Bahia State University, Camaçari, Brazil.
SENAI ClMATEC University Center, Salvador, Brazil.
Int J Equity Health. 2023 Mar 16;22(1):48. doi: 10.1186/s12939-023-01857-y.
The transformation of data into information is important to support decision making and, thus, to induce improvements in healthcare services. The regionalized organization of healthcare systems is necessary to ensure the integrity of citizen care. From this perspective, the creation of mechanisms to guide and assess the behavior of a healthcare services network becomes necessary. However, these mechanisms must consider the interaction between different municipalities. The objective of this study is to apply network analysis as a supporting tool in the Brazilian Unified Health System (Sistema Único de Saúde-SUS) management.
The stages of the proposed method are described and applied in a real situation, analyzing the intermunicipal interaction network for cardiovascular surgery in the municipality of Vitória da Conquista, Bahia, Brazil, from 2008 to 2020. The metrics analyzed were journeys indices, flow of patients and distance of the journeys, considering the journeys from and to the municipality in focus.
There was an increase of the incoming flow and in-degree indices combined with a decrease in outgoing flow, showing the growing importance of this municipality as a provider of these services.
The method used in the study has potential to be adopted as a management tool to assess the behavior of the interactions network of the selected service, aiding the regionalized organization of the healthcare system.
将数据转化为信息对于支持决策非常重要，从而可以改善医疗保健服务。医疗保健系统的区域化组织对于确保公民护理的完整性是必要的。从这个角度来看，需要创建机制来指导和评估医疗服务网络的行为。然而，这些机制必须考虑到不同城市之间的相互作用。本研究的目的是将网络分析作为巴西统一卫生系统（Sistema Único de Saúde-SUS）管理的辅助工具加以应用。
描述了所提出方法的各个阶段，并将其应用于实际情况，分析了巴西巴伊亚州维多利亚达孔基斯塔市 2008 年至 2020 年期间心血管手术的市际互动网络。分析的指标包括行程指数、患者流量和行程距离，考虑了来自和去往重点城市的行程。
流入流量和入度指数增加，流出流量减少，表明该城市作为这些服务的提供者的重要性日益增加。
该研究中使用的方法具有作为评估所选服务的互动网络行为的管理工具的潜力，有助于医疗保健系统的区域化组织。
