Cadastro Nacional de Estabelecimentos de Saúde: evidências sobre a confiabilidade dos dados

Rocha, Thiago Augusto Hernandes; Silva, Núbia Cristina da; Barbosa, Allan Claudius Queiroz; Amaral, Pedro; Thumé, Elaine; Rocha, Jorge Luiz da; Álvares, V. de S.; Facchini, Luiz Augusto

doi:10.1590/1413-81232018231.16672015

Cited by 28 publications

(17 citation statements)

References 5 publications

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“…To assess the impact of the MDP we used four data sources: (1) the Hospital Information System (SIH) from which we accessed ACSH and their costs; (2) the National Register of Health facilities (CNES)28 from which we obtained data on the doctors part of the programme yearly since 2013, (3) the Brazilian Institute of Geography29 from which we gathered economic and sociodemographic characteristics of municipalities, and (4) the publicly available financial report of PAHO/WHO for the volume of resources invested in the MDP 22…”

Section: Methodsmentioning

confidence: 99%

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil

et al. 2019

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BackgroundBrazil faces huge health inequality challenges since not all municipalities have access to primary care physicians. The More Doctors Programme (MDP), which started in 2013, was born out of this recognition, providing more than 18 000 doctors in the first few years. However, the programme faced a restructuring at the end of 2018.MethodsWe construct a panel municipality-level data between 2008 and 2017 for 5570 municipalities in Brazil. We employ a difference-in-differences empirical approach, combined with propensity score matching, to study the impacts of the programme on hospitalisations for ambulatory care sensitive conditions and its costs. We explore heterogeneous impacts by age of the patients, type of admissions, and municipalities that were given priority.FindingsThe MDP reduced ambulatory admissions by 2.9 per cent (p value <0.10) and the costs by 3.7 per cent (p value <0.01) over the mean. The reduction was driven by infectious gastroenteritis, bacterial pneumonias, asthma, kidney and urinary infections, and pelvic inflammatory disease. The results held on the subsample of municipalities targeted by the programme. By comparing the benefits of the programme from the reduction in the costs of ambulatory admissions to the total financial costs of the MDP, the impacts allowed the government to save at least BRL 27.88 (US$ 6.9 million) between 2014 and 2017.ConclusionAddressing inequalities in the distribution of the medical workforce remains a global challenge. Our results inform the discussion on the current strategy adopted in Brazil to increase access to primary healthcare in underserved areas.

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Section: Methodsmentioning

confidence: 99%

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil

et al. 2019

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“…Neste estudo, as limitações estão relacionadas com a possibilidade de viés decorrente da base de dados, em virtude de possíveis erros de digitação, bem como a ausência de resultados, conforme observado pela falta de informações de duas equipes na 17ª rodada. No entanto, o uso de análise de dados secundários permite o uso de informações com maior agilidade, como empregado em análises referentes ao orçamento 18 e informações sobre a saúde dos brasileiros 19 , e favorecem a diminuição de gastos com a realização de observações das partidas. Por outro lado, este estudo destaca as características comparativas entre as equipes participantes na temporada 2015-2016, da liga de voleibol, de alto nível feminina brasileira, e assim permite analisar o desempenho na etapa de classificação, que representa momento de maior estabilidade das equipes e de menor pressão inicial da eliminação.…”

Section: Resultsunclassified

Superliga feminina de voleibol: análise das ações para obtenção de pontos na temporada de 2015-2016

2019

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Objetivo: Comparar o desempenho entre as equipes que competiram na Superliga Feminina de Voleibol, na temporada 2015-2016, nas ações relacionadas à obtenção da pontuação (ataque e saque). Métodos: Foi realizado um estudo documental, por meio do levantamento das informações nas bases de dados da competição. Foram extraídas as informações da etapa classificatória da competição das 12 equipes participantes, perfazendo um total de 22 rodadas, em relação a quantidade de ataques e saques, os números de erros de ataque e saque e números de pontos de ataque e saque. Realizou-se o cálculo da eficácia do ataque e saque. As comparações entre as ações de ataque e defesa, entre as equipes, foram realizadas pelo teste Anova, oneway, complementadas pelo teste post hoc de Tukey. O nível de significância foi de 5%.Resultados: Foram analisados 132 jogos, sendo jogos de ida e volta. De modo geral, a eficácia no ataque foi de 28,6% e a eficácia no saque foi de -4,1%. Observou-se que a média de eficácia no ataque foi maior para a equipe do Rexona Ades (35,6%). As equipes de Valinhos Country e São Bernardo Vôlei apresentaram as menores médias de pontos de ataque. Conclusão: Notou-se discrepância nas médias de pontos e erros de ataque e saque para obtenção de pontos entre as equipes, sendo que a equipe que foi campeã da competição (Rexona Ades) mostrou melhor eficácia nas ações de ataque na etapa de classificação.

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“…We analyzed data from 925 hospitals of which 684 offered intensive care unit (ICU) beds dedicated to the neonatal care and 581 offered obstetric beds. All hospitals were geolocated using information provided by the National Registry of Health Facilities at 2015 [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Comprehending the lack of access to maternal and neonatal emergency care: Designing solutions based on a space-time approach

Silva¹,

Rocha²,

Amaral

et al. 2020

PLoS ONE

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The objective of this study was to better understand how the lack of emergency child and obstetric care can be related to maternal and neonatal mortality levels. Methods We performed spatiotemporal geospatial analyses using data from Brazilian municipalities. An emergency service accessibility index was derived using the two-step floating catchment area (2SFCA) for 951 hospitals. Mortality data from 2000 to 2015 was used to characterize space-time trends. The data was overlapped using a spatial clusters analysis to identify regions with lack of emergency access and high mortality trends. Results From 2000 to 2015 Brazil the overall neonatal mortality rate varied from 11,42 to 11,71 by 1000 live births. The maternal mortality presented a slightly decrease from 2,98 to 2,88 by 100 thousand inhabitants. For neonatal mortality the Northeast and North regions presented the highest percentage of up trending. For maternal mortality the North region exhibited the higher volume of up trending. The accessibility index obtained highlighted large portions of the rural areas of the country without any coverage of obstetric or neonatal beds.

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Cadastro Nacional de Estabelecimentos de Saúde: evidências sobre a confiabilidade dos dados

Cited by 28 publications

References 5 publications

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil

Superliga feminina de voleibol: análise das ações para obtenção de pontos na temporada de 2015-2016

Comprehending the lack of access to maternal and neonatal emergency care: Designing solutions based on a space-time approach

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