Hemodialysis services: are public policies turned to guaranteeing the access?

Cadernos de Saúde Pública

Ana Rita Barbieri¹  Crhistinne Cavalheiro Maymone Gonçalves¹  Maria De Fátima Meinberg Cheade¹  Cristina Souza¹  Daniel Henrique Tsuha¹  Kássio Costa Ferreira¹  Lucas Rasi¹  Antonio Conceição Paranhos Filho¹ 

关键词: Renal Dialysis;    Health Services Accessibility;    Public Policies;    Diálise Renal;    Acesso aos Serviços de Saúde;    Políticas Públicas;    Diálisis Renal;    Accesibilidad a los Servicios de Salud;    Políticas Públicas;   

DOI  :  10.1590/0102-311X00073514

来源: SciELO

【 摘 要 】

The increasing incidence of chronic renal failure in Brazil and the consequential expansion of hemodialysis as a choice for treatment in final stage have to be taken into account to guarantee access to those in need. The ecological study conducted in Mato Grosso do Sul State, Brazil, in 2012, using data from the Brazilian Health Informatics Department (DATASUS) and from the analysis of medical records in 12 clinics, identified and mapped patients on hemodialysis, the distance they travelled and the estimated number of patients. The prevalence of hemodialysis patients in Mato Grosso do Sul State, about 55 per 100,000 inhabitants, is similar to the national average. The analyses indicated concentration of patients in counties with clinics and also geographical gaps that generate displacement of over 100km for more than 16% of patients. The results point to the necessity of strengthening public policies that consider, for decision-making, the decentralization of service, the expansion of home care and the follow-up education for professionals.

【 授权许可】

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