Spatial distribution of specialized cardiac care units in the state of Santa Catarina

OBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. A...

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Main Authors: Silviana Cirino, Fabiana Santos Lima, Mirian Buss Gonçalves
Format: Article
Language:English
Published: Universidade de São Paulo 2014-12-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600916&tlng=en
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author Silviana Cirino
Fabiana Santos Lima
Mirian Buss Gonçalves
author_facet Silviana Cirino
Fabiana Santos Lima
Mirian Buss Gonçalves
author_sort Silviana Cirino
collection DOAJ
description OBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. As the state is divided into 21 health care regions, a methodology which suggests an arrangement of eight intermediate cardiac care units was analyzed, comparing the results obtained using data from 1996 and 2012. RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions. The current study provided a satisfactory response, indicated by the homogeneity of the results regarding the location of the intermediate cardiac care units and their respective regional administrations, thereby decreasing the average distance traveled by users to health care units, located in higher population density areas. The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012. CONCLUSIONS The current spatial distribution of specialized cardiac care units is more homogeneous and reflects the demographic changes that have occurred in the state over the last 17 years. The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.
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spelling doaj.art-51cc48b91fa4466a988cda2d33f1406f2022-12-21T20:10:54ZengUniversidade de São PauloRevista de Saúde Pública1518-87872014-12-0148691692410.1590/s0034-8910.2014048005139Spatial distribution of specialized cardiac care units in the state of Santa CatarinaSilviana CirinoFabiana Santos LimaMirian Buss GonçalvesOBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. As the state is divided into 21 health care regions, a methodology which suggests an arrangement of eight intermediate cardiac care units was analyzed, comparing the results obtained using data from 1996 and 2012. RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions. The current study provided a satisfactory response, indicated by the homogeneity of the results regarding the location of the intermediate cardiac care units and their respective regional administrations, thereby decreasing the average distance traveled by users to health care units, located in higher population density areas. The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012. CONCLUSIONS The current spatial distribution of specialized cardiac care units is more homogeneous and reflects the demographic changes that have occurred in the state over the last 17 years. The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600916&tlng=enHealth ServicesAccess to Health ServicesEquity in AccessSpatial Distribution
spellingShingle Silviana Cirino
Fabiana Santos Lima
Mirian Buss Gonçalves
Spatial distribution of specialized cardiac care units in the state of Santa Catarina
Revista de Saúde Pública
Health Services
Access to Health Services
Equity in Access
Spatial Distribution
title Spatial distribution of specialized cardiac care units in the state of Santa Catarina
title_full Spatial distribution of specialized cardiac care units in the state of Santa Catarina
title_fullStr Spatial distribution of specialized cardiac care units in the state of Santa Catarina
title_full_unstemmed Spatial distribution of specialized cardiac care units in the state of Santa Catarina
title_short Spatial distribution of specialized cardiac care units in the state of Santa Catarina
title_sort spatial distribution of specialized cardiac care units in the state of santa catarina
topic Health Services
Access to Health Services
Equity in Access
Spatial Distribution
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000600916&tlng=en
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AT fabianasantoslima spatialdistributionofspecializedcardiaccareunitsinthestateofsantacatarina
AT mirianbussgoncalves spatialdistributionofspecializedcardiaccareunitsinthestateofsantacatarina