Equity in regional access to renal dialysis in Brazil

Detalhes bibliográficos
Autor(a) principal: Pedro Vasconcelos Maia do Amaral
Data de Publicação: 2016
Outros Autores: Alan Murray
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: http://hdl.handle.net/1843/43278
Resumo: Public healthcare is arguably the most important concern for a region, or nationaleconomy. Costs continue to rise, as do expectations for reasonable access to services. Healthservice facility location is of great importance given its relationship to utilization rates. Thispaper examines equitable access to renal dialysis in Brazil. System enhancements involvingnew equipment for different levels of investment are explored. Results show that it is possibleto improve the locational efficiency of dialysis equipment. Further, nationwide allocation plansenable shorter average distances to be achieved compared to the state allocation strategy that istraditionally relied on.
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spelling 2022-07-14T19:02:00Z2022-07-14T19:02:00Z201681-2274410.1111/rsp3.120711757-7802http://hdl.handle.net/1843/43278Public healthcare is arguably the most important concern for a region, or nationaleconomy. Costs continue to rise, as do expectations for reasonable access to services. Healthservice facility location is of great importance given its relationship to utilization rates. Thispaper examines equitable access to renal dialysis in Brazil. System enhancements involvingnew equipment for different levels of investment are explored. Results show that it is possibleto improve the locational efficiency of dialysis equipment. Further, nationwide allocation plansenable shorter average distances to be achieved compared to the state allocation strategy that istraditionally relied on.engUniversidade Federal de Minas GeraisUFMGBrasilFCE - DEPARTAMENTO DE CIÊNCIAS ECONÔMICASRegional Science Policy and PracticeDiáliseHemodiáliseSaúde públicaHealthcare policylocation analysisRegional imbalancesDialysisBrazilEquity in regional access to renal dialysis in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://onlinelibrary.wiley.com/doi/10.1111/rsp3.12071/epdfPedro Vasconcelos Maia do AmaralAlan Murrayinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/43278/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALEquity in regional access to renal dialysis in Brazil.pdfEquity in regional access to renal dialysis in Brazil.pdfapplication/pdf7900356https://repositorio.ufmg.br/bitstream/1843/43278/2/Equity%20in%20regional%20access%20to%20renal%20dialysis%20in%20Brazil.pdf49d44086da22c792e4fc128d7d18aaf2MD521843/432782022-07-14 16:02:01.068oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-07-14T19:02:01Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Equity in regional access to renal dialysis in Brazil
title Equity in regional access to renal dialysis in Brazil
spellingShingle Equity in regional access to renal dialysis in Brazil
Pedro Vasconcelos Maia do Amaral
Healthcare policy
location analysis
Regional imbalances
Dialysis
Brazil
Diálise
Hemodiálise
Saúde pública
title_short Equity in regional access to renal dialysis in Brazil
title_full Equity in regional access to renal dialysis in Brazil
title_fullStr Equity in regional access to renal dialysis in Brazil
title_full_unstemmed Equity in regional access to renal dialysis in Brazil
title_sort Equity in regional access to renal dialysis in Brazil
author Pedro Vasconcelos Maia do Amaral
author_facet Pedro Vasconcelos Maia do Amaral
Alan Murray
author_role author
author2 Alan Murray
author2_role author
dc.contributor.author.fl_str_mv Pedro Vasconcelos Maia do Amaral
Alan Murray
dc.subject.por.fl_str_mv Healthcare policy
location analysis
Regional imbalances
Dialysis
Brazil
topic Healthcare policy
location analysis
Regional imbalances
Dialysis
Brazil
Diálise
Hemodiálise
Saúde pública
dc.subject.other.pt_BR.fl_str_mv Diálise
Hemodiálise
Saúde pública
description Public healthcare is arguably the most important concern for a region, or nationaleconomy. Costs continue to rise, as do expectations for reasonable access to services. Healthservice facility location is of great importance given its relationship to utilization rates. Thispaper examines equitable access to renal dialysis in Brazil. System enhancements involvingnew equipment for different levels of investment are explored. Results show that it is possibleto improve the locational efficiency of dialysis equipment. Further, nationwide allocation plansenable shorter average distances to be achieved compared to the state allocation strategy that istraditionally relied on.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2022-07-14T19:02:00Z
dc.date.available.fl_str_mv 2022-07-14T19:02:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/43278
dc.identifier.doi.pt_BR.fl_str_mv 10.1111/rsp3.12071
dc.identifier.issn.pt_BR.fl_str_mv 1757-7802
identifier_str_mv 10.1111/rsp3.12071
1757-7802
url http://hdl.handle.net/1843/43278
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Regional Science Policy and Practice
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv FCE - DEPARTAMENTO DE CIÊNCIAS ECONÔMICAS
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
bitstream.url.fl_str_mv https://repositorio.ufmg.br/bitstream/1843/43278/1/License.txt
https://repositorio.ufmg.br/bitstream/1843/43278/2/Equity%20in%20regional%20access%20to%20renal%20dialysis%20in%20Brazil.pdf
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