Spatial reorganization of the Brazilian Unified National Health System’s inpatient care supply

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dc.creatorLaura Botega
dc.creatorMonica Viegas Andrade
dc.creatorGilvan Ramalho Guedes
dc.creatorDaniel Nogueira
dc.date.accessioned2023-10-25T20:00:40Z
dc.date.accessioned2025-09-09T01:17:42Z
dc.date.available2023-10-25T20:00:40Z
dc.date.issued2022
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1590/0102-311XEN012422
dc.identifier.issn1678-4464
dc.identifier.urihttps://hdl.handle.net/1843/60037
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofCadernos de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectAcesso a serviços de saúde
dc.subjectServiços Hospitalares
dc.subjectEficácia
dc.subjectEquidade
dc.subject.otherHealth Services Accessibility
dc.subject.otherHospital Services
dc.subject.otherEfficacy
dc.subject.otherEquity
dc.titleSpatial reorganization of the Brazilian Unified National Health System’s inpatient care supply
dc.title.alternativeReorganização espacial da provisão de serviços hospitalares do Sistema Único de Saúde
dc.title.alternativeReordenación espacial de la prestación de servicios hospitalarios en el Sistema Único de Salud brasileño
dc.typeArtigo de periódico
local.citation.epage17
local.citation.issue9
local.citation.spagee00012422
local.citation.volume38
local.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.
local.identifier.orcidhttps://orcid.org/0000-0001- 6030-4100
local.identifier.orcidhttps://orcid.org/0000-0002- 6821-1598
local.identifier.orcidhttps://orcid.org/0000-0001- 8231-238X
local.identifier.orcidhttps://orcid.org/0000-0002-3206- 7782
local.publisher.countryBrasil
local.publisher.departmentFCE - DEPARTAMENTO DE CIÊNCIAS ECONÔMICAS
local.publisher.departmentFCE - DEPARTAMENTO DE DEMOGRAFIA
local.publisher.initialsUFMG
local.url.externahttps://www.scielo.br/j/csp/a/W7y4BhzJxt7jkD4xcbSbcvq/?lang=en

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