Polos e fluxos de deslocamento de pacientes para internação hospitalar e procedimentos selecionados no Sistema Único de Saúde

Xavier, Diego Ricardo; Matos, Vanderlei Pascoal de; Magalhães, Mônica de Avelar Figueirêdo Mafra; Bellido, Jaime Gregório; Velasco, Wisley Donizetti; Viacava, Francisco

doi:10.7476/9786557080900.0005

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…The spatial analysis using the flow map showed a large number of patients affected by HVL during the study period who had to travel to other mesoregions. The state capital located in the Belém Metropolitan Region, is the main point of attraction, as it has the most qualified physical and professional infrastructure [ 40 , 58 , 59 , 60 , 61 ]. This convergence with cross-sectional flow poses a major problem for the Unified Health System in terms of regulating and treating cases, which points to the need for decentralizing the services for dealing with the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, this situation creates additional difficulties related to the disease itself, due to the long journey that patients have to make, the prolonged hospitalizations far from their families, and the psychological, social and economic implications involved. These facts starkly reveal the inequities related to the unequal risk of becoming ill and dying in the Amazon [ 58 , 59 , 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, even considering that the vast majority of clinical and laboratory diagnoses with less specificity for the disease occurred in the patient’s municipality of origin, the spatial analysis showed their geographical segregation in terms of access to health services. This fact highlights a major challenge for those who need TAFH because they live more than 150 km from the place of care [ 62 ], especially in a state that has an extensive territorial dimension, several population groups residing on islands, floodplain, mangroves and dry land, huge social inequalities, low coverage of health services, a quantitative and qualitative shortage of professionals, delays in laboratory confirmation of the disease and a lack of diagnostic resolution [ 39 , 58 , 59 , 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

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A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil

Miranda,

de Souza,

Figueiredo

et al. 2024

TropicalMed

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Human Visceral Leishmaniasis is an endemic public health problem in the Amazon. This article analyzed the spatial distribution of this disease and its relationship with socioeconomic, environmental and public health policy variables in four mesoregions of the state of Pará, from 2011 to 2022. This ecological study used secondary data obtained from official Brazilian agencies. Spatial analysis was performed using the Flow, Kernel and Global Moran bivariate techniques expressed in thematic maps. In the mesoregions studied, 2685 cases of the disease were confirmed, with the highest number of cases in Southeast Pará state. The epidemiological profile followed the national pattern of occurrence of the disease, with a higher number of cases in children below school age. Spatial dependence was observed between the prevalence of the disease and socio-economic indicators. The most intense movement of patients was towards the Belém Metropolitan mesoregion. The disease showed an inhomogeneous pattern of distribution of cases, with a direct relationship between areas with cases and deforestation associated with different anthropic activities. There is a socio-environmental production of the disease that goes beyond the border limits of the mesoregions, and its establishment is related to the unsustainable development model implemented in the region.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil

Miranda,

de Souza,

Figueiredo

et al. 2024

TropicalMed

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Tripanossomíase Americana: Uma Análise Dos Custos Hospitalares Nas Regiões Brasileiras

Silva¹,

Ferreira²,

Dantas³

2021

RIS

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INTRODUÇÃO: A tripanossomíase americana (doença de Chagas) afeta milhões de pessoas no mundo e por ser uma doença crônica debilitante, ela gera altos custos, tanto em termos de produtividade quanto nos serviços de saúde. OBJETIVO: Analisar o impacto econômico nos serviços de saúde gerado em internações por tripanossomíase americana, nas diferentes regiões do Brasil. METODOLOGIA: Trata-se de um estudo documental, retrospectivo e descritivo, com dados coletados do Departamento de Informática do Sistema Único de Saúde (DATASUS) referentes aos gastos totais e médios com pacientes acometidos por tripanossomíase americana no Brasil, entre 2008 e 2018. RESULTADOS: Os dados obtidos mostraram que, em todas as regiões brasileiras, os maiores gastos totais ocorreram em 2008, sendo sucedido por reduções dos mesmos nos anos subsequentes, enquanto houveram novas elevações em 2018. Considerando todo o período estudado, o maior gasto total (R$5.896.024,2) e o maior número de internações (3.102 indivíduos) por tripanossomíase americana ocorreu no Sudeste, enquanto o maior valor médio pago por internação foi registrado no Sul (R$3.485,2). Os menores gastos totais (R$402.384,7) e médios (R$651,1) ocorreram no Norte. Além disso, a análise das características demográficas mostrou que os maiores gastos médios foram registrados, comumente, em homens, brancos e/ou crianças menores que 1 ano. CONCLUSÃO: Logo, houve um alto investimento em custos com hospitalização por tripanossomíase americana, que ocorreu de modo desproporcional, considerando tempo, região, sexo, faixa etária e cor/raça. Palavras chave: Doença de Chagas. Doenças negligenciadas. Hospitalização. Gastos em saúde.

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Polos e fluxos de deslocamento de pacientes para internação hospitalar e procedimentos selecionados no Sistema Único de Saúde

Cited by 2 publications

References 12 publications

A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil

A Contribution towards Sustainable Development in the Amazon Based on a Socioeconomic and Environmental Analysis of Visceral Leishmaniasis in the State of Pará, Brazil

Tripanossomíase Americana: Uma Análise Dos Custos Hospitalares Nas Regiões Brasileiras

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