Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

Revista de Saúde Pública

Juan Stuardo Yazlle Rocha¹  Rosane Aparecida Monteiro¹  Marizélia Leão Moreira¹ 

关键词: Hospitalization;    Hospitals;    Municipal;    supply & distribution;    Migration;    Regional Health Planning;    Equity in Access;    Hospitalização;    Hospitais Municipais;    provisão & distribuição;    Migração;    Regionalização;    Equidade no Acesso;   

DOI  :  10.1590/S0034-8910.2015049005696

来源: SciELO

【 摘 要 】

OBJECTIVETo describe the migration flows of demand for public and private hospital care among the health regions of the state of Sao Paulo, Brazil.METHODSStudy based on a database of hospitalizations in the public and private systems of the state of Sao Paulo, Southeastern Brazil, in 2006. We analyzed data from 17 health regions of the state, considering people hospitalized in their own health region and those who migrated outwards (emigration) or came from other regions (immigration). The index of migration effectiveness of patients from both systems was estimated. The coverage (hospitalization coefficient) was analyzed in relation to the number of inpatient beds per population and the indexes of migration effectiveness.RESULTSThe index of migration effectiveness applied to the hospital care demand flow allowed characterizing health regions with flow balance, with high emigration of public and private patients, and with high attraction of public and private patients.CONCLUSIONSThere are differences in hospital care access and opportunities among health regions in the state of Sao Paulo, Brazil.

【 授权许可】

CC BY   
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