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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/60037
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dc.creatorLaura Botegapt_BR
dc.creatorMonica Viegas Andradept_BR
dc.creatorGilvan Ramalho Guedespt_BR
dc.creatorDaniel Nogueirapt_BR
dc.date.accessioned2023-10-25T20:00:40Z-
dc.date.available2023-10-25T20:00:40Z-
dc.date.issued2022-
dc.citation.volume38pt_BR
dc.citation.issue9pt_BR
dc.citation.spagee00012422pt_BR
dc.citation.epage17pt_BR
dc.identifier.doihttps://doi.org/10.1590/0102-311XEN012422pt_BR
dc.identifier.issn1678-4464pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/60037-
dc.description.resumoThe 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.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentFCE - DEPARTAMENTO DE CIÊNCIAS ECONÔMICASpt_BR
dc.publisher.departmentFCE - DEPARTAMENTO DE DEMOGRAFIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofCadernos de Saúde Públicapt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectHealth Services Accessibilitypt_BR
dc.subjectHospital Servicespt_BR
dc.subjectEfficacypt_BR
dc.subjectEquitypt_BR
dc.subject.otherAcesso a serviços de saúdept_BR
dc.subject.otherServiços Hospitalarespt_BR
dc.subject.otherEficáciapt_BR
dc.subject.otherEquidadept_BR
dc.titleSpatial reorganization of the Brazilian Unified National Health System’s inpatient care supplypt_BR
dc.title.alternativeReorganização espacial da provisão de serviços hospitalares do Sistema Único de Saúdept_BR
dc.title.alternativeReordenación espacial de la prestación de servicios hospitalarios en el Sistema Único de Salud brasileñopt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.scielo.br/j/csp/a/W7y4BhzJxt7jkD4xcbSbcvq/?lang=enpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001- 6030-4100pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002- 6821-1598pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001- 8231-238Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3206- 7782pt_BR
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