Spatial structure of primary health care provision in Brazilian municipalities

This article highlights the role of geographical distance in the provision of Primary Health Care (PHC) services in Brazil, considering the provision of PHC units and health care professionals in Brazilian municipalities. To identify the coverage of PHC services in Brazilian municipalities, methods...

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Main Authors:	Amaral, Pedro, Carvalho, Lucas Resende de, Luz, Luciana, Barbosa, Allan Claudius Queiroz
格式:	Online
语言:	por
出版:	ANPUR 2021
在线阅读:	https://rbeur.anpur.org.br/rbeur/article/view/6437
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spelling	oai:ojs.rbeur.anpur.org.br:article-64372021-04-09T16:11:55Z Spatial structure of primary health care provision in Brazilian municipalities Estrutura espacial e provisão de atenção primária à saúde nos municípios brasileiros Amaral, Pedro Carvalho, Lucas Resende de Luz, Luciana Barbosa, Allan Claudius Queiroz Cobertura de Serviços de Saúde Atenção Primária à Saúde Distribuição Regional Equidade em Saúde Health Service Coverage Primary Health Care Regional Distribution Equity in Health This article highlights the role of geographical distance in the provision of Primary Health Care (PHC) services in Brazil, considering the provision of PHC units and health care professionals in Brazilian municipalities. To identify the coverage of PHC services in Brazilian municipalities, methods of exploratory spatial data analysis, assessment of the balance between potential supply and demand, and linear programming models were used in order to identify census sectors that concentrate covered and uncovered population. The results show that 6% of Brazilian municipalities have less than 50% of the population covered, while some municipalities have more teams than would potentially be necessary. In the intra-municipal analysis, the results of a study in a Brazilian capital – Belo Horizonte (MG) – point out locations where health teams may not be distributed in an equitable manner. Results show that, in general, that even in face of the recent improvement in regional distribution of doctors it is still possible to identify lack of provision of PHC in some locations. The adoption of government provision actions can contribute to the reduction of these regional disparities. Este artigo discute o papel da distância geográfica na provisão de serviços de Atenção Primária à Saúde (APS) no Brasil, considerando a oferta de unidades básicas de saúde e de equipes de atendimento nessa área em municípios brasileiros. Para identificar a cobertura de serviços de APS, foram utilizados métodos de análise exploratória de dados espaciais, avaliação de equilíbrio entre oferta e demanda potencial (intermunicipal) e modelos de programação linear, com vistas a identificar setores censitários que concentram população coberta e descoberta (intramunicipal). Segundo os resultados obtidos, 6% dos municípios brasileiros apresentam menos de 50% da população coberta, enquanto algumas cidades apresentam mais equipes do que seria potencialmente necessário. Na análise intramunicipal, os resultados de estudo em capital brasileira – Belo Horizonte (MG) – apontam localidades onde as equipes de saúde podem não estar distribuídas de maneira equitativa. O que se observa, de forma geral, é que, mesmo com o recente aprimoramento da distribuição regional de médicos, ainda é possível verificar a ausência de provimento de APS em algumas localidades. A adoção de ações governamentais de provimento pode contribuir para a redução dessas disparidades regionais. ANPUR 2021-04-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://rbeur.anpur.org.br/rbeur/article/view/6437 10.22296/2317-1529.rbeur.202110 Revista Brasileira de Estudos Urbanos e Regionais; Vol. 23 (2021): Janeiro-Dezembro Revista Brasileira de Estudos Urbanos e Regionais; v. 23 (2021): Janeiro-Dezembro 2317-1529 1517-4115 por https://rbeur.anpur.org.br/rbeur/article/view/6437/5362
institution	Associação Nacional de Pós-Graduação e Pesquisa em Planejamento Urbano e Regional (ANPUR)
collection	OJS
language	por
format	Online
author	Amaral, Pedro Carvalho, Lucas Resende de Luz, Luciana Barbosa, Allan Claudius Queiroz
spellingShingle	Amaral, Pedro Carvalho, Lucas Resende de Luz, Luciana Barbosa, Allan Claudius Queiroz Spatial structure of primary health care provision in Brazilian municipalities
author_facet	Amaral, Pedro Carvalho, Lucas Resende de Luz, Luciana Barbosa, Allan Claudius Queiroz
author_sort	Amaral, Pedro
title	Spatial structure of primary health care provision in Brazilian municipalities
title_short	Spatial structure of primary health care provision in Brazilian municipalities
title_full	Spatial structure of primary health care provision in Brazilian municipalities
title_fullStr	Spatial structure of primary health care provision in Brazilian municipalities
title_full_unstemmed	Spatial structure of primary health care provision in Brazilian municipalities
title_sort	spatial structure of primary health care provision in brazilian municipalities
description	This article highlights the role of geographical distance in the provision of Primary Health Care (PHC) services in Brazil, considering the provision of PHC units and health care professionals in Brazilian municipalities. To identify the coverage of PHC services in Brazilian municipalities, methods of exploratory spatial data analysis, assessment of the balance between potential supply and demand, and linear programming models were used in order to identify census sectors that concentrate covered and uncovered population. The results show that 6% of Brazilian municipalities have less than 50% of the population covered, while some municipalities have more teams than would potentially be necessary. In the intra-municipal analysis, the results of a study in a Brazilian capital – Belo Horizonte (MG) – point out locations where health teams may not be distributed in an equitable manner. Results show that, in general, that even in face of the recent improvement in regional distribution of doctors it is still possible to identify lack of provision of PHC in some locations. The adoption of government provision actions can contribute to the reduction of these regional disparities.
publisher	ANPUR
publishDate	2021
url	https://rbeur.anpur.org.br/rbeur/article/view/6437
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Spatial structure of primary health care provision in Brazilian municipalities

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