Campoy Laura Terenciani, Ramos Antônio Carlos Vieira, Souza Ludmilla Leidianne Limirio, Alves Luana Seles, Arcoverde Marcos Augusto Moraes, Berra Thaís Zamboni, Arroyo Luiz Henrique, Santos Danielle Talita Dos, Arcêncio Ricardo Alexandre
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Curso de Enfermagem, Universidade Estadual do Oeste do Paraná, Foz do Iguaçu, PR, Brazil.
Epidemiol Serv Saude. 2020;29(2):e2018376. doi: 10.5123/s1679-49742020000200020. Epub 2020 May 8.
to analyze the spatial distribution and temporal trend of human resources for the Brazilian National Health System (SUS) and the Supplemental Health sector.
an ecological study was conducted in the country's 27 Federative Units (FUs); SUS Information Technology Department (DATASUS) data were used relating to the doctor, dental surgeon, nurse and nursing technician personnel categories for the period 2005-2016; Prais-Winsten regression was used to assess the time trend.
there was an rising trend of Supplemental Health Sector human resources in all personnel categories, with an mean annual increase of 0.054 (95%CI: 0.031;0.076); with regard to SUS, there was an increase in dental surgeons and nursing technicians, with annual increases of 0.008 (95%CI: 0.003;0.011), and 0.066 (95%CI 0.022; 0.087), respectively, while in most FU, nurses showed a stationary trend and doctors showed a stationary or falling trend.
inequalities were found in human resource distribution, reflecting the health system crisis.
分析巴西国家卫生系统（SUS）和补充卫生部门的人力资源空间分布及时间趋势。
在该国27个联邦单位（FU）开展一项生态学研究；使用了SUS信息技术部（DATASUS）2005 - 2016年期间医生、牙医、护士和护理技术员人员类别的数据；采用普雷斯 - 温斯坦回归评估时间趋势。
补充卫生部门所有人员类别的人力资源均呈上升趋势，年均增长0.054（95%CI：0.031；0.076）；关于SUS，牙医和护理技术员有所增加，年增长率分别为0.008（95%CI：0.003；0.011）和0.066（95%CI 0.022；0.087），而在大多数FU中，护士呈平稳趋势，医生呈平稳或下降趋势。
发现人力资源分布存在不平等现象，反映了卫生系统危机。
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