Regional health inequalities: changes observed in Brazil from 2000-2016

Advances in reducing poverty and inequalities in the 2000s had a paradoxical effect in Brazil. This article examines how socioeconomic transformations, and the complexity of health services, are expressed in the regions established for planning purposes and the inter-governmental management of the B...

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Vydáno v:Ciência & saude coletiva Ročník 22; číslo 4; s. 1055
Hlavní autoři: Albuquerque, Mariana Vercesi de, Viana, Ana Luiza d'Ávila, Lima, Luciana Dias de, Ferreira, Maria Paula, Fusaro, Edgard Rodrigues, Iozzi, Fabíola Lana
Médium: Journal Article
Jazyk:angličtina
portugalština
Vydáno: Brazil 01.04.2017
Témata:
Brazil
Delivery of Health Care - organization & administration
Health Policy
Health Status Disparities
Humans
Income
National Health Programs - organization & administration
Poverty
Regional Health Planning - organization & administration
Socioeconomic Factors
ISSN:1678-4561, 1678-4561
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Shrnutí:Advances in reducing poverty and inequalities in the 2000s had a paradoxical effect in Brazil. This article examines how socioeconomic transformations, and the complexity of health services, are expressed in the regions established for planning purposes and the inter-governmental management of the Brazilian Unified Health System. An effort was made to identify and explain differences in the compositions of the 438 existing health regions and their spatial distribution by comparing situations observed in 2016 with those in 2000. Factor analysis and grouping techniques were used to construct a typology in the two years of the series, which was based on a diverse set of secondary data sources. It was found that there was an evolution in terms of income levels and service provision within the health regions, with a significant improvement in the socioeconomic conditions of the population. These results suggest that there was a positive impact from the combination of strategies related to social, economic and regional policies for the promotion of development, which generated more widespread well-being within the affected areas. However, limitations remain regarding the policies implemented for the universalization of the health system.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1678-4561
1678-4561
DOI:10.1590/1413-81232017224.26862016