de Andreazzi M.F.S.,Federal University Of Rio Of Janeirorj |
de Andreazzi M.A.R.,Brazilian Institute of Geography and Statistics IBGERJ |
Sancho L.,Collective Health |
de Freitas H.A.G.,Collective Health
Revista do Colegio Brasileiro de Cirurgioes | Year: 2014
Objective: To analyze the supply of equipment and procedures inherent to public hemodynamic services in the State of Rio de Janeiro, Brazil. Methods: We conducted an exploratory study based on official data banks: AMS survey of IBGE, CNES, AIH and APAC, and ANS. The examination period of the supply was from 1999 to 2009, and of the use, from 2008 to October 2012. Results: Since 1999 there has been a growth in the acquisition of hemodynamic equipment. The private sector concentrates most of the offer, but has been reducing its availability to the Unified Health System (SUS). The ratio of the equipment and the population exceeds that of some rich countries. On the supply side, there was, in Rio de Janeiro, in 2009, a rate of 4.1 units per million inhabitants, higher than in Brazil as a whole, of 3.4; however, when considering only the offer for the SUS (SUS), the values are similar, 1.6 and 1.5. Conclusion: The procedures of interventional cardiology grew between 2008 and 2011 in Rio de Janeirio, but the majority of public hospitals have reduced production and the private have increased it, resulting in the referral of SUS users to be submitted to procedures great distances from home. © 2014, Colegio Brasileiro de Cirurgioes. All rights reserved.