Hemodialysis services: are public policies turned to guaranteeing the access?
The increasing incidence of chronic renal failure in Brazil and the consequential expansion of hemodialysis as a choice for treatment in final stage have to be taken into account to guarantee access to those in need. The ecological study conducted in Mato Grosso do Sul State, Brazil, in 2012, using data from the Brazilian Health Informatics Department (DATASUS) and from the analysis of medical records in 12 clinics, identified and mapped patients on hemodialysis, the distance they travelled and the estimated number of patients. The prevalence of hemodialysis patients in Mato Grosso do Sul State, about 55 per 100,000 inhabitants, is similar to the national average. The analyses indicated concentration of patients in counties with clinics and also geographical gaps that generate displacement of over 100km for more than 16% of patients. The results point to the necessity of strengthening public policies that consider, for decision-making, the decentralization of service, the expansion of home care and the follow-up education for professionals.
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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
2015
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oai:scielo:S0102-311X20150007015052015-07-29Hemodialysis services: are public policies turned to guaranteeing the access?Barbieri,Ana RitaGonçalves,Crhistinne Cavalheiro MaymoneCheade,Maria de Fátima MeinbergSouza,CristinaTsuha,Daniel HenriqueFerreira,Kássio CostaRasi,LucasParanhos Filho,Antonio Conceição Renal Dialysis Health Services Accessibility Public Policies The increasing incidence of chronic renal failure in Brazil and the consequential expansion of hemodialysis as a choice for treatment in final stage have to be taken into account to guarantee access to those in need. The ecological study conducted in Mato Grosso do Sul State, Brazil, in 2012, using data from the Brazilian Health Informatics Department (DATASUS) and from the analysis of medical records in 12 clinics, identified and mapped patients on hemodialysis, the distance they travelled and the estimated number of patients. The prevalence of hemodialysis patients in Mato Grosso do Sul State, about 55 per 100,000 inhabitants, is similar to the national average. The analyses indicated concentration of patients in counties with clinics and also geographical gaps that generate displacement of over 100km for more than 16% of patients. The results point to the necessity of strengthening public policies that consider, for decision-making, the decentralization of service, the expansion of home care and the follow-up education for professionals.info:eu-repo/semantics/openAccessEscola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo CruzCadernos de Saúde Pública v.31 n.7 20152015-07-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000701505en10.1590/0102-311X00073514 |
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Barbieri,Ana Rita Gonçalves,Crhistinne Cavalheiro Maymone Cheade,Maria de Fátima Meinberg Souza,Cristina Tsuha,Daniel Henrique Ferreira,Kássio Costa Rasi,Lucas Paranhos Filho,Antonio Conceição |
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Barbieri,Ana Rita Gonçalves,Crhistinne Cavalheiro Maymone Cheade,Maria de Fátima Meinberg Souza,Cristina Tsuha,Daniel Henrique Ferreira,Kássio Costa Rasi,Lucas Paranhos Filho,Antonio Conceição Hemodialysis services: are public policies turned to guaranteeing the access? |
author_facet |
Barbieri,Ana Rita Gonçalves,Crhistinne Cavalheiro Maymone Cheade,Maria de Fátima Meinberg Souza,Cristina Tsuha,Daniel Henrique Ferreira,Kássio Costa Rasi,Lucas Paranhos Filho,Antonio Conceição |
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Barbieri,Ana Rita |
title |
Hemodialysis services: are public policies turned to guaranteeing the access? |
title_short |
Hemodialysis services: are public policies turned to guaranteeing the access? |
title_full |
Hemodialysis services: are public policies turned to guaranteeing the access? |
title_fullStr |
Hemodialysis services: are public policies turned to guaranteeing the access? |
title_full_unstemmed |
Hemodialysis services: are public policies turned to guaranteeing the access? |
title_sort |
hemodialysis services: are public policies turned to guaranteeing the access? |
description |
The increasing incidence of chronic renal failure in Brazil and the consequential expansion of hemodialysis as a choice for treatment in final stage have to be taken into account to guarantee access to those in need. The ecological study conducted in Mato Grosso do Sul State, Brazil, in 2012, using data from the Brazilian Health Informatics Department (DATASUS) and from the analysis of medical records in 12 clinics, identified and mapped patients on hemodialysis, the distance they travelled and the estimated number of patients. The prevalence of hemodialysis patients in Mato Grosso do Sul State, about 55 per 100,000 inhabitants, is similar to the national average. The analyses indicated concentration of patients in counties with clinics and also geographical gaps that generate displacement of over 100km for more than 16% of patients. The results point to the necessity of strengthening public policies that consider, for decision-making, the decentralization of service, the expansion of home care and the follow-up education for professionals. |
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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000701505 |
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