Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba

Revista Brasileira de Epidemiologia

França, Beatriz Helena Sottile¹  Moysés, Simone Tetu¹  Aguilera, Sandra Lúcia Vieira Ulinski¹  Moysés, Samuel Jorge¹ 

[1] Pontifícia Universidade Católica do Paraná, Curitiba, Brazil

关键词: Health services accessibility;    Health public policy;    Health management;    Health services evaluation;    Referral and consultation;    Equity in health;   

DOI  :  10.1590/1809-4503201400030007

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

The aim of this study was to identify and analyze inequities in the access to specialized services in the municipalities of the metropolitan area of Curitiba, Paraná, Brazil. This is an ecological study. In its preparatory stage, this study focused on the socioeconomic, epidemiologic, healthcare network and sectoral financing network profiles of the 26 municipalities comprising this area. Factor analysis was employed to obtain the six principal components, and a synthetic index was calculated from them, allowing municipalities to be ranked according to living conditions and health situation. Primary data was collected from 24 municipalities, regarding their capacity, directed and repressed demand of specialized healthcare services. The context analysis revealed accentuated intermunicipal inequities. The synthetic index allowed municipalities to be classified in four relatively homogeneous groups regarding living and health conditions. Municipalities located in Vale do Ribeira obtained the worse outcomes for the Living Conditions and Health Situation Synthetic Index, as well as the higher repressed demand for specialized healthcare services. The geographical distance from the capital showed to contribute to worse living and health conditions and greater difficulties in access to healthcare services.

【 授权许可】

Unknown