Spatial reorganization of the Brazilian Unified National Health System's inpatient care supply

Dados Bibliográficos

ID5166918
AutoresLaura Botega (0000-0001-6030-4100, Universidade Federal de Minas Gerais), Mônica Viegas Andrade (0000-0002-6821-1598, Universidade Federal de Minas Gerais), Gilvan R Guedes (0000-0001-8231-238X, Universidade Federal de Minas Gerais), Daniel Nogueira (0000-0002-3206-7782, Universidade Federal de Minas Gerais)
Ano2022
Volume38
Fascículo9
Páginase00012422-e00012422
Data de publicação2022-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen012422
PMID36169508
OpenAlexW4297457530
SCIELO_PIDS0102-311X2022000905004
IdiomaEN
Referências citadas19

The joint provision of efficient and equitable healthcare service delivery is a critical factor in improving social welfare. However, healthcare services pose a particular challenge when balancing healthcare provider efficiency and equity. Typically characterized by economies of scale and scope, inpatient care involves a wide variety of medical care that usually demands a broad range of health professional expertise and technological complexity to ensure health care quality. This study analyzes the current spatial organization of the Brazilian general hospitals and their respective flow of patients to identify the possible benefits of closing inefficient hospitals. We studied how inpatient care referrals may be reallocated without increasing access inequities following the potential closure of inefficient public hospitals. We used data from the Brazilian Hospital Information System of the Brazilian Unified National Health System (SIH/SUS) and the Brazilian National Register of Health Establishments (CNES). The smallest and least efficient hospitals were selected as units for potential closure, conditioned on an optimization criterion that minimizes patient travel distances to the nearest efficient hospital. Our results show that there is room for hospital resource reorganization in Brazil without compromising health care access equity

Business · Economic growth · Economics · Equity (law) · Geography · Health care · Inpatient care · Political science · Scale (ratio) · Scope (computer science) · Computer Science · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms