Almeida Elton Carlos de, Gleriano Josué Souza, Pinto Flavia Kelli Alvarenga, Coelho Ronaldo de Almeida, Vivaldini Simone Monzani, Gomes José Nilton Neris, Santos Alexandre Fonseca, Sereno Leandro Soares, Pereira Gerson Fernando Mendes, Henriques Sílvia Helena, Chaves Lucieli Dias Pedreschi
Nursing School of Ribeirão Preto, University of São Paulo - Ribeirão Preto (SP); Ministry of Health - Brasília (DF), Brazil.
Ministry of Health - Brasília (DF), Brazil.
Rev Bras Epidemiol. 2019 Sep 26;22Suppl 1(Suppl 1):e190008. doi: 10.1590/1980-549720190008.supl.1. eCollection 2019.
To analyze the distribution of health care services for viral hepatitis and reported cases of viral hepatitis according to the health regions of Northern Brazil.
It is an evaluative, descriptive and quantitative research considering viral hepatitis care services and reported cases in the Northern region of Brazil, using data collected from the National Registry of Health Establishments and the Notifiable Diseases Information System. Descriptive statistics and georeferencing, through software, were used to demonstrate the spatial distribution of services and reported cases.
Viral hepatitis health services are distributed in a differentiated way; rapid tests are capillaries in the states; confirmatory tests and treatment are performed in some health regions, with a greater grouping of services in the capitals and their surroundings. Cases were reported across all regions, with areas of higher concentration near services.
The availability of services can favor access to prevention, diagnosis and monitoring of cases. However, organizational peculiarities of the health system and services highlight fragilities that have repercussions on the access and entirety of viral hepatitis care.
根据巴西北部的卫生区域，分析病毒性肝炎医疗服务的分布情况以及病毒性肝炎报告病例情况。
这是一项评估性、描述性和定量研究，研究对象为巴西北部地区的病毒性肝炎医疗服务和报告病例，使用的数据来自国家卫生机构登记处和法定传染病信息系统。通过软件进行描述性统计和地理定位，以展示服务和报告病例的空间分布。
病毒性肝炎医疗服务分布存在差异；快速检测在各州呈毛细血管状分布；确诊检测和治疗在一些卫生区域进行，服务在首府及其周边地区更为集中。所有区域均有病例报告，病例集中区域靠近服务机构。
服务的可及性有利于预防、诊断和病例监测。然而，卫生系统和服务的组织特点凸显了一些脆弱性，这些脆弱性对病毒性肝炎医疗服务的可及性和整体性产生了影响。
