Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba
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 net...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Pós-Graduação em Saúde Coletiva
2014-09-01
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| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654&lng=en&tlng=en |
| _version_ | 1818299991351885824 |
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| author | Sandra Lúcia Vieira Ulinski Aguilera Beatriz Helena Sottile França Simone Tetu Moysés Samuel Jorge Moysés |
| author_facet | Sandra Lúcia Vieira Ulinski Aguilera Beatriz Helena Sottile França Simone Tetu Moysés Samuel Jorge Moysés |
| author_sort | Sandra Lúcia Vieira Ulinski Aguilera |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T05:00:01Z |
| format | Article |
| id | doaj.art-215fdd63b0d24e47936cfd6ecaa83bf7 |
| institution | Directory Open Access Journal |
| issn | 1980-5497 |
| language | English |
| last_indexed | 2024-12-13T05:00:01Z |
| publishDate | 2014-09-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj.art-215fdd63b0d24e47936cfd6ecaa83bf72022-12-21T23:58:48ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972014-09-0117365466710.1590/1809-4503201400030007S1415-790X2014000300654Intermunicipal inequities in access and use of secondary health services in the metropolitan area of CuritibaSandra Lúcia Vieira Ulinski AguileraBeatriz Helena Sottile FrançaSimone Tetu MoysésSamuel Jorge MoysésThe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654&lng=en&tlng=enAcesso aos serviços de saúdePolíticas públicas de saúdeGestão em saúdeAvaliação de serviços de saúdeReferência e consultaEquidade em saúde |
| spellingShingle | Sandra Lúcia Vieira Ulinski Aguilera Beatriz Helena Sottile França Simone Tetu Moysés Samuel Jorge Moysés Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba Revista Brasileira de Epidemiologia Acesso aos serviços de saúde Políticas públicas de saúde Gestão em saúde Avaliação de serviços de saúde Referência e consulta Equidade em saúde |
| title | Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
| title_full | Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
| title_fullStr | Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
| title_full_unstemmed | Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
| title_short | Intermunicipal inequities in access and use of secondary health services in the metropolitan area of Curitiba |
| title_sort | intermunicipal inequities in access and use of secondary health services in the metropolitan area of curitiba |
| topic | Acesso aos serviços de saúde Políticas públicas de saúde Gestão em saúde Avaliação de serviços de saúde Referência e consulta Equidade em saúde |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000300654&lng=en&tlng=en |
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