0016/2026 - EQUIDADE COMO DIRETRIZ DA TRANSFORMAÇÃO DIGITAL: MODELO PARA A ALOCAÇÃO DE RECURSOS DO PROGRAMA SUS DIGITAL EQUITY AS A GUIDING PRINCIPLE OF DIGITAL TRANSFORMATION: A MODEL FOR RESOURCE ALLOCATION IN THE SUS DIGITAL PROGRAM
Este artigo apresenta os fundamentos, a metodologia e as análises territoriais que fundamentaram a criação do Índice de Critérios para a Distribuição de Recursos Financeiros para o Programa SUS Digital (ICSD), desenvolvido pela Secretaria de Informação e Saúde Digital do Ministério da Saúde, com o objetivo de promover uma alocação mais equânime dos recursos do programa. A metodologia considerou variáveis como a tipologia rural-urbana (2017), o Índice de Vulnerabilidade Social (2015), o Índice Brasileiro de Conectividade (2022), a densidade de médicos especialistas por habitante (2023), o percentual das receitas próprias aplicadas em saúde (2022), os leitos hospitalares do SUS (2023), os estabelecimentos de saúde de atenção especializada (2023), a produção ambulatorial (2023) e índices de atração para serviços de saúde de diferentes complexidades, conforme a Região de Influência das Cidades (2018). Os resultados evidenciaram desigualdades regionais e apontam a necessidade de estratégias para fortalecer a saúde digital em territórios de maior vulnerabilidade. O artigo discute a aplicação do ICSD nas macrorregiões e as simulações que orientaram as transferências de recursos, visando reduzir iniquidades e promover justiça territorial.
Palavras-chave:
Saúde Digital; Equidade em Saúde; Sistema Único de Saúde; Vulnerabilidade Social; Financiamento.
Abstract:
This article presents the foundations, methodology, and territorial analyses that underpinned the creation of the Index of Criteria for the Distribution of Financial Resources for the SUS Digital Program (ICSD), developed by the Secretariat of Information and Digital Health of the Ministry of Health, to promote a more equitable distribution of resources of the program. The methodology involved the use of variables such as rural-urban typology (2017), the Social Vulnerability Index (IVS) (2015), the Brazilian Connectivity Index (IBC) (2022), the medical specialists density per inhabitant (2023), the percentage of own revenues allocated to health (2022), SUS hospital beds (2023), specialized health care establishments (2023), outpatient production (2023), as well as the attraction indices for health services, of varying complexities, used in the classification of the Region of Influence of Cities (2018). The results revealed regional inequalities and point to the need for strategies to strengthen digital health in territories with greater vulnerability. The article also discusses the application of the ICSD in the health macro-regions and the simulations that guided resource transfers within the SUS Digital Program, aiming to reduce inequities and promote territorial justice.
Keywords:
Digital Health; Health Equity; Unified Health System; Social Vulnerability; Financing.
EQUITY AS A GUIDING PRINCIPLE OF DIGITAL TRANSFORMATION: A MODEL FOR RESOURCE ALLOCATION IN THE SUS DIGITAL PROGRAM
Resumo (abstract):
This article presents the foundations, methodology, and territorial analyses that underpinned the creation of the Index of Criteria for the Distribution of Financial Resources for the SUS Digital Program (ICSD), developed by the Secretariat of Information and Digital Health of the Ministry of Health, to promote a more equitable distribution of resources of the program. The methodology involved the use of variables such as rural-urban typology (2017), the Social Vulnerability Index (IVS) (2015), the Brazilian Connectivity Index (IBC) (2022), the medical specialists density per inhabitant (2023), the percentage of own revenues allocated to health (2022), SUS hospital beds (2023), specialized health care establishments (2023), outpatient production (2023), as well as the attraction indices for health services, of varying complexities, used in the classification of the Region of Influence of Cities (2018). The results revealed regional inequalities and point to the need for strategies to strengthen digital health in territories with greater vulnerability. The article also discusses the application of the ICSD in the health macro-regions and the simulations that guided resource transfers within the SUS Digital Program, aiming to reduce inequities and promote territorial justice.
Palavras-chave (keywords):
Digital Health; Health Equity; Unified Health System; Social Vulnerability; Financing.
Sellera, PEG, Haddad, AE, Costa, IER, Melo, FV, Jovanovic, MB, Silveira Junior, JS, Silva, RCL, Lacerda, AMA. EQUIDADE COMO DIRETRIZ DA TRANSFORMAÇÃO DIGITAL: MODELO PARA A ALOCAÇÃO DE RECURSOS DO PROGRAMA SUS DIGITAL. Cien Saude Colet [periódico na internet] (2026/jan). [Citado em 14/08/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/equidade-como-diretriz-da-transformacao-digital-modelo-para-a-alocacao-de-recursos-do-programa-sus-digital/19914
