Estimación de la oferta de médicos especialistas en Colombia con el método de captura-recaptura

Rosselli, Diego; Otero, Andrés Piquer; Heller, Daniella; Calderón, Claudia; Moreno, Socorro; Pérez, Adriana

doi:10.1590/s1020-49892001000600006

Cited by 16 publications

(12 citation statements)

References 11 publications

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“…Identificou-se que o número de especialistas foi duplicado em menos de uma década. Além disso, demonstrou-se que a neurocirurgia e a oftalmologia estão com o mercado saturado, e outras especialidades -obstetrícia, ginecologia, neurologia, ortopedia, urologia, anestesiologia, cardiologia, dermatologia e otorrinolaringologia -apresentavam taxas de crescimento acima da capacidade de vinculação ao sistema de saúde 18 . No Brasil, Machado 6 analisou a distribuição dos profissionais médicos entre as regiões brasileiras e ressaltou que havia uma disparidade na inserção deles, dado que cerca de 75,0% estavam concentrados nas regiões Sul e Sudeste e, também, salientou que em muitos municípios não se encontrava um único médico.…”

Section: Discussionunclassified

Consórcios Intermunicipais de Saúde: o caso do Paraná, Brasil

Nicoletto¹,

Cordoni

Costa

2005

Cad. Saúde Pública

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Inter-municipal health consortia emerged in Brazil's Unified National Health System (SUS) policy in the late 1980s. Municipal health administrators adhered to this strategy with the aim of upgrading health services supplied to the population. This research analyzes the profile of such consortia in Paraná State, focusing on specialized medical care. Data were obtained from reports by the State Health Council and questionnaires sent to all 20 existing municipal health consortia. Governmental Decree no. 1,101 and data published in 2000 on the profile of the health system in Paraná were used as references. Of the 399 municipalities in Paraná State, 81.5% have joined municipal consortia. Specialists are allocated by municipalities (4.4%), the State government (13.6%), or Federal Government (12.8%); another 69.2% are hired by the consortia themselves. The supply of consultations with specialists is either insufficient or inadequately distributed, and there are flaws in the referral and counter-referral system. Municipal health consortia serve as viable instrument for expanding and increasing the capacity of municipalities to supply specialized care, although there is a need for well-defined criteria, planning, and improving of the referral and counter-referral system.

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Section: Discussionunclassified

Consórcios Intermunicipais de Saúde: o caso do Paraná, Brasil

Nicoletto¹,

Cordoni

Costa

2005

Cad. Saúde Pública

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“…37 A greater number of oncology specialists is required and the distribution of these specialists also occurs in an unequal manner. [38][39][40][41] Additionally, Latin American authorities and health care professionals must consider that the necessities of the population with cancer go beyond antineoplastic specialized services, and include socioeconomic and cultural needs.…”

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confidence: 99%

Cancer Burden in Latin America and the Caribbean

Curado

Souza

2014

Annals of Global Health

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Establishing knowledge on the real impact of incidence, mortality, and survival in Latin America and the Caribbean is quite a challenge due to the lack of an updated and dynamic information system on mortality and incidence, although some improvement has been made in the information systems of some countries within the most recent decade. Other obstacles for cancer control are the uneven allocation of resources, lack of investments in equipment and infrastructure, and the concentration of health care professionals in large urban centers, which contribute to the reproduction of socioeconomic iniquities in the assistance of populations that suffer from cancer.

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“…De forma consistente, las cuatro especialidades médicas tradicionalmente consideradas como básicas (medicina interna/familiar, pediatría, cirugía general y ginecoobstetricia) son las que exhiben mayor brecha de especialistas, siendo estas variables de acuerdo a la región estudiada. Estos resultados concuerdan con lo registrado en estudios nacionales y extranjeros (6,12,(14)(15)(16)(17) ; asimismo, se observa que la brecha de médicos especialistas es mayor en las regiones ubicadas en el quintil 1 y 2 de carencias (18) ; es decir, los más pobres tienen menor acceso a servicios especializados.…”

Section: Discussionunclassified

“…Similar a lo evidenciado en otro estudio (12) , se encontró que más del 50% de la oferta de médicos especialistas se concentran en Lima Metropolitana, lo cual revela la centralización de los recursos humanos y la inequidad al acceso a los servicios de salud especializados por parte de la población, similares resultados se encontraron en otros estudios de la región (14,15) .…”

Section: Discussionunclassified