O Brasil na UTI: atenção hospitalar em tempos de pandemia

Campos, Francisco Carlos Cardoso de; Canabrava, Claudia Marques

doi:10.1590/scielopreprints.1368

Cited by 2 publications

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“…17 The regional inequalities observed in installed capacity and the greater difficulty in increasing the number of Health Regions with capacity shows the historically existing difficulties in the regionalization of health in Brazil and the low response capacity of the system to modify this scenario in a short period in the face of need. 6,18…”

Section: Discussionmentioning

confidence: 99%

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Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

Pereira

Soares

Frio

et al. 2021

Preprint

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Objective: We assessed the Brazilian health system's ability to respond to the challenges imposed by the Covid-19 pandemic considering hospital capacity in the 450 Health Regions of the country in 2020. Hospital capacity referred to the availability of hospital beds, equipment, and human resources. Methods: Data came from National Register of Health Facilities on the availability of Covid-19 resources in inpatient facilities from January to December,2020. Assessed resources were health professionals, hospital beds, and medical equipment. A synthetic indicator, Installed Capacity Index (ICI) was calculated using Principal Component Analysis. Results: There was an increase in all selected indicators between January and December 2020. We observed differences between the Northeast, North regions, and the other regions of the country. Most Health Regions presented low ICI. The ICI increased especially in regions with considerably high baseline capacity in January 2020. The Northeast and North had a higher concentration of low ICI regions. Conclusion: The information here provided may be used by health authorities, providers, and managers in planning and adjusting for future Covid-19 care and in dimensioning the adequate supply of hospital beds, health care professionals, and devices in Health Regions to reduce associated morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

“…21 The dependence on other countries to provide devices for expanding the number of ICU beds left the Brazilian population and health workers very vulnerable during the pandemic in 2020 and points to the need to face and overcome them. 18…”

Section: Discussionmentioning

confidence: 99%

Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

Pereira

Soares

Frio

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

Development of an Index to Assess COVID-19 Hospital Care Installed Capacity in the 450 Brazilian Health Regions

Andrade

Machado

Silva

et al. 2022

Disaster med. public health prep.

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Objective: The article seeks to assess the Brazilian health system ability to respond to the challenges imposed by the Covid-19 pandemic by measuring the capacity of Brazilian hospitals to care for Covid-19 cases in the 450 Health Regions of the country during the year 2020. Hospital capacity refers to the availability of hospital beds, equipment, and human resources. Methods: We used longitudinal data from the National Register of Health Facilities (CNES) regarding the availability of resources necessary to care for patients with Covid-19 in inpatient facilities (public or private) from January to December 2020. Among the assessed resources are health professionals (certified nursing assistants, nurses, physical therapists, and doctors), hospital beds (clinical, intermediate care, and intensive care units), and medical equipment (CT scanners, defibrillators, ECG monitors, ventilators, and resuscitators). In addition to conducting a descriptive analysis of absolute and relative data (per 10,000 users), a synthetic indicator named Installed Capacity Index (ICI) was calculated using the multivariate principal component analysis technique to assess hospital capacity. The indicator was further stratified into value ranges to understand its evolution. Results: There was an increase in all selected indicators between January and December 2020. It was possible to observe differences between the Northeast and North regions and the other regions of the country; most Health Regions presented low ICI. The ICI increased between the beginning and the end of 2020, but this evolution differed among Health Regions. The average increase in the ICI was more evident in the groups that already had considerably high baseline capacity in January 2020. Conclusion: It was possible to identify inequalities in the hospital capacity to care for patients affected by Covid-19 in the Health Regions of Brazil, with a concentration of low index values in the Northeast and North of the country. As the indicator increased throughout the year 2020, inequalities were also observed. The information here provided may be used by health authorities, providers, and managers in planning and adjusting for future Covid-19 care and in dimensioning the adequate supply of hospital beds, health care professionals, and devices in Health Regions to reduce associated morbidity and mortality. We recommend that the ICI continue to be calculated in the coming months of the pandemic to monitor the capacity in the country’s Health Regions.

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O Brasil na UTI: atenção hospitalar em tempos de pandemia

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Cited by 2 publications

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Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

Development of an index to assess Covid-19 hospital care installed capacity in the 450 Brazilian Health Regions

Development of an Index to Assess COVID-19 Hospital Care Installed Capacity in the 450 Brazilian Health Regions

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