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Regionalization in the Brazilian Healthcare System, SUS: a critical review
Fernando Manuel Bessa Fernandes1
1Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. fernando.bessa@ensp.fiocruz.br.
Objective:
to review the output and the use of the data to support managers in making decisions on the healthcare system, and analyze academic output on the theme.
Method:
An online search of the SciELO database for articles using 'regionalization' and 'health/healthcare' as the keywords, and all indices as the 'scope of the study'. We found a total of 102 references, and after analyzing the abstracts selected 70 articles that effectively discuss regionalization of health/healthcare in Brazil. We also found four articles in non-health related journals.
Analysis:
the institutional criteria (journal, theme area, date of publication, scope and number of authors), and the analytical criteria created by author - Type 1 - "Exploratory Studies" (26), "Evaluation Studies" (6), "Comparison Studies" (3); and "Reports of Experience" (5), Type 2 - "Theoretical-Analytical" papers (20) and "Historical-Conceptual Reviews" (4), and Type 3 - "Editorials (3) and "Book Reviews" (3).
Findings:
regionalization has become more important in journals published since 2010. Most of the articles fall in the Type 1 category.
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