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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Published in:Ciência & saude coletiva Vol. 22; no. 4; p. 1055
Main Authors: Albuquerque, Mariana Vercesi de, Viana, Ana Luiza d'Ávila, Lima, Luciana Dias de, Ferreira, Maria Paula, Fusaro, Edgard Rodrigues, Iozzi, Fabíola Lana
Format: Journal Article
Language:English
Portuguese
Published: Brazil 01.04.2017
Subjects:
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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Abstract 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.
AbstractList 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.
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.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.
Author Iozzi, Fabíola Lana
Ferreira, Maria Paula
Viana, Ana Luiza d'Ávila
Fusaro, Edgard Rodrigues
Lima, Luciana Dias de
Albuquerque, Mariana Vercesi de
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  organization: Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480/Prédio da Ensp/709, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. mariana.albuquerque@ensp.fiocruz.br
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  givenname: Ana Luiza d'Ávila
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  givenname: Luciana Dias de
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  givenname: Edgard Rodrigues
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  fullname: Fusaro, Edgard Rodrigues
  organization: Departamento Intersindical de Estatísticas e Estudos Socioeconômicos. São Paulo SP Brasil
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  givenname: Fabíola Lana
  surname: Iozzi
  fullname: Iozzi, Fabíola Lana
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  organization: Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480/Prédio da Ensp/709, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. mariana.albuquerque@ensp.fiocruz.br
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SubjectTerms 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
Title Regional health inequalities: changes observed in Brazil from 2000-2016
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