0218/2023 - A TERRITORIALIDADE DA ALTA COMPLEXIDADE NA REGIÃO METROPOLITANA DE BELÉM: A SAÚDE ESPECIALIZADA É SUBSIDIADA PELO SUS? THE TERRITORIALITY OF HIGH COMPLEXITY IN THE METROPOLITAN REGION OF BELÉM: IS SPECIALIZED HEALTH SUBSIDIZED BY SUS?
O presente artigo apresenta uma análise sobre a atuação da rede de atenção especializada do SUS, com a delimitação dos serviços de média e de alta complexidade da rede hospitalar dos municípios que compõem a Região Metropolitana de Belém. A discussão se fundamenta na revisão dos dados secundários captados na plataforma do DATASUS e disponibilizados no Cadastro Nacional de Estabelecimentos de Saúde do Brasil (CNES) até janeiro de 2022. Constatou-se que a territorialidade da alta complexidade é formada majoritariamente pela rede privada, contudo a capacidade de atendimento da rede SUS sobrepôs à oferta direcionada ao atendimento não universal, em razão da ampla reserva de serviços privados ao convênio SUS, na qual os hospitais filantrópicos apresentaram uma maior disposição à demanda universal. Em contrapartida, a ampla presença do Estado nos serviços de alta complexidade não deve ser pensada como uma cobertura universal, devido às formas de acesso a estes serviços apresentarem filtros de natureza jurídico-institucional ou, por outras palavras, o que o SUS denomina de hospitais de portas abertas ou fechadas.
Palavras-chave:
Territorialidade da saúde. Alta complexidade de saúde. Serviços especializados. Geografia da Saúde. SUS.
Abstract:
This article presents an analysis of the performance of the specialized healthcare network of SUS, with the delimitation of the medium and high complexity services of the hospital network in the municipalities that make up the Belem Metropolitan Region. The discussion is based on the review of secondary data collected on the DATASUS platform and made available on the Brazilian National Register of Health Establishments (CNES) until January 2022. It was found that the territoriality of high complexity is formed mostly by the private network, however, the service capacity of the SUS network overlapped the supply directed to non-universal care, due to the broad reservation of private services to the SUS agreement, in which philanthropic hospitals showed greater willingness to universal demand. In contrast, the ample presence of the State in the services of high complexity should not be thought of as universal coverage since the access forms to these services present filters of legal-institutional nature or, in other words, what SUS calls open or closed doors.
Keywords:
Territoriality of health. High-complexity health care. Specialized services. Health Geography. SUS.
THE TERRITORIALITY OF HIGH COMPLEXITY IN THE METROPOLITAN REGION OF BELÉM: IS SPECIALIZED HEALTH SUBSIDIZED BY SUS?
Resumo (abstract):
This article presents an analysis of the performance of the specialized healthcare network of SUS, with the delimitation of the medium and high complexity services of the hospital network in the municipalities that make up the Belem Metropolitan Region. The discussion is based on the review of secondary data collected on the DATASUS platform and made available on the Brazilian National Register of Health Establishments (CNES) until January 2022. It was found that the territoriality of high complexity is formed mostly by the private network, however, the service capacity of the SUS network overlapped the supply directed to non-universal care, due to the broad reservation of private services to the SUS agreement, in which philanthropic hospitals showed greater willingness to universal demand. In contrast, the ample presence of the State in the services of high complexity should not be thought of as universal coverage since the access forms to these services present filters of legal-institutional nature or, in other words, what SUS calls open or closed doors.
Palavras-chave (keywords):
Territoriality of health. High-complexity health care. Specialized services. Health Geography. SUS.
Godoy, C.V, Rocha, G.M. A TERRITORIALIDADE DA ALTA COMPLEXIDADE NA REGIÃO METROPOLITANA DE BELÉM: A SAÚDE ESPECIALIZADA É SUBSIDIADA PELO SUS?. Cien Saude Colet [periódico na internet] (2023/Ago). [Citado em 01/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-territorialidade-da-alta-complexidade-na-regiao-metropolitana-de-belem-a-saude-especializada-e-subsidiada-pelo-sus/18844?id=18844
