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[Flow and use of health services: medium complexity users' mobility]
Adriana Roese1, Tatiana Engel Gerhardt
1Centro de Ciências da Saúde Uruguaiana da Universidade Federal do Pampa, Rio Grande do Sul, Brasil.
Health service organization must align with population needs. This study mapped user flows in Rio Grande do Sul, Brazil, revealing a gap between health plans and actual patient practices, highlighting challenges in regionalization and user mobility.
Area of Science:
- Public Health
- Health Services Research
- Spatial Analysis
Context:
- Health service organization must adapt to complex social, individual, and cultural demands.
- Understanding user needs is crucial for effective healthcare delivery.
- The study focuses on the southern region of Rio Grande do Sul, Brazil.
Purpose:
- To construct the socio-economic and demographic profile of users of intermediate-complexity health services.
- To map user flows and analyze their spatial patterns.
- To identify discrepancies between health service regionalization plans and user practices.
Summary:
- A descriptive, cross-sectional study analyzed 150 users using statistical and spatial analyses.
- User flow mapping revealed a disconnect between the Regionalization Master Health Plan and actual user mobility and needs.
- The study highlights that the state's proposed organization does not match users' real-world spatial movements and healthcare-seeking behaviors.
Impact:
- Identifies a critical dissonance between health policy and user realities in regionalized healthcare systems.
- Underscores the need for political engagement to address regionalization challenges.
- Recognizes user mobility and the construction of therapeutic trajectories as key challenges for public health policy.
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