1. Inpatient flow for Covid-19 in the Brazilian health regions
- Author
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Everton Nunes da Silva, Fernando Ramalho Gameleira Soares, Gustavo Saraiva Frio, Aimê Oliveira, Fabrício Vieira Cavalcante, Natália Regina Alves Vaz Martins, Klébya Hellen Dantas de Oliveira, and Leonor Maria Pacheco Santos
- Subjects
Covid-19 ,Regional health planning ,Hospitalization ,Movement and displacement of patients ,Public aspects of medicine ,RA1-1270 - Abstract
ABSTRACT The study aims to investigate the flows of Covid-19 hospitalizations in the 450 Brazilian health regions and 117 health macro-regions between March and October 2020. This descriptive study includes all Covid-19 hospitalizations registered in the Influenza Epidemiological Surveillance Information System between the eighth and forty-fourth epidemiological weeks of 2020. In Brazil, 397,830 admissions were identified for Covid-19. Emigration was 11.9% for residents in health regions and 6.8% in macro-regions; this pattern was also maintained during the peak period of Covid-19 hospitalizations. The average evasion for residents of health regions was 17.6% in the Northeast and 8.8% in the South. Evasion was more accentuated in health regions with up to 100 thousand inhabitants(36.9%), which was 7 times greater than that observed in health regions with more than 2 million inhabitants (5.2%). The negative migratory efficacy indicator (-0.39) revealed a predominance of evasion. Of the 450 Brazilian health regions, 117 (39.3%) had a coefficient of migratory efficacy between-1 and-0.75, and 113 (25.1%) between-0.75 and-0.25. Results indicate that the regionalization of the health system exhibited adequate organization of healthcare in the territory; however, the long distances traveled are still worrisome.
- Published
- 2021
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