Distribuição espacial de equipamentos de mamografia no Brasil

Amaral, Pedro; Luz, Luciana; Cardoso, Francisco; Freitas, Rosiene Maria de

doi:10.22296/2317-1529.2017v19n2p326

Cited by 21 publications

(18 citation statements)

References 17 publications

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“…Factors such as cultural differences, socioeconomic differences, geographical location, and limited information on the part of the population can also impede access to health care services, thus increasing disparity (41,45) . The low rates of mammography coverage found in the present study underscore the need to research the geographic distribution of the mammography equipment available via the SUS and the influence that it can have on access to the test (16,42) .…”

Section: Discussionmentioning

confidence: 99%

Contribution of the Unified Health Care System to mammography screening in Brazil, 2013

et al. 2016

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ObjectiveTo estimate the coverage of opportunistic mammography screening performed via the Brazilian Sistema Único de Saúde (SUS, Unified Health Care System), at the state and regional level, in 2013.Materials and MethodsThis was an ecological study in which coverage was estimated by determining the ratio between the number of mammograms performed and the expected number of mammograms among the population of females between 50 and 69 years of age. The number of mammograms performed in the target population was obtained from the Outpatient Database of the Information Technology Department of the SUS. To calculate the expected number of mammograms, we considered 58.9% of the target population, the proportion that would be expected on the basis of the recommendations of the Brazilian National Cancer Institute.ResultsIn 2013, the estimated national coverage of mammography screening via the SUS was 24.8%. The mammography rate ranged from 12.0% in the northern region to 31.3% in the southern region. When stratified by state, coverage was lowest in the state of Pará and highest in the state of Santa Catarina (7.5% and 35.7%, respectively).ConclusionThe coverage of mammography screening performed via the SUS is low. There is a significant disparity among the Brazilian states (including the Federal District of Brasília) and among regions, being higher in the south/southeast and lower in the north/northeast.

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Section: Discussionmentioning

confidence: 99%

Contribution of the Unified Health Care System to mammography screening in Brazil, 2013

et al. 2016

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“…On the other hand, the need of mammography calculated by the ministerial parameters totalled in about 12.5 million exams, with an excess of offering 11.1%. 19 In this regard, this study shows that Pernambuco State does not comply with this national trend of over offering of mammograms performed by SUS.…”

Section: Discussionmentioning

confidence: 66%

“…24,25 This leads us to affirm that even if the equipment is available, this does not guarantee access, but without the availability of it there is no access any way. 19 The capacity used on the mammography equipment did not reach 50% in all the health regions in the state, ranging from 4% to 42%. A national study carried out in 2016 6 showed the relation between low mammography coverage for the population and the aspects related to socioeconomic conditions in the Regions and States can generate this difference, as well as the poor distribution of the equipment.…”

Section: Discussionmentioning

confidence: 99%

“…According to the study, the most populous cities held approximately 75% of the population and 59% of the mammograms available for SUS. A national study conducted in 2015, 19 showed that there were 2,083 mammograms available for SUS in the country; of these, 4.5% were concentrated in the cities of São Paulo and Rio de Janeiro, the most populous states in the country.…”

Section: Discussionmentioning

confidence: 99%

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Distribution of mammograms and mammography offering in relation to the parametric care of the Public Health Care System in Pernambuco

Silva

Júnior

Mangueira

et al. 2018

Rev. Bras. Saude Mater. Infant.

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Objective: to describe the distribution of available mammograms in the Sistema Único de Saúde (SUS) (Public Health Care System) and the mammography offering were carried out by this system, throughout the health regions in Pernambuco State, and compared them with the parametric care recommended by the Ministry of Health. Methods: this is a descriptive cross-sectional study that used secondary mammograms data in December 2016 by the Cadastro Nacional de Estabelecimentos de Saúde (National Registy on Health Establishments); and about mammography performed at SUS in 2016 by the Sistema de Informação Ambulatorial (Ambulatory Information System). The parametric care document No. 1.631/2015 was used as a comparability standard in relation to the distribution of the equipment and the mammography offering. Results: Pernambuco State presented approximately the double amount of mammograms and mammography was performed about 46% below the recommended parameter used in this study. All the health regions presented sufficient quantity of mammograms. However, the use of the installed capacity was less than 50% in all the health regions in the state. Conclusions: this study shows the need for a better use of the installed capacity for mammograms in Pernambuco State taken by the insufficient mammography offering and the poor distribution of the equipment in its territory.

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“…It is necessary to reflect on the distribution of health services and to consider the capacity that users have to appropriate care in order to provide conditions of equal access to people with equal needs 18 .…”

Section: Discussionmentioning

confidence: 99%

Access to viral hepatitis care: distribution of health services in the Northern region of Brazil

Almeida

Gleriano

Pinto

et al. 2019

Rev. bras. epidemiol.

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Objective: To analyze the distribution of health care services for viral hepatitis and reported cases of viral hepatitis according to the health regions of Northern Brazil. Method: It is an evaluative, descriptive and quantitative research considering viral hepatitis care services and reported cases in the Northern region of Brazil, using data collected from the National Registry of Health Establishments and the Notifiable Diseases Information System. Descriptive statistics and georeferencing, through software, were used to demonstrate the spatial distribution of services and reported cases. Results: Viral hepatitis health services are distributed in a differentiated way; rapid tests are capillaries in the states; confirmatory tests and treatment are performed in some health regions, with a greater grouping of services in the capitals and their surroundings. Cases were reported across all regions, with areas of higher concentration near services. Conclusion: The availability of services can favor access to prevention, diagnosis and monitoring of cases. However, organizational peculiarities of the health system and services highlight fragilities that have repercussions on the access and entirety of viral hepatitis care.

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Distribuição espacial de equipamentos de mamografia no Brasil

Cited by 21 publications

References 17 publications

Contribution of the Unified Health Care System to mammography screening in Brazil, 2013

Contribution of the Unified Health Care System to mammography screening in Brazil, 2013

Distribution of mammograms and mammography offering in relation to the parametric care of the Public Health Care System in Pernambuco

Access to viral hepatitis care: distribution of health services in the Northern region of Brazil

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