Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2014 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486 |
Resumo: | This study aimed to evaluate key characteristics of structure in a sample of maternity hospitals in Brazil. Structure was evaluated according to Ministry of Health criteria and included: geographic location, obstetric volume, presence of ICU, teaching activities, staff qualifications, and availability of equipment and medicines. The results showed differences in staff qualifications and availability of equipment in obstetric and neonatal care according to type of financing, region of the country, and degree of complexity. The North/Northeast and Central-West regions presented the most serious problems with structure. The public and mixed hospitals were better structured in the South/Southeast, reaching satisfactory levels on various items, similar or superior to the private hospitals. The current study contributes to the debate on quality of structure in Brazil’s hospital services and emphasizes the need to develop analytical studies considering process and results of obstetric and neonatal care. |
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Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal careEstrutura das maternidades: aspectos relevantes para a qualidade da atenção ao parto e nascimentoMaternity HospitalsStructure of ServicesQuality of Health CareMaternidadesEstrutura dos ServiçosQualidade da Assistência à SaúdeThis study aimed to evaluate key characteristics of structure in a sample of maternity hospitals in Brazil. Structure was evaluated according to Ministry of Health criteria and included: geographic location, obstetric volume, presence of ICU, teaching activities, staff qualifications, and availability of equipment and medicines. The results showed differences in staff qualifications and availability of equipment in obstetric and neonatal care according to type of financing, region of the country, and degree of complexity. The North/Northeast and Central-West regions presented the most serious problems with structure. The public and mixed hospitals were better structured in the South/Southeast, reaching satisfactory levels on various items, similar or superior to the private hospitals. The current study contributes to the debate on quality of structure in Brazil’s hospital services and emphasizes the need to develop analytical studies considering process and results of obstetric and neonatal care.El presente estudio evalúa aspectos en cuanto a la estructura de una muestra de hospitales de maternidad en Brasil. El marco ha sido evaluado en función de patrones de referencia del Ministerio de Salud y abarca: ubicación geográfica, volumen de nacimientos, presencia de IU, actividades de aprendizaje, formación de recursos humanos, disponibilidad de equipos y medicamentos. Los resultados muestran diferencias en la cualificación y disponibilidad de equipos y servicios de suministros para el parto, según regiones, y su grado de complejidad. El Norte/Nordeste y Centro-oeste mostraron los mayores problemas. En el Sur/Sudeste, los hospitales estaban mejor estructurados, alcanzando proporciones satisfactorias en diversos aspectos del estudio, cercanos o justo por encima del nivel de la red privada. Este estudio aporta al debate la cuestión la calidad estructural de los servicios hospitalarios que se ofrecen en el país, y hace hincapié en la necesidad de desarrollo de estudios de análisis que tengan en cuenta los procesos y resultados de la atención.Avaliar aspectos da estrutura de uma amostra de maternidades do Brasil. A estrutura foi avaliada tendo como referências as normas do Ministério da Saúde e englobou: localização geográfica, volume de partos, existência de UTI, atividade de ensino, qualificação de recursos humanos, disponibilidade de equipamentos e medicamentos. Os resultados evidenciam diferenças na qualificação e na disponibilidade de equipamentos e insumos dos serviços de atenção ao parto e nascimento segundo o tipo de financiamento, regiões do país e grau de complexidade. As regiões Norte/Nordeste e Centro-oeste apresentaram os maiores problemas. No Sul/Sudeste, os hospitais estavam melhores estruturados, atingindo proporções satisfatórias em vários dos aspectos estudados, próximas ou mesmo superiores ao patamar da rede privada. O presente estudo traz para o debate a qualidade da estrutura dos serviços hospitalares ofertados no país, e sublinha a necessidade de desenvolvimento de estudos analíticos que considerem o processo e os resultados da assistência.Reports in Public HealthCadernos de Saúde Pública2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486Reports in Public Health; Vol. 30 No. 13 (2014): Supplement 1Cadernos de Saúde Pública; v. 30 n. 13 (2014): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11334https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11335https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11336https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11337Sonia Duarte de Azevedo BittencourtLenice Gnocchi da Costa ReisMárcia Melo RamosDaphne RattnerPatrícia Lima RodriguesDilma Costa Oliveira NevesSandra Lúcia ArantesMaria do Carmo Lealinfo:eu-repo/semantics/openAccess2024-03-06T15:28:44Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5486Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:18.499727Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care Estrutura das maternidades: aspectos relevantes para a qualidade da atenção ao parto e nascimento |
| title |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| spellingShingle |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care Sonia Duarte de Azevedo Bittencourt Maternity Hospitals Structure of Services Quality of Health Care Maternidades Estrutura dos Serviços Qualidade da Assistência à Saúde |
| title_short |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| title_full |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| title_fullStr |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| title_full_unstemmed |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| title_sort |
Structure in Brazilian maternity hospitals: key characteristics for quality of obstetric and neonatal care |
| author |
Sonia Duarte de Azevedo Bittencourt |
| author_facet |
Sonia Duarte de Azevedo Bittencourt Lenice Gnocchi da Costa Reis Márcia Melo Ramos Daphne Rattner Patrícia Lima Rodrigues Dilma Costa Oliveira Neves Sandra Lúcia Arantes Maria do Carmo Leal |
| author_role |
author |
| author2 |
Lenice Gnocchi da Costa Reis Márcia Melo Ramos Daphne Rattner Patrícia Lima Rodrigues Dilma Costa Oliveira Neves Sandra Lúcia Arantes Maria do Carmo Leal |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Sonia Duarte de Azevedo Bittencourt Lenice Gnocchi da Costa Reis Márcia Melo Ramos Daphne Rattner Patrícia Lima Rodrigues Dilma Costa Oliveira Neves Sandra Lúcia Arantes Maria do Carmo Leal |
| dc.subject.por.fl_str_mv |
Maternity Hospitals Structure of Services Quality of Health Care Maternidades Estrutura dos Serviços Qualidade da Assistência à Saúde |
| topic |
Maternity Hospitals Structure of Services Quality of Health Care Maternidades Estrutura dos Serviços Qualidade da Assistência à Saúde |
| description |
This study aimed to evaluate key characteristics of structure in a sample of maternity hospitals in Brazil. Structure was evaluated according to Ministry of Health criteria and included: geographic location, obstetric volume, presence of ICU, teaching activities, staff qualifications, and availability of equipment and medicines. The results showed differences in staff qualifications and availability of equipment in obstetric and neonatal care according to type of financing, region of the country, and degree of complexity. The North/Northeast and Central-West regions presented the most serious problems with structure. The public and mixed hospitals were better structured in the South/Southeast, reaching satisfactory levels on various items, similar or superior to the private hospitals. The current study contributes to the debate on quality of structure in Brazil’s hospital services and emphasizes the need to develop analytical studies considering process and results of obstetric and neonatal care. |
| publishDate |
2014 |
| dc.date.none.fl_str_mv |
2014-08-01 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486 |
| url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486 |
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eng por |
| language |
eng por |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11334 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11335 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11336 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5486/11337 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html text/html application/pdf application/pdf |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health; Vol. 30 No. 13 (2014): Supplement 1 Cadernos de Saúde Pública; v. 30 n. 13 (2014): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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FIOCRUZ |
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cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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