Inpatient flow for Covid-19 in the Brazilian health regions

Datos Bibliográficos

ID5333565
AutoresEverton Nunes Da Silva (0000-0001-8747-4185, Universidade de Brasília), Fabio Renan Galvão Soares (0000-0001-8244-1800, Fundação Oswaldo Cruz), Gustavo Saraiva Frio (0000-0001-6453-312X, Universidade de Brasília), Aimê Oliveira (0000-0002-3084-6491, Universidade de Brasília), Francisca Verônica Cavalcante (0000-0002-8706-0457, Universidade de Brasília), Natália Regina Alves Vaz Martins (0000-0003-1162-8795, Universidade de Brasília), Natália Regina Alves Vaz Matins (Universidade de Brasília), Klébya Hellen Dantas De Oliveira (0000-0002-3600-4009, Universidade de Brasília), Leonor Maria Pacheco Santos (0000-0002-6739-6260, Universidade de Brasília)
Año2021
Volumen45
Número131
Páginas1111-1125
Fecha de publicación2021-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSaúde em Debate (JOURNAL)
Identificadores de la revistaISSN: 0103-1104 • E-ISSN: 2358-2898
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104202113113i
OpenAlexW3194004234
SCIELO_PIDS0103-11042021000401111
IdiomaEN
Citas recibidas2
Referencias citadas13

The study aims to investigate the flows of Covid-19 hospitalizations in the 450 Brazilian health regions and 117 health macro-regions between March and October 2020. This descriptive study includes all Covid-19 hospitalizations registered in the Influenza Epidemiological Surveillance Information System between the eighth and forty-fourth epidemiological weeks of 2020. In Brazil, 397,830 admissions were identified for Covid-19. Emigration was 11.9% for residents in health regions and 6.8% in macro-regions; this pattern was also maintained during the peak period of Covid-19 hospitalizations. The average evasion for residents of health regions was 17.6% in the Northeast and 8.8% in the South. Evasion was more accentuated in health regions with up to 100 thousand inhabitants(36.9%), which was 7 times greater than that observed in health regions with more than 2 million inhabitants (5.2%). The negative migratory efficacy indicator (-0.39) revealed a predominance of evasion. Of the 450 Brazilian health regions, 117 (39.3%) had a coefficient of migratory efficacy between-1 and-0.75, and 113 (25.1%) between-0.75 and-0.25. Results indicate that the regionalization of the health system exhibited adequate organization of healthcare in the territory; however, the long distances traveled are still worrisome

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Disease · Infectious disease (medical specialty) · Outbreak · Pandemic · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Health, Nursing, Elderly Care · Internal Medicine · Medicine · Virology