazil and exacerbate health inequalities.

The challenges for health professionals delivering palliative care in the community during the COVID-19 pandemic: An integrative review

“…Most articles reported shortages of supplies, including medications and PPE (Bayly et al 2022;Costantini et al 2020;Dhavale et al 2020;Franchini et al 2021;Hasson et al 2022;Jansky et al 2021;Jones et al 2022;Luckett et al 2021;Page et al 2020;Ritchie et al 2021;Rogers et al 2021;Sterling et al 2020;Weisse and Melekis 2021;Wentlandt et al 2021). Key among the resource challenges, however, was the availability of health professionals who were often overstretched and overburdened, similar to research reporting the experiences of other frontline health-care providers during the pandemic (Soares et al 2022). The future of community palliative care will likely depend on the availability of professional workforces and caregivers (Horey et al 2015).…”

Qualidade De Vida Dos Profissionais De Saúde Da Atenção Primária À Saúde Durante Pandemia Do Covid-19

“…No caso dos profissionais de saúde, houve elevação do trabalho, além do estresse externoambos ligados ao ambiente pandêmico. O burnout causa diversos tipos de sequelas, dentre elas estão: diminuição da produtividade laboral; falta de atenção, aumentando os riscos de acidente no ambiente do trabalho; e comprometimento da qualidade do atendimento (8) .…”

Quantifying political influence on COVID-19 fatality in Brazil

“…In this context the Federal government should have a central role in coordinating the administrative efforts, the cooperation between levels of government, and in developing public policy for more effective measures to mitigate the impacts from COVID-19 in society [ 13 ]. However, over the course of time, the federal government acted instead in an opposite direction, offering insufficient transparency in reporting statistic and conflicting information on COVID-19, neglecting scientific information, acting against social distancing and health measures determined provincial and statewide, delaying vaccination and financial support distribution [ 14 , 15 ]. In order to understand the fatality dynamics of COVID-19 in Brazil, it is important to have in mind then that the states in Brazil, through their local health authorities, were responsible for determining and enforcing the most critical measures to curb the pandemics, like social distance and mask mandates.…”