0258/2017 - Acesso aos serviços de saúde por pacientes com suspeita de dengue na cidade do Rio de Janeiro. Access to health care facilities of suspected dengue patients in Rio de Janeiro.
O Rio de Janeiro mantém histórico recorrente de epidemias de dengue. Não há suficientes evidências acerca do percurso da população em busca de atendimento. O estudo visou investigar o padrão de deslocamento dos residentes do Rio de Janeiro com suspeita de dengue para atendimento nos serviços de saúde. Foram analisadas as notificações de dengue e utilizados os bairros da cidade como unidade de análise com enfoque no acesso às unidades de saúde da área de planejamento (AP) 3.3 e elaborados mapas de fluxo entre bairro de residência e unidade de atendimento. Foram notificados 48.576 residentes com suspeita de dengue no período de 2011 a 2013, 72% atendidos na AP 3.3: 37% na atenção primária e 73% em unidades de atenção secundária ou terciária; 12.545 foram atendidos em unidades fora da AP 3.3. Os resultados evidenciam uma grande variação geográfica na busca pelo atendimento na Atenção Primária dentro da própria AP 3.3 e um relevante deslocamento para unidades localizadas em bairros mais distantes, principalmente para o centro e zona sul, com 2.647 diferentes fluxos. Os achados apontam para um grande deslocamento dentro do município.
Palavras-chave:
Dengue; Acesso aos Serviços de Saúde; Atenção Primária de Saúde; Análise Espacial.
Abstract:
Rio de Janeiro maintains a recurrent history of dengue epidemics. There is scarce evidence about the route of the population to get health care. The study aimed to describe the pattern of suspected dengue patients flow in search of health care services in Rio de Janeiro. The following data were analyzed: dengue reports2011 to 2013; the neighborhoods of patient’s residence; the neighborhoods of health services. Neighborhoods of the city were used as unit of analysis focusing on access to health facilities of program area (AP) 3.3. Flow maps were elaborated to describe the routes between the neighborhood of residence and the heath service. Between 2011 and 2013 48,576 suspected dengue cases living in program area 3.3 were reported, 72% got health care in the AP 3.3, 37% of which in primary care. A total of 12,545 suspected cases attended health facilities outside the AP 3.3. A great geographical variation was observed in the search for Primary Care within the AP 3.3, as well as a relevant movement to the center and south zone of the city on access to care, comprising 2,647 different flows. The findings indicate a large flow within the municipality.
Keywords:
Dengue; Health services Access; Primary Health Care; Spatial Analysis.
Access to health care facilities of suspected dengue patients in Rio de Janeiro.
Resumo (abstract):
Rio de Janeiro maintains a recurrent history of dengue epidemics. There is scarce evidence about the route of the population to get health care. The study aimed to describe the pattern of suspected dengue patients flow in search of health care services in Rio de Janeiro. The following data were analyzed: dengue reports2011 to 2013; the neighborhoods of patient’s residence; the neighborhoods of health services. Neighborhoods of the city were used as unit of analysis focusing on access to health facilities of program area (AP) 3.3. Flow maps were elaborated to describe the routes between the neighborhood of residence and the heath service. Between 2011 and 2013 48,576 suspected dengue cases living in program area 3.3 were reported, 72% got health care in the AP 3.3, 37% of which in primary care. A total of 12,545 suspected cases attended health facilities outside the AP 3.3. A great geographical variation was observed in the search for Primary Care within the AP 3.3, as well as a relevant movement to the center and south zone of the city on access to care, comprising 2,647 different flows. The findings indicate a large flow within the municipality.
Palavras-chave (keywords):
Dengue; Health services Access; Primary Health Care; Spatial Analysis.
Freitas, DA, Santos, R, Wakimoto, MD. Acesso aos serviços de saúde por pacientes com suspeita de dengue na cidade do Rio de Janeiro.. Cien Saude Colet [periódico na internet] (2017/jul). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acesso-aos-servicos-de-saude-por-pacientes-com-suspeita-de-dengue-na-cidade-do-rio-de-janeiro/16310?id=16310&id=16310
