LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)

Detalhes bibliográficos
Autor(a) principal: Santos, Emanuel da Silva
Data de Publicação: 2023
Outros Autores: Rocha, Roberta de Moraes, Almeida, Edilberto Tiago de, Silva, Marcelo Carlos de Oliveira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hygeia (Uberlândia)
Texto Completo: https://seer.ufu.br/index.php/hygeia/article/view/65925
Resumo: This article presents an analysis of the changes in the dynamics of the spatial distribution of Health establishments in the state of Pernambuco, in the years 2007 and 2019. Data from the companies were collected, georeferenced and mapped from the addresses listed in the National Register of Health Establishments (CNES). The results indicated that from 2007 to 2019 there were significant changes in the spatial distribution of private and public health establishments: private units, originally more concentrated than public ones, showed a drop in concentration indicators and started to have a spatial distribution more like public establishments. The estimates also suggest the occurrence of a deconcentration of the more complex health services, a fact that is consistent with the process of interiorization of Higher Education in ​​Health, associated with improvements in the state's transport infrastructure, in addition to the increase in family income in medium and small cities. Thus, the results can help in the formulation and application of public policies aimed at improving access to health and intervene in the improvement of demand and service supply networks. It is essential, in this regard, investments and research that focus on the spatial mobility of consumers and health professionals, as well as on supporting better working conditions for these professionals.
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spelling LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)DINÂMICA LOCACIONAL DOS SERVIÇOS DE SAÚDE: EVIDÊNCIAS PARA PERNAMBUCO (2007 E 2019)Distribuição EspacialConcentração de serviços de saúdeInteriorização de serviços de saúdeMobilidadeAcessibilidadePernambucoSpatial distributionConcentration Health servicesDeconcentration Health ServicesMobilityAccessibilityPernambucoThis article presents an analysis of the changes in the dynamics of the spatial distribution of Health establishments in the state of Pernambuco, in the years 2007 and 2019. Data from the companies were collected, georeferenced and mapped from the addresses listed in the National Register of Health Establishments (CNES). The results indicated that from 2007 to 2019 there were significant changes in the spatial distribution of private and public health establishments: private units, originally more concentrated than public ones, showed a drop in concentration indicators and started to have a spatial distribution more like public establishments. The estimates also suggest the occurrence of a deconcentration of the more complex health services, a fact that is consistent with the process of interiorization of Higher Education in ​​Health, associated with improvements in the state's transport infrastructure, in addition to the increase in family income in medium and small cities. Thus, the results can help in the formulation and application of public policies aimed at improving access to health and intervene in the improvement of demand and service supply networks. It is essential, in this regard, investments and research that focus on the spatial mobility of consumers and health professionals, as well as on supporting better working conditions for these professionals.El artículo presenta un análisis de la dinámica distributiva de los establecimientos de salud, en el estado de Pernambuco, en los años 2007 y 2019. A partir de las direcciones inscritas en el Registro Nacional de Establecimientos de Salud (CNES), todas las respectivas empresas fueron debidamente georreferenciadas y mapeadas. . Los resultados indicaron que, entre 2007 y 2019, hubo cambios significativos en la distribución espacial de los establecimientos de salud públicos y privados: las unidades privadas, originalmente más concentradas que las públicas, mostraron una caída en los indicadores de concentración y pasaron a tener una distribución espacial más parecido a los establecimientos públicos. Las estimaciones también sugieren la ocurrencia de una desconcentración de los servicios de salud más complejos, hecho que es consistente con el proceso de internalización de la educación superior en el área de la salud, asociado a mejoras en la infraestructura de transporte costero-interno (Agreste) del estado, además de incrementar los ingresos familiares. Así, los resultados pueden ayudar en la formulación y aplicación de políticas públicas dirigidas a mejorar el acceso a la salud e intervenir en la mejora de las redes de demanda y oferta de servicios. Es fundamental, en este sentido, basarse en la movilidad espacial de los consumidores y profesionales de la salud, apoyando mejores condiciones de trabajo para estos profesionales.L'article présente une analyse de la dynamique distributive des établissements de santé, dans l'état de Pernambuco, dans les années 2007 et 2019. A partir des adresses répertoriées dans le Registre National des Etablissements de Santé (CNES), toutes les entreprises respectives ont été dûment géoréférencées et cartographiées. . Les résultats ont indiqué qu'entre 2007 et 2019, il y a eu des changements significatifs dans la répartition spatiale des formations sanitaires privées et publiques : les unités privées, à l'origine plus concentrées que les publiques, ont montré une baisse des indicateurs de concentration et ont commencé à avoir une distribution spatiale plus proche des établissements publics. Les estimations suggèrent également l'apparition d'une déconcentration des services de santé les plus complexes, ce qui est cohérent avec le processus d'internalisation de l'enseignement supérieur dans le domaine de la santé, associé à l'amélioration des infrastructures de transport littoral-intérieur (Agreste) de l'État, en plus d'augmenter le revenu familial. Ainsi, les résultats peuvent aider à la formulation et à l'application de politiques publiques visant à améliorer l'accès à la santé et à intervenir dans l'amélioration des réseaux de demande et d'offre de services. Il est essentiel, à cet égard, de s'appuyer sur la mobilité spatiale des consommateurs et des professionnels de santé, en soutenant de meilleures conditions de travail pour ces professionnels.  Este artigo apresenta uma análise das mudanças na dinâmica da distribuição espacial dos estabelecimentos de Saúde no estado de Pernambuco, nos anos de 2007 e 2019. Os dados das empresas foram coletados, georreferenciados e mapeados a partir dos endereços elencados no Cadastro Nacional dos Estabelecimentos de Saúde (CNES). Os resultados indicaram que do ano de 2007 para o de 2019 houve mudanças significativas na distribuição espacial dos estabelecimentos de saúde dos setores privados e públicos: as unidades privadas, originalmente mais concentradas do que as públicas, apresentaram uma queda nos indicadores de concentração e passaram a ter uma distribuição espacial mais similar aos estabelecimentos públicos. As estimativas também sugerem a ocorrência de uma desconcentração dos serviços mais complexos de saúde, fato este que é condizente com o processo de interiorização do Ensino Superior na área de Saúde, associado às melhorias na infraestrutura de transporte litoral-interior (Agreste) do estado, além do aumento da renda familiar nas cidades de médio e pequeno porte. Destarte, os resultados podem auxiliar na formulação e aplicação de políticas públicas que visem melhorias no acesso à saúde e intervenham no aprimoramento das redes de demanda e oferta de serviços. É imprescindível, nesse aspecto, investimentos e pesquisas que foquem na mobilidade espacial dos consumidores e profissionais da Saúde, assim como, no suporte de melhores condições de trabalho para estes profissionais.Universidade Federal de Uberlândia2023-06-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufu.br/index.php/hygeia/article/view/6592510.14393/Hygeia1965925Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 19 (2023); e19161980-1726reponame:Hygeia (Uberlândia)instname:Universidade Federal de Uberlândia (UFU)instacron:UFUporhttps://seer.ufu.br/index.php/hygeia/article/view/65925/36131Copyright (c) 2023 Emanuel da Silva Santos, Roberta de Moraes Rocha, Edilberto Tiago de Almeida, Marcelo Carlos de Oliveira Silvainfo:eu-repo/semantics/openAccessSantos, Emanuel da SilvaRocha, Roberta de MoraesAlmeida, Edilberto Tiago deSilva, Marcelo Carlos de Oliveira2023-06-20T17:34:32Zoai:ojs.www.seer.ufu.br:article/65925Revistahttps://seer.ufu.br/index.php/hygeiaPUBhttps://seer.ufu.br/index.php/hygeia/oaisamuel@ufu.br||flavia.santos@ufu.br1980-17261980-1726opendoar:2023-06-20T17:34:32Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU)false
dc.title.none.fl_str_mv LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
DINÂMICA LOCACIONAL DOS SERVIÇOS DE SAÚDE: EVIDÊNCIAS PARA PERNAMBUCO (2007 E 2019)
title LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
spellingShingle LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
Santos, Emanuel da Silva
Distribuição Espacial
Concentração de serviços de saúde
Interiorização de serviços de saúde
Mobilidade
Acessibilidade
Pernambuco
Spatial distribution
Concentration Health services
Deconcentration Health Services
Mobility
Accessibility
Pernambuco
title_short LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
title_full LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
title_fullStr LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
title_full_unstemmed LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
title_sort LOCATION DYNAMICS OF HEALTH SERVICES: EVIDENCE FOR PERNAMBUCO (2007 and 2019)
author Santos, Emanuel da Silva
author_facet Santos, Emanuel da Silva
Rocha, Roberta de Moraes
Almeida, Edilberto Tiago de
Silva, Marcelo Carlos de Oliveira
author_role author
author2 Rocha, Roberta de Moraes
Almeida, Edilberto Tiago de
Silva, Marcelo Carlos de Oliveira
author2_role author
author
author
dc.contributor.author.fl_str_mv Santos, Emanuel da Silva
Rocha, Roberta de Moraes
Almeida, Edilberto Tiago de
Silva, Marcelo Carlos de Oliveira
dc.subject.por.fl_str_mv Distribuição Espacial
Concentração de serviços de saúde
Interiorização de serviços de saúde
Mobilidade
Acessibilidade
Pernambuco
Spatial distribution
Concentration Health services
Deconcentration Health Services
Mobility
Accessibility
Pernambuco
topic Distribuição Espacial
Concentração de serviços de saúde
Interiorização de serviços de saúde
Mobilidade
Acessibilidade
Pernambuco
Spatial distribution
Concentration Health services
Deconcentration Health Services
Mobility
Accessibility
Pernambuco
description This article presents an analysis of the changes in the dynamics of the spatial distribution of Health establishments in the state of Pernambuco, in the years 2007 and 2019. Data from the companies were collected, georeferenced and mapped from the addresses listed in the National Register of Health Establishments (CNES). The results indicated that from 2007 to 2019 there were significant changes in the spatial distribution of private and public health establishments: private units, originally more concentrated than public ones, showed a drop in concentration indicators and started to have a spatial distribution more like public establishments. The estimates also suggest the occurrence of a deconcentration of the more complex health services, a fact that is consistent with the process of interiorization of Higher Education in ​​Health, associated with improvements in the state's transport infrastructure, in addition to the increase in family income in medium and small cities. Thus, the results can help in the formulation and application of public policies aimed at improving access to health and intervene in the improvement of demand and service supply networks. It is essential, in this regard, investments and research that focus on the spatial mobility of consumers and health professionals, as well as on supporting better working conditions for these professionals.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufu.br/index.php/hygeia/article/view/65925
10.14393/Hygeia1965925
url https://seer.ufu.br/index.php/hygeia/article/view/65925
identifier_str_mv 10.14393/Hygeia1965925
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufu.br/index.php/hygeia/article/view/65925/36131
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Uberlândia
publisher.none.fl_str_mv Universidade Federal de Uberlândia
dc.source.none.fl_str_mv Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 19 (2023); e1916
1980-1726
reponame:Hygeia (Uberlândia)
instname:Universidade Federal de Uberlândia (UFU)
instacron:UFU
instname_str Universidade Federal de Uberlândia (UFU)
instacron_str UFU
institution UFU
reponame_str Hygeia (Uberlândia)
collection Hygeia (Uberlândia)
repository.name.fl_str_mv Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU)
repository.mail.fl_str_mv samuel@ufu.br||flavia.santos@ufu.br
_version_ 1799944284944728064

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