Morbimortality transition in Brazil: a challenge to 30 years of SUS
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2375 |
Resumo: | In 2020, we celebrated 30 years since the publication of the Organic Laws of the Unified Health System. Since then, the change in the profile of morbidity and mortality has challenged management. The health service can meet the significant heterogeneity of almost 6000 municipalities. For this, it is necessary to monitor the leading indicators of the country. The present study aimed to present an overview of trends in mortality and morbidity in Brazil between 1990 and 2019. We used data from the Global Burden of Disease Study to describe morbidity and mortality by large groups (infectious diseases, chronic diseases, and external causes), according to sex and age groups. There is a reduction in morbidity and mortality in the period, regardless of the cause or age group. Also, there is a varying difference between sex according to the cause group. The contribution of chronic diseases is increasing with age, with a substantial difference according to sex. The mortality and years lost curves due to disability curves have a typical pattern. We emphasize the different patterns for male curves due to external causes, with marked over-mortality at young ages. The trend confirms the decline of indicators in a linear manner in the period. The peculiarities of the health transition and the mortality transition in Brazil need to be seen in the light of the different socio-spatial patterns and demographic profiles. |
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Morbimortality transition in Brazil: a challenge to 30 years of SUSTransição da morbimortalidade no Brasil: um desafio aos 30 anos de SUSTransição da SaúdeCausas de MorteAnálise DemográficaDALYMortalidadeHealth TransitionCause of DeathDemographic AnalysisDALYMortalityIn 2020, we celebrated 30 years since the publication of the Organic Laws of the Unified Health System. Since then, the change in the profile of morbidity and mortality has challenged management. The health service can meet the significant heterogeneity of almost 6000 municipalities. For this, it is necessary to monitor the leading indicators of the country. The present study aimed to present an overview of trends in mortality and morbidity in Brazil between 1990 and 2019. We used data from the Global Burden of Disease Study to describe morbidity and mortality by large groups (infectious diseases, chronic diseases, and external causes), according to sex and age groups. There is a reduction in morbidity and mortality in the period, regardless of the cause or age group. Also, there is a varying difference between sex according to the cause group. The contribution of chronic diseases is increasing with age, with a substantial difference according to sex. The mortality and years lost curves due to disability curves have a typical pattern. We emphasize the different patterns for male curves due to external causes, with marked over-mortality at young ages. The trend confirms the decline of indicators in a linear manner in the period. The peculiarities of the health transition and the mortality transition in Brazil need to be seen in the light of the different socio-spatial patterns and demographic profiles.Em 2020, completamos 30 anos desde a publicação das Leis Orgânicas do Sistema Único de Saúde. Desde então, a mudança no perfil de morbimortalidade tem desafiado a gestão, para que o serviço de saúde consiga atender à grande heterogeneidade dos quase 6000 municípios. Para isso, é necessário monitorar os principais indicadores do país. O objetivo do presente estudo foi apresentar uma visão geral das tendências de mortalidade e morbidade no Brasil entre 1990 e 2019. Utilizamos os dados do Estudo de Carga Global de Doenças para descrever a morbimortalidade pelos grandes grupos (doenças infecciosas, doenças crônicas e causas externas), segundo sexo e grupos etários. Há redução da morbimortalidade no período, independente do grupo de causa ou faixa etária, com variada diferença entre sexo de acordo com o grupo de causas. A contribuição das doenças crônicas é crescente com a progressão da idade, com diferença substancial segundo o sexo. As curvas de mortalidade e de anos perdidos por incapacidade possuem padrão típico, com destaque ao padrão diferenciado para curvas de homens por causas externas, com marcada sobremortalidade em idades jovens. A tendência ratifica o declínio dos indicadores de forma linear no período. As peculiaridades da transição da saúde e da transição da mortalidade no Brasil precisam ser vista à luz dos diferentes padrões socioespaciais e perfis demográficos. SciELO PreprintsSciELO PreprintsSciELO Preprints2021-05-25info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/237510.1590/SciELOPreprints.2375porhttps://preprints.scielo.org/index.php/scielo/article/view/2375/4032Copyright (c) 2021 Thalyta Cassia de Freitas Martins, José Henrique Costa Monteiro da Silva, Geovane da Conceição Máximo, Raphael Mendonça Guimarãeshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMartins, Thalyta Cassia de FreitasSilva, José Henrique Costa Monteiro daMáximo, Geovane da ConceiçãoGuimarães, Raphael Mendonçareponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-05-24T14:31:36Zoai:ops.preprints.scielo.org:preprint/2375Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-05-24T14:31:36SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Morbimortality transition in Brazil: a challenge to 30 years of SUS Transição da morbimortalidade no Brasil: um desafio aos 30 anos de SUS |
title |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
spellingShingle |
Morbimortality transition in Brazil: a challenge to 30 years of SUS Martins, Thalyta Cassia de Freitas Transição da Saúde Causas de Morte Análise Demográfica DALY Mortalidade Health Transition Cause of Death Demographic Analysis DALY Mortality |
title_short |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
title_full |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
title_fullStr |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
title_full_unstemmed |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
title_sort |
Morbimortality transition in Brazil: a challenge to 30 years of SUS |
author |
Martins, Thalyta Cassia de Freitas |
author_facet |
Martins, Thalyta Cassia de Freitas Silva, José Henrique Costa Monteiro da Máximo, Geovane da Conceição Guimarães, Raphael Mendonça |
author_role |
author |
author2 |
Silva, José Henrique Costa Monteiro da Máximo, Geovane da Conceição Guimarães, Raphael Mendonça |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Martins, Thalyta Cassia de Freitas Silva, José Henrique Costa Monteiro da Máximo, Geovane da Conceição Guimarães, Raphael Mendonça |
dc.subject.por.fl_str_mv |
Transição da Saúde Causas de Morte Análise Demográfica DALY Mortalidade Health Transition Cause of Death Demographic Analysis DALY Mortality |
topic |
Transição da Saúde Causas de Morte Análise Demográfica DALY Mortalidade Health Transition Cause of Death Demographic Analysis DALY Mortality |
description |
In 2020, we celebrated 30 years since the publication of the Organic Laws of the Unified Health System. Since then, the change in the profile of morbidity and mortality has challenged management. The health service can meet the significant heterogeneity of almost 6000 municipalities. For this, it is necessary to monitor the leading indicators of the country. The present study aimed to present an overview of trends in mortality and morbidity in Brazil between 1990 and 2019. We used data from the Global Burden of Disease Study to describe morbidity and mortality by large groups (infectious diseases, chronic diseases, and external causes), according to sex and age groups. There is a reduction in morbidity and mortality in the period, regardless of the cause or age group. Also, there is a varying difference between sex according to the cause group. The contribution of chronic diseases is increasing with age, with a substantial difference according to sex. The mortality and years lost curves due to disability curves have a typical pattern. We emphasize the different patterns for male curves due to external causes, with marked over-mortality at young ages. The trend confirms the decline of indicators in a linear manner in the period. The peculiarities of the health transition and the mortality transition in Brazil need to be seen in the light of the different socio-spatial patterns and demographic profiles. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-25 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
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preprint |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2375 10.1590/SciELOPreprints.2375 |
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https://preprints.scielo.org/index.php/scielo/preprint/view/2375 |
identifier_str_mv |
10.1590/SciELOPreprints.2375 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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https://preprints.scielo.org/index.php/scielo/article/view/2375/4032 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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