Health inequalities in Brazil: proposed prioritization to achieve the Sustainable Development Goals

被引:0
作者
de Miranda, Wanessa Debortoli [1 ,3 ]
da Silva, Gabriela Drummond Marques [2 ]
Fernandes, Luisa da Matta Machado [2 ]
Silveira, Fabricio [2 ]
de Sousa, Romulo Paes [2 ]
机构
[1] Univ Fed Minas Gerais, Escola Enfermagem, Belo Horizonte, Brazil
[2] Fundacao Oswaldo Cruz, Inst Rene Rachou, Belo Horizonte, Brazil
[3] Univ Fed Minas Gerais, Dept Gestao Saude, Escola Enfermagem, Av Alfredo Balena 190, BR-30130100 Belo Horizonte, MG, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2023年 / 39卷 / 04期
关键词
Sustainable Development; Health Management; Health Planning; Health Priorities; SYSTEM; MORTALITY; COVID-19; AGENDA;
D O I
10.1590/0102-311XPT119022
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study aimed to develop a prioritization in-dex to speed up the achievement of national health targets proposed in the 2030 Agenda. This is an ecological study that addressed the Health Regions in Brazil. The index incorporated 25 indicators with analytical proximity to the official indica-tors of the 2030 Agenda whose data are available from public municipal sources for the period of 2015-2019. According to our study, the index was a powerful method to support health management decisions. The results showed the most vulnerable territories are located in the North Region of the country, and therefore, these are priority areas for resource allocation. The analysis of subindices highlighted local health bottlenecks, reinforcing the need for municipalities in each region to set their own priorities while making decisions for health resource allocation. By indicating Health Regions and priority themes for more investments, this in-vestigation shows paths to support the implemen-tation of the 2030 Agenda, from the local to the national level, in addition to providing elements that can be used by policy makers to minimize the effects of social inequalities on health, prioritizing territories with worse indices.
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页数:18
相关论文
共 67 条
[1]   The role of health in achieving the sustainable development goals [J].
Acharya, Shambhu ;
Lin, Vivian ;
Dhingra, Natasha .
BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2018, 96 (09) :591-+
[2]  
BATTESINI M., 2013, Ciencia Saude Coletiva, V18, P3673
[3]  
Brasil, DIARIO OFICIAL 0930
[4]  
Brasil. Ministerio da Saude, 2011, Secretaria de Vigilancia em Saude. Departamento de Analise de Situacao de Saude. Plano de acoes estrategicas para o enfrentamento das doencas cronicas nao transmissiveis (DCNT) no Brasil 2011-2022
[5]  
Cardoso Laís Santos de Magalhães, 2021, Rev. bras. epidemiol., V24, pe210005, DOI 10.1590/1980-549720210005.supl.1
[6]   The effect of municipalization in the Brazilian hospital system: the small-sized hospitals [J].
Carpanez, Luciana Reis ;
Malik, Ana Maria .
CIENCIA & SAUDE COLETIVA, 2021, 26 (04) :1289-1298
[7]  
Cavalcanti P, INOVACOES GESTAO PUB
[8]   Current situation and progress toward the 2030 health-related Sustainable Development Goals in China: A systematic analysis [J].
Chen, Shu ;
Guo, Lei ;
Wang, Zhan ;
Mao, Wenhui ;
Ge, Yanfeng ;
Ying, Xiaohua ;
Fang, Jing ;
Long, Qian ;
Liu, Qin ;
Xiang, Hao ;
Wu, Chenkai ;
Fu, Chaowei ;
Dong, Di ;
Zhang, Jiahui ;
Sue, Ju ;
Tian, Lichun ;
Wang, Limin ;
Zhou, Maigeng ;
Zhang, Mei ;
Qian, Mengcen ;
Liu, Wei ;
Jiang, Weixi ;
Feng, Wenmeng ;
Zeng, Xinying ;
Ding, Xiyu ;
Lei, Xun ;
Tolhurst, Rachel ;
Xu, Ling ;
Wang, Haidong ;
Ziegeweid, Faye ;
Glenn, Scott ;
Ji, John S. ;
Story, Mary ;
Yamey, Gavin ;
Tang, Shenglan .
PLOS MEDICINE, 2019, 16 (11)
[9]   Premature mortality caused by the main chronic noncommunicable diseases in the Brazilian states [J].
Confortin, Susana Cararo ;
de Andrade, Selma Regina ;
Draeger, Viviana Maria ;
Meneghini, Vandrize ;
Ceola Schneider, Ione Jayce ;
Barbosa, Aline Rodrigues .
REVISTA BRASILEIRA DE ENFERMAGEM, 2019, 72 (06) :1588-1594
[10]  
Cover DP, 2016, REV UNINGA, V49, P12