Acesso à internação hospitalar nos municípios brasileiros em 2000: territórios do Sistema Único de Saúde

Abstract

This article investigates the effect of external factors on hospitalization patterns in Brazilian municipalities (or counties): supply, spatial configuration, socioeconomic aspects, and political context. Inpatient data from 2000 for individuals 15 years and over and most frequent hospital procedures, obtained from the National Hospital Information System (SIH-SUS), were aggregated by place of residence at the municipal level. Nested generalized additive mixed models were fitted using Bayesian inference. Probability of hospitalization is shown to increase with hospital bed supply and with primary care and local capacity, and to decrease with increasing distances and in larger and wealthier municipalities. Inclusion of random, State, and spatial patterns effects reveals regional differences in the probability of hospitalization and the main factors explaining such different patterns.

Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

“…It is necessary to consider, however, that the expansion of the access of the population to mental health services can lead to an increased demand at all levels of assistance 7,19,21,26 , requiring the expansion of the structure and technical capacity of care also in the hospital level.…”

Acesso à assistência oncológica: mapeamento dos fluxos origem-destino das internações e dos atendimentos ambulatoriais. O caso do câncer de mama

“…Redes em árvore caracterizam-se pela limitação das conexões entre seus diversos ramos, ao passo que redes organizadas em malha -em que cada nó se liga a vários outros -permitem percorrer caminhos variados entre os pontos, de modo que os diversos ramos da rede estão interconectados 6 . Nesse sentido, observe-se que padrões de ligações hierárquicas, com poucas ligações em malha, são reconhecidos como eficiente mecanismo de racionamento de serviços escassos 7 .…”

Hemodialysis services: are public policies turned to guaranteeing the access?

“…The concentration of clinics in the capital, as shown in Figure 1, and in 6 other cities in a state as large as Mato Grosso do Sul, may result in migrations in order to reduce barriers to treatment or, in the worst case scenario, result in premature deaths, as a result of the lack of treatment. This situation should be considered when designing public health policies, with a view of distributing therapeutic resources differently from providing specialized care, where concentration of health services and volume of care are the most important criteria 8 .…”

“…Geographical accessibility in a strict sense, i.e., the distance between healthcare services and users, becomes relevant to the analysis of the context because these distances limit the access, reiterating the hypothesis that relationships are more intense when the users are nearer 7,8 .…”