Freitas Danielle Amaral de, Souza-Santos Reinaldo, Wakimoto Mayumi Duarte
Departamento de Endemias Samuel Pessoa , Escola Nacional de Saúde Pública , Fiocruz . R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil .
Instituto Nacional de Infectologia Evandro Chagas, Fiocruz . Rio de Janeiro RJ Brasil .
Cien Saude Colet. 2019 Apr;24(4):1507-1516. doi: 10.1590/1413-81232018244.11252017. Epub 2019 May 2.
Rio de Janeiro maintains a recurrent history of dengue epidemics. There is scarce evidence about the route of the population to get health care. The study aimed to describe the pattern of suspected dengue patients flow in search of health care services in Rio de Janeiro. The following data were analyzed: dengue reports from 2011 to 2013; the neighborhoods of patient's residence; the neighborhoods of health services. Neighborhoods of the city were used as unit of analysis focusing on access to health facilities of municipal Planning Area (AP) 3.3. Flow maps were elaborated to describe the routes between the neighborhood of residence and the heath service. Between 2011 and 2013 48,576 suspected dengue cases living in program area 3.3 were reported, 72% got health care in the AP 3.3, 37% of which in primary care. A total of 12,545 suspected cases attended health facilities outside the AP 3.3. A great geographical variation was observed in the search for Primary Care within the AP 3.3, as well as a relevant movement to the center and south zone of the city on access to care, comprising 2,647 different flows. The findings indicate a large flow within the municipality.
里约热内卢登革热疫情反复发作。关于民众获取医疗保健的途径，相关证据匮乏。该研究旨在描述里约热内卢疑似登革热患者寻求医疗服务的流动模式。分析了以下数据：2011年至2013年的登革热报告；患者居住社区；医疗服务社区。以城市社区为分析单位，重点关注市政规划区（AP）3.3的医疗设施获取情况。绘制了流向图以描述居住社区与医疗服务机构之间的路线。2011年至2013年期间，报告了居住在3.3规划区的48,576例疑似登革热病例，其中72%在AP 3.3获得了医疗服务，其中37%在初级保健机构。共有12,545例疑似病例前往AP 3.3以外的医疗设施就诊。在AP 3.3内寻求初级保健时观察到了很大的地理差异，在获取医疗服务方面也有向城市中心和南区的显著流动，包括2,647种不同的流动情况。研究结果表明该市内部存在大量流动。
