Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

Rocha, Juan Stuardo Yazlle; Monteiro, Rosane Aparecida; Moreira, Marizélia Leão

doi:10.1590/s0034-8910.2015049005696

Cited by 3 publications

(2 citation statements)

References 6 publications

(10 reference statements)

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“…With the crossing of admissions by Covid-19, it was also possible to identify the indicator of migratory efficacy, which takes into account the evasion and invasion of patients. According to Rocha 12 , the greater the evasion of patients, the lesser the capacity to assist the population locally or regionally; and the greater the invasion of patients, the greater the power of attraction exerted by the conditions of care provision 12 . The Migratory efficacy Indicator (MEI) was obtained by the formula below:…”

Section: Methodsmentioning

confidence: 99%

Inpatient flow for Covid-19 in the Brazilian health regions

et al. 2021

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The study aims to investigate the flows of Covid-19 hospitalizations in the 450 Brazilian health regions and 117 health macro-regions between March and October 2020. This descriptive study includes all Covid-19 hospitalizations registered in the Influenza Epidemiological Surveillance Information System between the eighth and forty-fourth epidemiological weeks of 2020. In Brazil, 397,830 admissions were identified for Covid-19. Emigration was 11.9% for residents in health regions and 6.8% in macro-regions; this pattern was also maintained during the peak period of Covid-19 hospitalizations. The average evasion for residents of health regions was 17.6% in the Northeast and 8.8% in the South. Evasion was more accentuated in health regions with up to 100 thousand inhabitants(36.9%), which was 7 times greater than that observed in health regions with more than 2 million inhabitants (5.2%). The negative migratory efficacy indicator (-0.39) revealed a predominance of evasion. Of the 450 Brazilian health regions, 117 (39.3%) had a coefficient of migratory efficacy between-1 and-0.75, and 113 (25.1%) between-0.75 and-0.25. Results indicate that the regionalization of the health system exhibited adequate organization of healthcare in the territory; however, the long distances traveled are still worrisome.

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Section: Methodsmentioning

confidence: 99%

Inpatient flow for Covid-19 in the Brazilian health regions

et al. 2021

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“…Com o cruzamento das internações por COVID-19, também foi possível identificar o indicador de eficácia migratória, que leva em consideração a evasão e invasão de pacientes. Segundo Rocha (14), quanto maior a evasão de pacientes, menor seria a capacidade de assistir local ou regionalmente a população; e quanto maior a invasão de pacientes, maior o poder de atração exercido pelas condições de oferta de assistência(14).O indicador de eficácia migratória (IEM) foi obtido pela fórmula abaixo: IEM = (I -E) / (E + I) Em que "I" é a invasão, definida como a entrada de pacientes de outras regiões de saúde; "E" é a evasão, definida com a saída de pacientes para outras regiões de saúde. "I -E" é a migração líquida (entradas menos saídas de pacientes em uma região de saúde).…”

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Fluxo de internação por COVID-19 nas regiões de saúde do Brasil

Silva

Soares²,

Frio

et al. 2021

Preprint

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Este preprint foi submetido sob as seguintes condições:O autor submissor declara que todos os autores responsáveis pela elaboração do manuscrito concordam com este depósito.Os autores declaram que estão cientes que são os únicos responsáveis pelo conteúdo do preprint e que o depósito no SciELO Preprints não significa nenhum compromisso de parte do SciELO, exceto sua preservação e disseminação.Os autores declaram que a pesquisa que deu origem ao manuscrito seguiu as boas práticas éticas e que as necessárias aprovações de comitês de ética de pesquisa estão descritas no manuscrito, quando aplicável.Os autores declaram que os necessários Termos de Consentimento Livre e Esclarecido de participantes ou pacientes na pesquisa foram obtidos e estão descritos no manuscrito, quando aplicável.Os autores declaram que a elaboração do manuscrito seguiu as normas éticas de comunicação científica.Os autores declaram que o manuscrito não foi depositado e/ou disponibilizado previamente em outro servidor de preprints ou publicado em um periódico.O autor submissor declara que as contribuições de todos os autores estão incluídas no manuscrito.O manuscrito depositado está no formato PDF.Os autores declaram que caso o manuscrito venha a ser postado no servidor SciELO Preprints, o mesmo estará disponível sob licença Creative Commons CC-BY.Caso o manuscrito esteja em processo de avaliação ou sendo preparado para publicação mas ainda não publicado por um periódico, os autores declaram que receberam autorização do periódico para realizar este depósito.

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Hospitalizations for congenital syphilis in children under one year old in the state of Pará, Brazilian Amazon: ecological study

Neri,

da Costa Miranda,

Botelho

et al. 2023

BMC Pediatr

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Background The high incidence of congenital syphilis shows flaws in the resolution of primary health care, being a predictor of greater use of hospital services, whose regional differences in access to health actions and services may be reflected in health inequalities. Objective to investigate hospitalizations due to congenital syphilis in children under one year of age, in the state of Pará, Brazilian Amazon. Methods an ecological study was carried out, using hospitalization, lethality and mortality rates related to congenital syphilis in children under one year of age. Temporal analysis and mapping of hospitalization flows were carried out using Joinpoint®, version 4.7.0.0, Terraview 4.2.2, Tabwin 4.1.5. Results A total of 6,487 hospitalizations were recorded. For the ten years of the study period (2009 to 2018), the lethality rate showed a decreasing trend of – 13.5% (p = 0.01). The crude hospitalization rate showed an increasing trend of 12.8% (p < 0.000. The regression analysis demonstrated that there was a change point in the trend with a significant growth of 12.8% until 2016 (p = 0.0006). In the mortality rate the trend was stable (p = 0.56). The analysis of hospitalization care flows made it possible to identify that most hospitalizations due to congenital syphilis occurred in the municipalities of residence, but 1,378 (21.2%) had to move. Two large care gaps were highlighted in Metropolitan health regions II and III, belonging to macroregion II. The hospitalizations of residents of these regions were carried out by the assistance networks of Belém (capital) and Marituba, both of which are part of Metropolitana I. Residents of macroregions III and IV had the greatest distances traveled to access hospital care. Conclusions The increase in the rate of hospitalizations with an increasing trend demonstrates the impact that syphilis still causes in Brazil, not being resolved even after national government interventions in primary health care, but there was a decreasing trend in the fatality rate. The results demonstrate a heterogeneous organization of health care networks in the state’s health regions and macroregions.

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Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

Cited by 3 publications

References 6 publications

Inpatient flow for Covid-19 in the Brazilian health regions

Inpatient flow for Covid-19 in the Brazilian health regions

Fluxo de internação por COVID-19 nas regiões de saúde do Brasil

Hospitalizations for congenital syphilis in children under one year old in the state of Pará, Brazilian Amazon: ecological study

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