Regionalization for health improvement: a systematic review

Detalhes bibliográficos
Autor(a) principal: Ramos, Maíra Catharina
Data de Publicação: 2020
Outros Autores: Barreto, Jorge Otávio Maia, Shimizu, Helena Eri, Moraes, Amanda Pereira Gomes de, Silva, Everton Nunes da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/45530
Resumo: Universidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
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spelling Ramos, Maíra CatharinaBarreto, Jorge Otávio MaiaShimizu, Helena EriMoraes, Amanda Pereira Gomes deSilva, Everton Nunes da2021-01-07T17:44:42Z2021-01-07T17:44:42Z2020RAMOS, Maíra Catharina et al. Regionalization for health improvement: a systematic review. Plos one, [San Francisco], v. 15, n.12, p. 1-20, dez. 2020.1932-6203https://www.arca.fiocruz.br/handle/icict/4553010.1371/journal.pone.0244078engPublic Library of ScienceRegional Health PlanningSystematic ReviewHealth ServicesSystematic reviewsRegionalizationHealth servicesRegionalizaçãoRevisão SistemáticaSistemas de SaúdeGestão em SaúdeRegionalization for health improvement: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Universidade Federal do Sergipe. Departamento de Medicina. Lagarto, SE, Brasil.Universidade de Brasília. Faculdade de Ceilândia. Brasília, DF, Brasil.Regionalization is the integrated organization of a healthcare system, wherein regional structures are responsible for providing and administrating health services in a specific region. This method was adopted by several countries to improve the quality of provided care and to properly utilize available resources. Thus, a systematic review was conducted to verify effective interventions to improve health and management indicators within the health services regionalization. The protocol was registered in PROSPERO (CRD42016042314). We performed a systematic search in databases during February and March 2017 which was updated in October 2020. There was no language or date restriction. We included experimental and observational studies with interventions focused on regionalization-related actions, measures or policies aimed at decentralizing and organizing health offerings, rationalizing scarce capital and human resources, coordinating health services. A methodological assessment of the studies was performed using instruments from the Joanna Briggs Institute and GRADE was also used to assess outcomes. Thirty-nine articles fulfilled the eligibility criteria and sixteen interventions were identified that indicated different degrees of recommendations for improving the management of health system regionalization. The results showed that regionalization was effective under administrative decentralization and for rationalization of resources. The most investigated intervention was the strategy of concentrating procedures in high-volume hospitals, which showed positive outcomes, especially with the reduction of hospitalization days and in-hospital mortality rates. 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dc.title.pt_BR.fl_str_mv Regionalization for health improvement: a systematic review
title Regionalization for health improvement: a systematic review
spellingShingle Regionalization for health improvement: a systematic review
Ramos, Maíra Catharina
Regional Health Planning
Systematic Review
Health Services
Systematic reviews
Regionalization
Health services
Regionalização
Revisão Sistemática
Sistemas de Saúde
Gestão em Saúde
title_short Regionalization for health improvement: a systematic review
title_full Regionalization for health improvement: a systematic review
title_fullStr Regionalization for health improvement: a systematic review
title_full_unstemmed Regionalization for health improvement: a systematic review
title_sort Regionalization for health improvement: a systematic review
author Ramos, Maíra Catharina
author_facet Ramos, Maíra Catharina
Barreto, Jorge Otávio Maia
Shimizu, Helena Eri
Moraes, Amanda Pereira Gomes de
Silva, Everton Nunes da
author_role author
author2 Barreto, Jorge Otávio Maia
Shimizu, Helena Eri
Moraes, Amanda Pereira Gomes de
Silva, Everton Nunes da
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Ramos, Maíra Catharina
Barreto, Jorge Otávio Maia
Shimizu, Helena Eri
Moraes, Amanda Pereira Gomes de
Silva, Everton Nunes da
dc.subject.mesh.pt_BR.fl_str_mv Regional Health Planning
Systematic Review
Health Services
topic Regional Health Planning
Systematic Review
Health Services
Systematic reviews
Regionalization
Health services
Regionalização
Revisão Sistemática
Sistemas de Saúde
Gestão em Saúde
dc.subject.en.pt_BR.fl_str_mv Systematic reviews
Regionalization
Health services
dc.subject.decs.pt_BR.fl_str_mv Regionalização
Revisão Sistemática
Sistemas de Saúde
Gestão em Saúde
description Universidade de Brasília. Faculdade de Ciências da Saúde. Brasília, DF, Brasil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-01-07T17:44:42Z
dc.date.available.fl_str_mv 2021-01-07T17:44:42Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv RAMOS, Maíra Catharina et al. Regionalization for health improvement: a systematic review. Plos one, [San Francisco], v. 15, n.12, p. 1-20, dez. 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/45530
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0244078
identifier_str_mv RAMOS, Maíra Catharina et al. Regionalization for health improvement: a systematic review. Plos one, [San Francisco], v. 15, n.12, p. 1-20, dez. 2020.
1932-6203
10.1371/journal.pone.0244078
url https://www.arca.fiocruz.br/handle/icict/45530
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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