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http://hdl.handle.net/1843/60037| Type: | Artigo de Periódico |
| Title: | Spatial reorganization of the Brazilian Unified National Health System’s inpatient care supply |
| Other Titles: | Reorganização espacial da provisão de serviços hospitalares do Sistema Único de Saúde Reordenación espacial de la prestación de servicios hospitalarios en el Sistema Único de Salud brasileño |
| Authors: | Laura Botega Monica Viegas Andrade Gilvan Ramalho Guedes Daniel Nogueira |
| Abstract: | The joint provision of efficient and equitable healthcare service delivery is a critical factor in improving social welfare. However, healthcare services pose a particular challenge when balancing healthcare provider efficiency and equity. Typically characterized by economies of scale and scope, inpatient care involves a wide variety of medical care that usually demands a broad range of health professional expertise and technological complexity to ensure health care quality. This study analyzes the current spatial organization of the Brazilian general hospitals and their respective flow of patients to identify the possible benefits of closing inefficient hospitals. We studied how inpatient care referrals may be reallocated without increasing access inequities following the potential closure of inefficient public hospitals. We used data from the Brazilian Hospital Information System of the Brazilian Unified National Health System (SIH/SUS) and the Brazilian National Register of Health Establishments (CNES). The smallest and least efficient hospitals were selected as units for potential closure, conditioned on an optimization criterion that minimizes patient travel distances to the nearest efficient hospital. Our results show that there is room for hospital resource reorganization in Brazil without compromising health care access equity. |
| Subject: | Acesso a serviços de saúde Serviços Hospitalares Eficácia Equidade |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | FCE - DEPARTAMENTO DE CIÊNCIAS ECONÔMICAS FCE - DEPARTAMENTO DE DEMOGRAFIA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | https://doi.org/10.1590/0102-311XEN012422 |
| URI: | http://hdl.handle.net/1843/60037 |
| Issue Date: | 2022 |
| metadata.dc.url.externa: | https://www.scielo.br/j/csp/a/W7y4BhzJxt7jkD4xcbSbcvq/?lang=en |
| metadata.dc.relation.ispartof: | Cadernos de Saúde Pública |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Spatial reorganization of the Brazilian Unified National Health System’s inpatient care supply.pdf | 7.06 MB | Adobe PDF | View/Open |
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