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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2237-9622
Abstract
CAMPOY, Laura Terenciani et al. Spatial distribution and temporal trend of National Health System and Supplemental Health Sector human resources, Brazil, 2005-2016. Epidemiol. Serv. Saúde [online]. 2020, vol.29, n.2, e2018376. Epub Apr 20, 2020. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742020000200020.
Objective:
to analyze the spatial distribution and temporal trend of human resources for the Brazilian National Health System (SUS) and the Supplemental Health sector.
Methods:
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.
Results:
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.
Conclusion:
inequalities were found in human resource distribution, reflecting the health system crisis.
Keywords : Unified Health System; Supplemental Health; Workforce; Geographic Mapping; Ecological Studies; Time Series Studies.