Different remote realities: health and the use of territory in Brazilian rural municipalities
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/201375 |
Resumo: | OBJECTIVE To characterize remote rural Brazilian municipalities according to their logic of insertion into socio-spatial dynamics, discussing the implications of these characteristics for health policies. METHODS Starting from the category of analysis – the use of the territory – a typology was elaborated, with the delimitation of six clusters. The clusters were compared using socioeconomic data and the distance in minutes to the metropolis, regional capital, and sub-regional center. Mean, standard error and standard deviation of the quantitative variables were calculated, and tests on mean differences were performed. RESULTS The six clusters identified bring together 97.2% of remote rural municipalities and were called: “Matopiba,” “Norte de Minas,” “Vetor Centro-Oeste,” “Semiárido,” “Norte Águas,” and “Norte Estradas.” Differences are observed between the clusters in the analyzed variables, indicating the existence of different realities. Remote rural municipalities of “Norte Águas” and “Norte Estradas” clusters are the most populous, the most extensive and are thousands of kilometers away from urban centers, while those in “Norte de Minas” and “Semiárido” clusters have smaller areas with a distance of about 200 km away from urban centers. The remote rural municipalities of the “Vetor Centro-Oeste” cluster, in turn, are distinguished by a dynamic economy, inserted into the world economic circuit due to the agribusiness. The Family Health Strategy is the predominant model in the organization of primary health care. CONCLUSION Remote rural municipalities are distinguished by their socio-spatial characteristics and insertion into the economic logic, demanding customized health policies. The strategy of building health regions, offering specialized regional services, tends to be more effective in remote rural municipalities closer to urban centers, as long as it is articulated with the health transportation policy. The use of information technology and expansion of the scope of telehealth activities is mandatory to face distances in such scenarios. Comprehensive primary health care with a strong cultural component is key to guaranteeing the right to health for citizens residing in such regions. |
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Different remote realities: health and the use of territory in Brazilian rural municipalitiesRemoto ou remotos: a saúde e o uso do território nos municípios rurais brasileirosSociocultural TerritoryHealth policies Rural Population HealthHealth Care ModelsTerritório SocioculturalPolíticas de SaúdeSaúde da População RuralModelos de Assistência à SaúdeOBJECTIVE To characterize remote rural Brazilian municipalities according to their logic of insertion into socio-spatial dynamics, discussing the implications of these characteristics for health policies. METHODS Starting from the category of analysis – the use of the territory – a typology was elaborated, with the delimitation of six clusters. The clusters were compared using socioeconomic data and the distance in minutes to the metropolis, regional capital, and sub-regional center. Mean, standard error and standard deviation of the quantitative variables were calculated, and tests on mean differences were performed. RESULTS The six clusters identified bring together 97.2% of remote rural municipalities and were called: “Matopiba,” “Norte de Minas,” “Vetor Centro-Oeste,” “Semiárido,” “Norte Águas,” and “Norte Estradas.” Differences are observed between the clusters in the analyzed variables, indicating the existence of different realities. Remote rural municipalities of “Norte Águas” and “Norte Estradas” clusters are the most populous, the most extensive and are thousands of kilometers away from urban centers, while those in “Norte de Minas” and “Semiárido” clusters have smaller areas with a distance of about 200 km away from urban centers. The remote rural municipalities of the “Vetor Centro-Oeste” cluster, in turn, are distinguished by a dynamic economy, inserted into the world economic circuit due to the agribusiness. The Family Health Strategy is the predominant model in the organization of primary health care. CONCLUSION Remote rural municipalities are distinguished by their socio-spatial characteristics and insertion into the economic logic, demanding customized health policies. The strategy of building health regions, offering specialized regional services, tends to be more effective in remote rural municipalities closer to urban centers, as long as it is articulated with the health transportation policy. The use of information technology and expansion of the scope of telehealth activities is mandatory to face distances in such scenarios. Comprehensive primary health care with a strong cultural component is key to guaranteeing the right to health for citizens residing in such regions.OBJETIVO Caracterizar os municípios rurais remotos brasileiros segundo suas lógicas de inserção na dinâmica socioespacial, discutindo as implicações dessas características para as políticas de saúde. MÉTODOS Partindo da categoria de análise – o uso do território – elaborou-se uma tipologia, com delimitação de seis clusters . Os clusters foram comparados a partir de dados socioeconômicos e da distância em minutos para a metrópole, capital regional e centro sub-regional. Foram calculados a média, o erro padrão e o desvio padrão das variáveis quantitativas e realizados testes de diferenças de média. RESULTADOS Os seis clusters identificados aglutinam 97,2% dos municípios rurais remotos e foram denominados de: Matopiba; Norte de Minas; vetor Centro-Oeste; Semiárido; Norte Águas; e Norte Estradas. Observam-se diferenças entre os clusters nas variáveis analisadas, indicando a existência de distintas realidades. Os municípios rurais remotos dos clusters Norte Água e Norte Estrada são os mais populosos, mais extensos e distam milhares de quilômetros de centros urbanos, enquanto os do Norte de Minas e do Semiárido tem áreas menores com distância de cerca de 200 km. Por outro lado, os municípios rurais remotos do vetor Centro-Oeste se diferem por uma economia dinâmica, inserida no circuito econômico mundial devido à presença do agronegócio. A Estratégia de Saúde da Família é o modelo predominante na organização da atenção primária à saúde. CONCLUSÃO Os municípios rurais remotos distinguem-se em suas características socioespaciais e de inserção na lógica econômica, demandando políticas de saúde customizadas. A estratégia de construção das regiões de saúde, com oferta de serviços regionais especializados, tende a ser mais efetiva nos municípios rurais remotos mais próximos de centros urbanos, desde que articulada à política de transporte sanitário. O uso de tecnologia de informação e ampliação do escopo das atividades de telessaúde é mandatório para enfrentamento das distâncias em cenários como esse. A atenção primária à saúde integral com forte componente cultural é peça-chave para garantir o direito à saúde para os cidadãos que aí residem.Universidade de São Paulo. Faculdade de Saúde Pública2022-08-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/20137510.11606/s1518-8787.2022056003914Revista de Saúde Pública; Vol. 56 (2022); 73Revista de Saúde Pública; Vol. 56 (2022); 73Revista de Saúde Pública; v. 56 (2022); 731518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/201375/185474https://www.revistas.usp.br/rsp/article/view/201375/185473https://www.revistas.usp.br/rsp/article/view/201375/185475Copyright (c) 2022 Aylene Bousquat, Márcia Cristina Rodrigues Fausto, Patty Fidelis de Almeida, Juliana Gagno Lima, Helena Seidl, Amandia Braga Lima Sousa, Ligia Giovanellahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBousquat, Aylene Fausto, Márcia Cristina Rodrigues Almeida, Patty Fidelis deLima, Juliana Gagno Seidl, Helena Sousa, Amandia Braga LimaGiovanella, Ligia2022-08-23T18:04:10Zoai:revistas.usp.br:article/201375Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-08-23T18:04:10Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Different remote realities: health and the use of territory in Brazilian rural municipalities Remoto ou remotos: a saúde e o uso do território nos municípios rurais brasileiros |
title |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
spellingShingle |
Different remote realities: health and the use of territory in Brazilian rural municipalities Bousquat, Aylene Sociocultural Territory Health policies Rural Population Health Health Care Models Território Sociocultural Políticas de Saúde Saúde da População Rural Modelos de Assistência à Saúde |
title_short |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
title_full |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
title_fullStr |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
title_full_unstemmed |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
title_sort |
Different remote realities: health and the use of territory in Brazilian rural municipalities |
author |
Bousquat, Aylene |
author_facet |
Bousquat, Aylene Fausto, Márcia Cristina Rodrigues Almeida, Patty Fidelis de Lima, Juliana Gagno Seidl, Helena Sousa, Amandia Braga Lima Giovanella, Ligia |
author_role |
author |
author2 |
Fausto, Márcia Cristina Rodrigues Almeida, Patty Fidelis de Lima, Juliana Gagno Seidl, Helena Sousa, Amandia Braga Lima Giovanella, Ligia |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Bousquat, Aylene Fausto, Márcia Cristina Rodrigues Almeida, Patty Fidelis de Lima, Juliana Gagno Seidl, Helena Sousa, Amandia Braga Lima Giovanella, Ligia |
dc.subject.por.fl_str_mv |
Sociocultural Territory Health policies Rural Population Health Health Care Models Território Sociocultural Políticas de Saúde Saúde da População Rural Modelos de Assistência à Saúde |
topic |
Sociocultural Territory Health policies Rural Population Health Health Care Models Território Sociocultural Políticas de Saúde Saúde da População Rural Modelos de Assistência à Saúde |
description |
OBJECTIVE To characterize remote rural Brazilian municipalities according to their logic of insertion into socio-spatial dynamics, discussing the implications of these characteristics for health policies. METHODS Starting from the category of analysis – the use of the territory – a typology was elaborated, with the delimitation of six clusters. The clusters were compared using socioeconomic data and the distance in minutes to the metropolis, regional capital, and sub-regional center. Mean, standard error and standard deviation of the quantitative variables were calculated, and tests on mean differences were performed. RESULTS The six clusters identified bring together 97.2% of remote rural municipalities and were called: “Matopiba,” “Norte de Minas,” “Vetor Centro-Oeste,” “Semiárido,” “Norte Águas,” and “Norte Estradas.” Differences are observed between the clusters in the analyzed variables, indicating the existence of different realities. Remote rural municipalities of “Norte Águas” and “Norte Estradas” clusters are the most populous, the most extensive and are thousands of kilometers away from urban centers, while those in “Norte de Minas” and “Semiárido” clusters have smaller areas with a distance of about 200 km away from urban centers. The remote rural municipalities of the “Vetor Centro-Oeste” cluster, in turn, are distinguished by a dynamic economy, inserted into the world economic circuit due to the agribusiness. The Family Health Strategy is the predominant model in the organization of primary health care. CONCLUSION Remote rural municipalities are distinguished by their socio-spatial characteristics and insertion into the economic logic, demanding customized health policies. The strategy of building health regions, offering specialized regional services, tends to be more effective in remote rural municipalities closer to urban centers, as long as it is articulated with the health transportation policy. The use of information technology and expansion of the scope of telehealth activities is mandatory to face distances in such scenarios. Comprehensive primary health care with a strong cultural component is key to guaranteeing the right to health for citizens residing in such regions. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-08 |
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://www.revistas.usp.br/rsp/article/view/201375 10.11606/s1518-8787.2022056003914 |
url |
https://www.revistas.usp.br/rsp/article/view/201375 |
identifier_str_mv |
10.11606/s1518-8787.2022056003914 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/201375/185474 https://www.revistas.usp.br/rsp/article/view/201375/185473 https://www.revistas.usp.br/rsp/article/view/201375/185475 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 56 (2022); 73 Revista de Saúde Pública; Vol. 56 (2022); 73 Revista de Saúde Pública; v. 56 (2022); 73 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221803245731840 |