Analysis of potential accessibility to the primary care network in a municipality in the interior of the state Minas Gerais, Brazil
DOI:
https://doi.org/10.18554/refacs.v12i1.7747Keywords:
Spatial Analysis, Geographic Mapping, Access to Primary Care, Health Planning SupportAbstract
Objective: to evaluate the distribution of Basic Health Units and the potential accessibility to Primary Health Care for the population in the urban area of a municipality in the state of Minas Gerais, Brazil. Methods: quantitative study carried out in the first trimester of 2024 in the city of Uberaba, Minas Gerais, using preliminary data from the 2022 Census, from the Brazilian Institute of Geography and Statistics, and location data of Basic Health Units obtained from the Municipal Health Department. It was based on the two-step Floating Catchment Area method to calculate the population's potential accessibility to the Primary Care network. The information generated was analyzed with the aid of thematic maps and descriptive statistics. Results: the city of Uberaba has a population of 337,836 inhabitants, of which 310,271 are concentrated in high-density urban areas, and it has 27 Basic Health Units in the urban area. Population distribution: 732 census sectors characterized by high density of buildings, with 48% concentrated between 372 and 721 inhabitants, 31% between 214 and 372, and 7% between 721 and 1265. When considering the radius of influence of 1,000 m from each Basic Health Unit, it is observed that approximately 15 (56%) cover a potential resident population of 6,400 and 12,500 people, while only two (7%) reach between 3,300 and 6,400. In turn, 10 units (38%) cover a potential resident population of 12,500 to 18,700. Conclusion: the distribution of Basic Health Units in terms of potential accessibility is adequate and follows the population distribution.
References
Kim K, Kwon K. Time-varying spatial accessibility of primary healthcare services based on spatiotemporal variations in demand, supply, and traffic conditions: A case study of Seoul, South Korea. J Transp & Heal [Internet]. 2022 [citado em 20 maio 2024]; 27:101531. Disponível em: https://www.sciencedirect.com/science/article/pii/S2214140522002031
Xu H, Zhao J, Yu X. A Community-Oriented Accessibility Index of Public Health Service Facilities: A Case Study of Wuchang District, Wuhan, China. Sustainability [Internet]. 2023[citado em 20 maio 2024];15(14):10870. Disponível em: https://www.mdpi.com/2071-1050/15/14/10870
Pereira RHM, Braga CKV, Servo LM, Serra B, Amaral P, Gouveia N, et al. Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach. Soc Sci & Med [Internet]. 2021[citado em 20 maio 2024]; 273:113773. Disponível em: https://www.sciencedirect.com/science/article/pii/S0277953621001052
Silva LL, Carvalho Dutra A, Andrade L, Iora PH, Rodrigues Ramajo GL, Peres Gualda IA, et al. Emergency care gap in Brazil: geographical accessibility as a proxy of response capacity to tackle COVID-19. Front Public Heal [Internet]. 2021[citado em 20 maio 2024]; 9:740284. Disponível em: https://www.frontiersin.org/articles/10.3389/fpubh.2021.740284/full
Menezes TA, Sousa MAC, Gomes LB, Barbosa DS, Sampaio J. Distribuição espacial dos serviços de saúde especializados para pessoas com deficiência em João Pessoa/PB: uma análise sobre o acesso em saúde. Rev Bras Estud urbanos e Reg [Internet]. 2022[citado em 20 maio 2024;24:e202241. Available from: https://www.scielo.br/j/rbeur/a/K4YGk3cw4tH6dCTy6vP8hzM/?lang=pt
Goudard B, Oliveira FH, Gerente J. Avaliação de modelos de localização para análise da distribuição espacial de unidades básicas de saúde. Rev Bras Cartogr [Internet ]. 2015[citado em 20 maio 2024];67(1):15-34. Disponível em: https://seer.ufu.br/index.php/revistabrasileiracartografia/article/download/44723/23737/185155
Shah TI, Bell S, Wilson K. Spatial accessibility to health care services: Identifying under-serviced neighbourhoods in Canadian urban areas. PLoS One [Internet]. 2016[citado em 20 maio 2024];11(12):e0168208. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0168208
Ministério da Saúde (Br). Gabinete do Ministro. Portaria nº 2,436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS)[Internet]. Brasília, DF: Ministério da Saúde; 2017 [citado em 20 maio 2024]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html.
Mendes EV. As redes de atenção à saúde. Cien Saude Colet [Internet]. 2010[citado em 22 maio 2024]; 15:2297–305. Disponível em: https://www.scielosp.org/pdf/csc/2010.v15n5/2297-2305/pt
Pinho ECC, Cunha TAN, Lemos M, Ferreira GRON, Lourenção LG, Pinheiro HHC, et al. Acceso y accesibilidad en la atención primaria de salud en Brasil. Enferm Foco [Internet]. 2020[citado em 22 maio 2024];11(2):168–75. Disponível em: https://enfermfoco.org/es/article/acceso-y-accesibilidad-en-la-atencion-primaria-de-salud-en-brasil/
Silva Júnior ES, Medina MG, Aquino R, Fonseca ACF, Vilasbôas ALQ. Acessibilidade geográfica à atenção primária à saúde em distrito sanitário do município de Salvador, Bahia. Rev Bras Saúde Matern Infant [Internet]. 2010[citado em 22 maio 2024];10:s49-s60. Disponível em: https://www.scielo.br/j/rbsmi/a/KNnhNntdkYkkLtBG39Bw7rM/?format=html&lang=pt
Ferreira RV, Graca Raffo JG. O tempo de viagem da população rural aos serviços de saúde mapeado em sistemas de Informação Geográfica (SIG). GEOUSP Espaço e Tempo [Internet]. 2014[citado em 22 maio 2024];18(1):211–29. Disponível em: https://www.revistas.usp.br/geousp/article/view/81101
Calistro MO, Teixeira Y, Lacerda IRAS, Sousa SM, Neto JA, Duavy SMP, et al. Territorialization using georreferencing and stratification of the social vulnerability of families in primary care. Cienc e Saude Coletiva[Internet]. 2021[citado em 22 maio 2024]; 26(6):2141-8. Disponível em: https://www.scielo.br/j/csc/a/Z5cJ6HN8kzbYMstfHGd7PxD/abstract/?lang=pt
Instituto Brasileiro de Geografia e Estatística. Censo Demográfico [Internet]. 2022 [citado em 22 maio 2024]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/trabalho/22827-censo-demografico-2022.html?=&t=downloads
Prefeitura Municipal de Uberaba. Lista de gerentes atualizada 2024: Unidades da Atenção Básica [Internet]. 2024 [citado em 22 maio 2024]. Disponível em: http://www.uberaba.mg.gov.br/portal/acervo/saude/arquivos/unidades%20basicas.pdf
Luo W, Wang F. Measures of spatial accessibility to health care in a GIS environment: Synthesis and a case study in the Chicago region. Environ Plan B Plan Des [Internet]. 2003[citado em 24 maio 2024]; 30(6):865-84. Disponível em: https://journals.sagepub.com/doi/abs/10.1068/b29120?casa_token=o0A5AyjeB0gAAAAA:AkPtGKvH1kaIF_QNfHw5M8J44ExVkPszFI3XkuziEQweYhT2XRGF0YVNo85Wkobi80YZI41WTlpo
Ward M, Poleacovschi C, Perez M. Using AHP and spatial analysis todetermine water surface storage suitability in Cambodia. Water[Internet]. 2021[citado em 27 jun 2024];13(3):367. Disponível em:https://www.mdpi.com/2073-4441/13/3/367
Menezes Ribeiro DD, Silva HS. Sistema de informações geográficas aplicado à análise espacial da covid-19 no estado de alagoas, nordeste do brasil. Hygeia Rev Bras Geogr Me?dica e daSau?de [Internet]. 2020[citado em 27 jun 2024];16:397. Disponível em: https://seer.ufu.br/index.php/hygeia/article/download/56929/30397
Dent BD, Torguson JS, Hodler TW. Cartography: Thematic map design. 6th ed. WCB/McGraw-Hill; 2009.
Chen X, Jia P. A comparative analysis of accessibility measures by the two-step floating catchment area (2SFCA) method. Int J Geogr Inf Sci [Internet]. 2019[citado em 04 jun 2024];33(9):1739-58. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/13658816.2019.1591415?casa_token=URBMxFAz1TsAAAAA:2egxxQyqtti8u1V0JALiwpbRjYbSrz2WMcO6p7hwotMqJPd-wJrwEDqrxAff19G53nAIHiM4GqGElFw
Li B, Huang Z, Xia J, Li W, Zhang Y. Coupling degree between the demand and supply of bus services at stops: a density-based approach. ISPRS Int J Geo-Information [Internet]. 2021 [citado em 08 jun 2024]; 10(3):173. Disponível em: https://www.mdpi.com/2220-9964/10/3/173
Chen X. Take the edge off: A hybrid geographic food access measure. Appl Geogr [Internet]. 2017[citado em 08 jun 2024]; 87:149–59. Disponível em: https://www.sciencedirect.com/science/article/pii/S014362281730173X
Houston D. Implications of the modifiable areal unit problem for assessing built environment correlates of moderate and vigorous physical activity. Appl Geogr [Internet]. 2014[citado em 23 jun 2024]; 50:40-7. Disponível em: https://www.sciencedirect.com/science/article/pii/S0143622814000307?casa_token=4wDRRCiOmrIAAAAA:AAbJu389UCeaazw_KgABj5DilgD0z05EhU4lYxEBxjOuAr6NMIKAZ8K4CijniW8XO_BfzGBELuc
Leão ALF, Abonizio HQ, Reis RS, Kanashiro M. Walkability variables: an empirical study in Rolândia - PR, Brazil. Ambient constr [Internet]. 2020[citado em 23 jun 2024]; 20(2):475-88. Disponível em: https://doi.org/10.1590/s1678-86212020000200410
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