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Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019

Authors :
Claudio Vitorino Pereira
Isabel Cristina Gonçalves Leite
Mário Círio Nogueira
Gustavo Fernandes Ferreira
Source :
Revista Brasileira de Epidemiologia, Vol 27 (2024)
Publication Year :
2024
Publisher :
Associação Brasileira de Pós-Graduação em Saúde Coletiva, 2024.

Abstract

ABSTRACT Objective: To analyze the spatial flow of care for patients undergoing dialysis therapy in the health regions of the State of Minas Gerais. Methods: Ecological study whose population was patients undergoing dialysis therapy in public, philanthropic institutions or whose treatment was paid for by the Unified Health System in private clinics in partnership, in the State of Minas Gerais. Patients were grouped by health region of residence. The proportions of patients who underwent dialysis were calculated, as well as enrollment on the kidney transplant list in their own region of residence or outside it. Person correlations of these proportions with socioeconomic and care indicators of the health regions were estimated. Spatial exploratory techniques estimated general (Moran’s I) and local (LISA) spatial correlation coefficients. Results: Regions with higher GDP had a higher number of nephrologists and a higher proportion of registrations in the region of residence. A cluster of regions with low GDP was identified further to the northeast of the State (also with lower nephrologist ratio values), a cluster with a high proportion of those registered on the transplant list in the center of the State, and a cluster with a low proportion of dialysis in the same region of residence further southeast. Conclusion: Regional disparities were evident in relation to the proportion of patients registered on the waiting list for kidney transplantation, the proportion of patients undergoing dialysis in the same region of residence and the proportion of patients registered on the waiting list for kidney transplantation in the same region of residence. residence.

Details

Language :
English, Portuguese
ISSN :
19805497
Volume :
27
Database :
Directory of Open Access Journals
Journal :
Revista Brasileira de Epidemiologia
Publication Type :
Academic Journal
Accession number :
edsdoj.3e0c2affe54b41cf9f60c4c4ce2ff16e
Document Type :
article
Full Text :
https://doi.org/10.1590/1980-549720240002