Banca de DEFESA: JOÃO PAULO TEIXEIRA DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : JOÃO PAULO TEIXEIRA DA SILVA
DATA : 26/10/2018
HORA: 09:00
LOCAL: Departamento de Odontologia
TÍTULO:

The regional health planning in Brazil: evaluation from the hospital network

PALAVRAS-CHAVES:

Regional Health Planning; Delivery of Health Care; Health Evaluation

PÁGINAS: 99
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

The Brazilian health regions correspond to 437 clusters of Brazilian municipalities and 1 that corresponds to the federal district, totaling 438 clusters. The distribution and composition of these regions is the responsibility of the states in partnership with the regional inter-agency commissions, with a great diversity in this distribution due to the peculiar dimensions and multiculturality of the Brazilian territory. This study aims to evaluate the regionalization of health in Brazil, the performance of the regions and associated factors, in light of the information provided by the health indicators, focusing on the hospital network. This is an ecological, multi-group, quantitative approach that incorporates descriptive and analytical statistical analysis using SPSS v. 24. Pearson's association and linear regression analyzes were performed, with the dependent variable being the proportion of hospitalizations within the health region and independent socioeconomic, structural, and health care variables. The period of analysis is from 2012 to 2016 and includes data from the Ministry of Health (DATASUS) linked to data from the Annual Report on Social Information and Atlas of Human Development in Brazil. The socioeconomic profile of the health regions presents better indexes in the South and Southeast regions of the country, with better HDI indicators, higher life expectancy, higher per capita income, lower percentage of those vulnerable to poverty and inadequate sanitary conditions. The health structure of the regions reveals that coverage and resources invested in primary health care are better in the Northeast, while the percentage of municipalities' own resources is higher in the Southeast. The number of beneficiaries of health insurance is higher in the Southeast. While the Central-West region has the highest number of hospitals per 100,000 inhabitants, the Southeast region has the largest number of beds and the Northeast region has the most basic care units. The Southeast region is the one that most invests in beds in detriment of the primary care units. The participation of SUS beds is greater in the Northeast and North regions. The South and Southeast regions have more doctors, nurses and intensive care beds. The health regions present in the South and Southeast of the country still stand out by interning patients within their regions of residence, maintaining the best indicators for the hospitalizations of urgency, medium and high complexity in their own health regions. However, the North region is the highlight for the number of hospitalizations in the own network, while the South region is the one that resorts the most to the private sector. The Central-West region is the one that presented the best indicators for medical consultation and outpatient production per inhabitant. The analysis of association with the hospitalization variable in the same region showed a significant correlation with the mean number of beds in SUS, life expectancy at birth and ambulatory procedures.

MEMBROS DA BANCA:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Externo à Instituição - MARILIA LOUVISON - USP