Um estudo multinível sobre as filas para internações relacionadas com a gravidez, o parto e o puerpério no SUS

Resumo

This work studies the waiting times for the chapter XV of the ICD-10 (pregnancy, childbirth and puerperal care) in the years of 1999 and 2002 within the Brazilian National Health System (SUS). The average waiting times were estimated by queueing theory models. We used multilevel regression models to explain the waiting time variations across municipalities and across states. The average waiting time that patients wait for service were found to be very long and highly elastic with respect to arrival and service rates in the system. These waiting times also presents great variability across municipalities and across states. We estimate that the frequency of low birthweight; the cesarian section rates; the total fertility rate; the Human Development Index (HDI); and the proportion of non-resident cases treated are positively associated with waiting times. On the contrary, the utilization of prenatal
 care; the rates of nurses with higher level of education; and the per capita total expenditure on health are negatively associated with waiting times.

Ficha do documento

Tipo

Estudo

Ano

2006

Instituição

Instituto de Pesquisa Econômica Aplicada (Ipea)

Fonte

Repositório do Ipea

Idioma

Português

Acesso

Acesso aberto

Identificador

oai:repositorio.ipea.gov.br:11058/1784

Licença

Licença Comum

Abrangência

Brasil; 1999-2002

Temas

Saúde

Palavras-chave

Tempos de esperaSistema Único de Saúde (SUS)Fatores de riscoFatores assistenciais