Inpatient flow for Covid-19 in the Brazilian health regions

• Autor(a) principal: Silva,Everton Nunes da
• Data de Publicação: 2021
• Outros Autores: Soares,Fernando Ramalho Gameleira, Frio,Gustavo Saraiva, Oliveira,Aimê, Cavalcante,Fabrício Vieira, Martins,Natália Regina Alves Vaz, Oliveira,Klébya Hellen Dantas de, Santos,Leonor Maria Pacheco
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Saude em Debate
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042021000401111
• topic: Covid-19; Regional health planning; Hospitalization; Movement and displacement of patients

ABSTRACT The study aims to investigate the flows of Covid-19 hospitalizations in the 450 Brazilian health regions and 117 health macro-regions between March and October 2020. This descriptive study includes all Covid-19 hospitalizations registered in the Influenza Epidemiological Surveillance Information System between the eighth and forty-fourth epidemiological weeks of 2020. In Brazil, 397,830 admissions were identified for Covid-19. Emigration was 11.9% for residents in health regions and 6.8% in macro-regions; this pattern was also maintained during the peak period of Covid-19 hospitalizations. The average evasion for residents of health regions was 17.6% in the Northeast and 8.8% in the South. Evasion was more accentuated in health regions with up to 100 thousand inhabitants(36.9%), which was 7 times greater than that observed in health regions with more than 2 million inhabitants (5.2%). The negative migratory efficacy indicator (-0.39) revealed a predominance of evasion. Of the 450 Brazilian health regions, 117 (39.3%) had a coefficient of migratory efficacy between-1 and-0.75, and 113 (25.1%) between-0.75 and-0.25. Results indicate that the regionalization of the health system exhibited adequate organization of healthcare in the territory; however, the long distances traveled are still worrisome.