Terapia intensiva neonatal e pediátrica no Rio de Janeiro: distribuição de leitos e análise de eqüidade

Abstract

There is no equity in the distribution and accessibility to the available beds, with lack in public and excess in private sectors, a great concentration in the metropolitan area and only 5% of ICUs at university hospitals, recommending a policy of redistribution and allocation of new beds in more needy areas, associated with the creation of an admission center along with an efficient reference and transportation system.

Care alternatives for pediatric chronic mechanical ventilation

“…Duas das maiores cidades brasileiras (São Paulo e Rio de Janeiro) apresentam falta de leitos na UTI pediátrica dos hospitais públicos, com uma distribuição desigual 22,23 . Cerca de 80% da população brasileira depende dos serviços públi-cos de saúde 24 , então esse recurso escasso e caro deve ser utilizado com sensatez.…”

Mapeamento demográfico e caracterização do perfil de assistência fisioterapêutica oferecida nas unidades de terapia intensiva neonatais do Rio de Janeiro (RJ)

“…PAs 4 and 5 basically contain the Western zone and, despite being a large and populous area, it contains the smallest number of NICUs compared to the other areas ( Figure 1). Barbosa et al 1 had demonstrated such distribution. Neonatal ICU beds were not evenly distributed since then, with a predominance of beds in Central, Northern and Southern zones, which correspond to the PAs 1, 2 and 3 1,15 .…”

“…Barbosa et al 1 had demonstrated such distribution. Neonatal ICU beds were not evenly distributed since then, with a predominance of beds in Central, Northern and Southern zones, which correspond to the PAs 1, 2 and 3 1,15 . This study demonstrated that such reality remains to the present day.…”

“…Neonatal intensive care units (NICU) were created with the intention of offering care to the premature newborn (NB) 1,2 . Over the years, these units were modifying their care and also began to receive NBs with other needs, not always linked to prematurity [1][2][3][4] .…”

“…Over the years, these units were modifying their care and also began to receive NBs with other needs, not always linked to prematurity [1][2][3][4] . Currently, a greater survival rate of NBs is observed thanks to increasingly expressive technical and scientific advances 1,5 . Before this, there was an increase in the period of hospitalization in the ICUs and care teams were expanded in order to contribute to the excellence of care 6,7 .…”