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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| Veröffentlicht in: | Ciência & saude coletiva Jg. 22; H. 4; S. 1055 |
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| Format: | Journal Article |
| Sprache: | Englisch Portugiesisch |
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Brazil
01.04.2017
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| 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. |
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| 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 |
| Author_xml | – sequence: 1 givenname: Mariana Vercesi de surname: Albuquerque fullname: Albuquerque, Mariana Vercesi de email: mariana.albuquerque@ensp.fiocruz.br 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 – sequence: 2 givenname: Ana Luiza d'Ávila surname: Viana fullname: Viana, Ana Luiza d'Ávila organization: Departamento de Medicina Preventiva Faculdade de Medicina Universidade de São Paulo. São Paulo SP Brasil – sequence: 3 givenname: Luciana Dias de surname: Lima fullname: Lima, Luciana Dias de email: mariana.albuquerque@ensp.fiocruz.br 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 – sequence: 4 givenname: Maria Paula surname: Ferreira fullname: Ferreira, Maria Paula organization: Fundação Sistema Estadual de Análise de Dados. São Paulo SP Brasil – sequence: 5 givenname: Edgard Rodrigues surname: Fusaro fullname: Fusaro, Edgard Rodrigues organization: Departamento Intersindical de Estatísticas e Estudos Socioeconômicos. São Paulo SP Brasil – sequence: 6 givenname: Fabíola Lana surname: Iozzi fullname: Iozzi, Fabíola Lana email: mariana.albuquerque@ensp.fiocruz.br 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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