Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654 |
Resumo: | The aim of this study was to identify and analyze inequities in the access to specialized services in the municipalities of the metropolitan area of Curitiba, Paraná, Brazil. This is an ecological study. In its preparatory stage, this study focused on the socioeconomic, epidemiologic, healthcare network and sectoral financing network profiles of the 26 municipalities comprising this area. Factor analysis was employed to obtain the six principal components, and a synthetic index was calculated from them, allowing municipalities to be ranked according to living conditions and health situation. Primary data was collected from 24 municipalities, regarding their capacity, directed and repressed demand of specialized healthcare services. The context analysis revealed accentuated intermunicipal inequities. The synthetic index allowed municipalities to be classified in four relatively homogeneous groups regarding living and health conditions. Municipalities located in Vale do Ribeira obtained the worse outcomes for the Living Conditions and Health Situation Synthetic Index, as well as the higher repressed demand for specialized healthcare services. The geographical distance from the capital showed to contribute to worse living and health conditions and greater difficulties in access to healthcare services. |
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Intermunicipal inequities in access and use of secondary health services in the metropolitan area of CuritibaHealth services accessibilityHealth public policyHealth managementHealth services evaluationReferral and consultationEquity in healthThe aim of this study was to identify and analyze inequities in the access to specialized services in the municipalities of the metropolitan area of Curitiba, Paraná, Brazil. This is an ecological study. In its preparatory stage, this study focused on the socioeconomic, epidemiologic, healthcare network and sectoral financing network profiles of the 26 municipalities comprising this area. Factor analysis was employed to obtain the six principal components, and a synthetic index was calculated from them, allowing municipalities to be ranked according to living conditions and health situation. Primary data was collected from 24 municipalities, regarding their capacity, directed and repressed demand of specialized healthcare services. The context analysis revealed accentuated intermunicipal inequities. The synthetic index allowed municipalities to be classified in four relatively homogeneous groups regarding living and health conditions. Municipalities located in Vale do Ribeira obtained the worse outcomes for the Living Conditions and Health Situation Synthetic Index, as well as the higher repressed demand for specialized healthcare services. The geographical distance from the capital showed to contribute to worse living and health conditions and greater difficulties in access to healthcare services.Associação Brasileira de Saúde Coletiva2014-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654Revista Brasileira de Epidemiologia v.17 n.3 2014reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1809-4503201400030007info:eu-repo/semantics/openAccessAguilera,Sandra Lúcia Vieira UlinskiFrança,Beatriz Helena SottileMoysés,Simone TetuMoysés,Samuel Jorgeeng2015-01-12T00:00:00Zoai:scielo:S1415-790X2014000300654Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2015-01-12T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
title |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
spellingShingle |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba Aguilera,Sandra Lúcia Vieira Ulinski Health services accessibility Health public policy Health management Health services evaluation Referral and consultation Equity in health |
title_short |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
title_full |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
title_fullStr |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
title_full_unstemmed |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
title_sort |
Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
author |
Aguilera,Sandra Lúcia Vieira Ulinski |
author_facet |
Aguilera,Sandra Lúcia Vieira Ulinski França,Beatriz Helena Sottile Moysés,Simone Tetu Moysés,Samuel Jorge |
author_role |
author |
author2 |
França,Beatriz Helena Sottile Moysés,Simone Tetu Moysés,Samuel Jorge |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Aguilera,Sandra Lúcia Vieira Ulinski França,Beatriz Helena Sottile Moysés,Simone Tetu Moysés,Samuel Jorge |
dc.subject.por.fl_str_mv |
Health services accessibility Health public policy Health management Health services evaluation Referral and consultation Equity in health |
topic |
Health services accessibility Health public policy Health management Health services evaluation Referral and consultation Equity in health |
description |
The aim of this study was to identify and analyze inequities in the access to specialized services in the municipalities of the metropolitan area of Curitiba, Paraná, Brazil. This is an ecological study. In its preparatory stage, this study focused on the socioeconomic, epidemiologic, healthcare network and sectoral financing network profiles of the 26 municipalities comprising this area. Factor analysis was employed to obtain the six principal components, and a synthetic index was calculated from them, allowing municipalities to be ranked according to living conditions and health situation. Primary data was collected from 24 municipalities, regarding their capacity, directed and repressed demand of specialized healthcare services. The context analysis revealed accentuated intermunicipal inequities. The synthetic index allowed municipalities to be classified in four relatively homogeneous groups regarding living and health conditions. Municipalities located in Vale do Ribeira obtained the worse outcomes for the Living Conditions and Health Situation Synthetic Index, as well as the higher repressed demand for specialized healthcare services. The geographical distance from the capital showed to contribute to worse living and health conditions and greater difficulties in access to healthcare services. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1809-4503201400030007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.17 n.3 2014 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212953827049472 |