Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion
Abstract Background Access to health services is in part defined by the spatial distribution of healthcare equipment. To ensure equity in the provision of health services, it is important to examine availability across different health care providers taking into account population demand. Given the...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12939-017-0704-x |
| _version_ | 1818317405943758848 |
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| author | Pedro Vasconcelos Amaral Thiago Augusto Hernandes Rocha Allan Claudius Queiroz Barbosa Adriana Lein João Ricardo Nickenig Vissoci |
| author_facet | Pedro Vasconcelos Amaral Thiago Augusto Hernandes Rocha Allan Claudius Queiroz Barbosa Adriana Lein João Ricardo Nickenig Vissoci |
| author_sort | Pedro Vasconcelos Amaral |
| collection | DOAJ |
| description | Abstract Background Access to health services is in part defined by the spatial distribution of healthcare equipment. To ensure equity in the provision of health services, it is important to examine availability across different health care providers taking into account population demand. Given the importance of the equitable provision of health equipment, we evaluate its spatial distribution in Brazil. Methods This study is classified as cross-sectional with an ecological design. We evaluate Brazilian data on distance to available health equipment considering: dialysis machines (385), magnetic resonance imaging (MRI) (257), hospital beds (3675) and bone densitometers (429). We define two distance thresholds (50 km and 200 km) from a municipality to the center of services provision. The balance between infrastructure capacity and potential demand was evaluated to identify a lack or surplus of health services. Results The distribution of dialysis equipment and bone densitometers is not balanced across Brazilian states, and unmet demand is high. With respect to MRIs, the large capacity of this equipment results in a large excess of supply. However, this characteristic alone cannot account for excesses of supply of over 700%, as is the case of the Federal District when the range is limited to 50 km. At the same time, four states in the Northeastern region of Brazil show a net excess of demand. Some regions do not meet the standard amount of supply defined by Brazilian Ministry of Health. The quantity and distribution of hospital beds are not sufficient to provide full coverage to the population. Conclusion Our main focus was to evaluate the network of the provision of health equipment in Brazil, considering both private and public sectors conjointly. We take into account two main aspects of a spatially balanced health system: the regional availability of health equipment and the geographic distance between its demand and supply at the municipality level. Some regions do not meet the minimum requirement defined by the Brazilian Ministry of Health regarding the supply of health services. |
| first_indexed | 2024-12-13T09:36:49Z |
| format | Article |
| id | doaj.art-ff4ab4f9eb514605b3a3ed161de20a03 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-13T09:36:49Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-ff4ab4f9eb514605b3a3ed161de20a032022-12-21T23:52:19ZengBMCInternational Journal for Equity in Health1475-92762017-12-0116111310.1186/s12939-017-0704-xSpatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotionPedro Vasconcelos Amaral0Thiago Augusto Hernandes Rocha1Allan Claudius Queiroz Barbosa2Adriana Lein3João Ricardo Nickenig Vissoci4Centre for development and regional planning, Federal University of Minas GeraisCenter of post-graduate and Research in Administration Belo Horizonte, Federal University of Minas Gerais, Faculty of Economics SciencesFaculty of Economics Sciences, Department of Business Administration, Federal University of Minas GeraisDivision of Emergency Medicine, Duke University Health System, Duke Global Health Institute,, Duke UniversityDivision of Emergency Medicine, Duke University Health System, Duke Global Health Institute,, Duke UniversityAbstract Background Access to health services is in part defined by the spatial distribution of healthcare equipment. To ensure equity in the provision of health services, it is important to examine availability across different health care providers taking into account population demand. Given the importance of the equitable provision of health equipment, we evaluate its spatial distribution in Brazil. Methods This study is classified as cross-sectional with an ecological design. We evaluate Brazilian data on distance to available health equipment considering: dialysis machines (385), magnetic resonance imaging (MRI) (257), hospital beds (3675) and bone densitometers (429). We define two distance thresholds (50 km and 200 km) from a municipality to the center of services provision. The balance between infrastructure capacity and potential demand was evaluated to identify a lack or surplus of health services. Results The distribution of dialysis equipment and bone densitometers is not balanced across Brazilian states, and unmet demand is high. With respect to MRIs, the large capacity of this equipment results in a large excess of supply. However, this characteristic alone cannot account for excesses of supply of over 700%, as is the case of the Federal District when the range is limited to 50 km. At the same time, four states in the Northeastern region of Brazil show a net excess of demand. Some regions do not meet the standard amount of supply defined by Brazilian Ministry of Health. The quantity and distribution of hospital beds are not sufficient to provide full coverage to the population. Conclusion Our main focus was to evaluate the network of the provision of health equipment in Brazil, considering both private and public sectors conjointly. We take into account two main aspects of a spatially balanced health system: the regional availability of health equipment and the geographic distance between its demand and supply at the municipality level. Some regions do not meet the minimum requirement defined by the Brazilian Ministry of Health regarding the supply of health services.http://link.springer.com/article/10.1186/s12939-017-0704-xSpatial analysisHospitalsHealth care evaluation mechanisms |
| spellingShingle | Pedro Vasconcelos Amaral Thiago Augusto Hernandes Rocha Allan Claudius Queiroz Barbosa Adriana Lein João Ricardo Nickenig Vissoci Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion International Journal for Equity in Health Spatial analysis Hospitals Health care evaluation mechanisms |
| title | Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion |
| title_full | Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion |
| title_fullStr | Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion |
| title_full_unstemmed | Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion |
| title_short | Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion |
| title_sort | spatially balanced provision of health equipment a cross sectional study oriented to the identification of challenges to access promotion |
| topic | Spatial analysis Hospitals Health care evaluation mechanisms |
| url | http://link.springer.com/article/10.1186/s12939-017-0704-x |
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