Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2011;27 Suppl 2:S263-71. doi: 10.1590/s0102-311x2011001400013.
The objective of this study was to describe the characteristics of neonatal and pediatric intensive care units (ICU) and beds in Rio de Janeiro, correlating with population demands in 1997 and 2007. All neonatal and pediatric ICUs were visited, identifying the availability and type of beds. Comparisons were made between: supply and demand using projected need for beds for the population; public and private ICUs; and geographical regions. In 2007, 95 units were included totaling 1,094 beds (74 units and 1,080 beds in 1997): 51% public and 48% private (47% and 52% in 1997); 47% neonatal, 18% pediatric and 35% mixed units. Most units were located in the metropolitan area. The distribution of public and private beds was similar in the metropolitan area in both periods; in the interior, public beds tripled. Access has improved, mainly in the interior, but there is still no equity in the distribution of and accessibility to the available beds, with a shortage in the public sector, an excess in the private sector, and a great concentration in the metropolitan area.
本研究旨在描述 1997 年和 2007 年里约热内卢新生儿和儿科重症监护病房（NICU 和 PICU）及其床位的特点，并与当时的人口需求相关联。我们走访了所有的新生儿和儿科 ICU，确定了床位的供应情况和类型。我们对以下方面进行了比较：利用人口对床位的预计需求与供应之间的关系；公立和私立 ICU；以及地理位置。2007 年，共纳入 95 个单位，总计 1094 张床位（1997 年为 74 个单位和 1080 张床位）：51％为公立，48％为私立（1997 年为 47％和 52％）；47％为新生儿，18％为儿科，35％为混合单位。大多数单位都位于大都市区。在这两个时期，大都市区的公立和私立床位分布相似；在内陆地区，公立床位增加了两倍。获得服务的机会有所改善，主要是在内陆地区，但可用床位的分布和可及性仍然没有公平性，公立部门短缺，私立部门过剩，而且大都市区床位高度集中。
