0058/2024 - Análise do desempenho dos serviços de saúde em um grupo de municípios vulneráveis Analysis of the health services performance in a group of vulnerable municipalities
Estudo descritivo que analisou o desempenho dos serviços de saúde de um grupo de 112 municípios denominado g100 caracterizado por mais de 80 mil habitantes, baixa receita pública e vulnerabilidade socioeconômica. Do Projeto de Avaliação de Desempenho do Sistema de Saúde, foram selecionados 31 indicadores de financiamento, recursos, acesso, efetividade, aceitabilidade e adequação, para o período 2017-2020; e comparadas variações de cada ano em relação ao anterior. Em 2020, houve aumento no aporte financeiro, especialmente por transferências SUS (31,6%). A disponibilidade de leitos vinha decaindo entre 2017 e 2019, aumentou em 2020 e a oferta de profissionais de saúde apresentou leve aumento. Houve redução nos exames de rastreamento de câncer de colo do útero e mama de quase 40% (2020), e reduções de internações cirúrgicas, como cataratas e angioplastias. O percentual de internações por condições sensíveis à atenção primária foi 15,8% em 2020, 14,1% menor do que em 2019. Houve aumento de 55,8% na mortalidade por diabetes e maior abandono do tratamento de tuberculose. O contexto pandêmico exige cautela na interpretação de resultados, que apontam para barreiras de acesso e postergação na prestação de cuidados. Há limites, mas o quadro descrito provê uma riqueza de informações e insumos para a tomada de decisão sobre alocação de recursos e melhoria da qualidade do cuidado em saúde.
Palavras-chave:
Covid-19; Serviços de saúde; Sistema Único de Saúde; Qualidade, Acesso e Avaliação da Assistência à Saúde; Municípios
Abstract:
Descriptive study that analyzed the health services performance of 112 municipalities (g100) characterized by more than 80 thousand inhabitants, low public revenue, and socioeconomic vulnerability. Based on Projeto de Avaliação de Desempenho do Sistema de Saúde, 31 indicators of financing, resources, access, effectiveness, acceptability, and appropriateness were ed for the period 2017-2020; and comparing the indicators variations of each year in relation to the previous one. In 2020, there was an increase in financial support, especially the SUS transfers (31.6%). The hospital beds’ supply had been decreasing between 2017 and 2019, increased in 2020; and the supply of health professionals showed a slight increase. There was reduction in cervical and breast cancer screening exams of almost 40% (2020), and reductions in surgical procedures, such as cataracts and angioplasties. The hospitalizations for ambulatory care sensitive conditions were 15.8% in 2020, 14.1% lower than in 2019. There was a 55.8% increase in Diabetes mortality and greater tuberculosis treatment non-adherence. The pandemic context requires caution into interpreting results, which point to access barriers and postponement care delivery. There are study limits, however the picture described has provide a wealth information and input for making decisions on resource allocation and improving the healthcare quality.
Keywords:
COVID-19; Health services; Unified Health System; Health Care Quality, Access, and Evaluation; Municipalities
Analysis of the health services performance in a group of vulnerable municipalities
Resumo (abstract):
Descriptive study that analyzed the health services performance of 112 municipalities (g100) characterized by more than 80 thousand inhabitants, low public revenue, and socioeconomic vulnerability. Based on Projeto de Avaliação de Desempenho do Sistema de Saúde, 31 indicators of financing, resources, access, effectiveness, acceptability, and appropriateness were ed for the period 2017-2020; and comparing the indicators variations of each year in relation to the previous one. In 2020, there was an increase in financial support, especially the SUS transfers (31.6%). The hospital beds’ supply had been decreasing between 2017 and 2019, increased in 2020; and the supply of health professionals showed a slight increase. There was reduction in cervical and breast cancer screening exams of almost 40% (2020), and reductions in surgical procedures, such as cataracts and angioplasties. The hospitalizations for ambulatory care sensitive conditions were 15.8% in 2020, 14.1% lower than in 2019. There was a 55.8% increase in Diabetes mortality and greater tuberculosis treatment non-adherence. The pandemic context requires caution into interpreting results, which point to access barriers and postponement care delivery. There are study limits, however the picture described has provide a wealth information and input for making decisions on resource allocation and improving the healthcare quality.
Palavras-chave (keywords):
COVID-19; Health services; Unified Health System; Health Care Quality, Access, and Evaluation; Municipalities
Carvalho, C. C., Viacava. F., Oliveira, R. A. D., Martins, M.. Análise do desempenho dos serviços de saúde em um grupo de municípios vulneráveis. Cien Saude Colet [periódico na internet] (2024/Fev). [Citado em 05/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-do-desempenho-dos-servicos-de-saude-em-um-grupo-de-municipios-vulneraveis/19106?id=19106
