Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Impact of Access to Healthcare on Pediatric Hospitalization in Brazilian Regions

Version 1 : Received: 9 August 2023 / Approved: 10 August 2023 / Online: 10 August 2023 (10:48:00 CEST)

How to cite: Baltieri, S.C.; Wajnsztejn, R. Impact of Access to Healthcare on Pediatric Hospitalization in Brazilian Regions. Preprints 2023, 2023080849. https://doi.org/10.20944/preprints202308.0849.v1 Baltieri, S.C.; Wajnsztejn, R. Impact of Access to Healthcare on Pediatric Hospitalization in Brazilian Regions. Preprints 2023, 2023080849. https://doi.org/10.20944/preprints202308.0849.v1

Abstract

Objective: This study aimed to examine the relationship between health structure disparities and hospitalizations and deaths among the pediatric population in different regions. Method: The study employed an ecological time series design, utilizing population-based secondary data ob-tained from DATASUS, from the Brazilian Ministry of Health. The data included in this study encompassed the population aged zero to 19 years, health establishments, physicians working in health establishments, hospitalizations, and deaths related to Morbidities listed in the Interna-tional Classification of Diseases. The focus was explicitly on individuals diagnosed with Cere-bral Palsy and other paralytic syndromes. The data for this study were gathered from January 2018 to December 2021. TABNET was used for data collection, and Excel for tabulation and anal-ysis. Results: Analysis of health structure data across regions revealed notable disparities, par-ticularly in the North and Northeast regions, compared to other regions. These discrepancies prompted a decision to conduct a comparative assessment between these regions and the rest of the country. Conclusion: In the North region, a significant 50% difference in hospitalizations based on residence versus a place of care was observed for individuals with Cerebral Palsy and other paralytic syndromes, indicating the necessity for relocation to access appropriate medical treatment.

Keywords

Unified Health System; socioeconomic factors; Cerebral Palsy; chronic non-progressive childhood encephalopathy; development indicators

Subject

Public Health and Healthcare, Public Health and Health Services

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