Cross-country analysis of health systems and hospital utilization across the Amazon

Dados Bibliográficos

ID14965622
AutoresSofia Castro Vargas (Health, Nutrition and Population Division ̧ Inter-American Development Bank, Washington, D.C., USA, autor correspondente), Laura Goyeneche (Health, Nutrition and Population Division ̧ Inter-American Development Bank, Washington, D.C., USA), Sebastian Bauhoff (0000-0001-6017-4991, Health, Nutrition and Population Division ̧ Inter-American Development Bank, Washington, D.C., USA), Sebastian Peter Alexander Bauhoff (Inter-American Development Bank)
Ano2026
Volume50
Páginas1
Data de publicação2026-02-10
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRevista Panamericana de Salud Pública (JOURNAL)
Identificadores do periódicoISSN: 1020-4989 • E-ISSN: 1680-5348
EditoraPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2026.9
PMID41676165
OpenAlexW7128546386
IdiomaEN
Referências citadas35

Health systems in the Amazon face deep structural challenges that limit access to timely and quality care. This study provides a cross-country comparative analysis of health care infrastructure and hospital utilization in the Amazon, with a particular focus on urban settlements. Using a descriptive analysis across geographical areas and publicly available data from Bolivia (Plurinational State of), Brazil, Colombia, Ecuador, Guyana and Peru from 2021 to 2022, facility availability and hospital discharges are analyzed across different geographical groups: national, non-Amazon area and the Amazon. Within the Amazon, data are disaggregated by urban and non-urban areas. Facility density in the Amazon is slightly lower than national averages, although urban areas within the Amazon have the highest concentration of health care infrastructure and specialized services. Despite this concentration, hospitalization rates are consistently higher in the Amazon than nationwide. Maternal and neonatal admissions carry relatively higher intrahospital mortality, reflecting potential delays in care. Hospitalizations for ambulatory care-sensitive conditions account for a similar share of admissions in the Amazon and national contexts, but their per capita rates are higher in Amazon areas, including urban settlements. These results highlight that an urban location mitigates but does not eliminate structural barriers to accessing effective health care in the Amazon. Strengthening primary care and referral systems, and providing culturally adapted service delivery are essential to improve health systems and health outcomes across this diverse and vulnerable area

Amazon rainforest · Descriptive statistics · Health care · Health services · Healthcare system · Per capita · Referral · Service delivery framework · Global Health and Surgery · Global Maternal and Child Health · Telemedicine and Telehealth Implementation