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  • Title: Bed demand and occupancy within the Brazilian National Health System for the most common types of cancer in Brazil, from 2018 to 2021: a cross-sectional study.
    Author: Lima MAN, Villela DAM.
    Journal: Epidemiol Serv Saude; 2024; 33():e20231172. PubMed ID: 39194080.
    Abstract:
    OBJECTIVE: To analyze bed demand and occupancy within the Brazilian National Health System (Sistema Único de Saúde - SUS) for the main types of cancer in Brazil, from 2018 to 2021. METHODS: This was a descriptive cross-sectional study, using data from the Hospital Information System. Queuing theory model was used for calculating average admission rate, average hospitalization rate, probability of overload, and average number of people in the queue. RESULTS: The Southeast and South regions showed the highest average hospitalization rates, while the North region showed the lowest rates. The Southeast region presented a high probability of surgical bed overload, especially in the states of São Paulo (99.0%), Minas Gerais (97.0%) and Rio de Janeiro (97.0%). São Paulo state showed an overload above 95.0% in all types of beds analyzed. CONCLUSION: There was a high probability of oncology bed occupancy within the Brazilian National Health System, especially surgical and medical beds, and regional disparities in bed overload. MAIN RESULTS: The study found a high demand for hospital admissions to oncological bed in the Southeast region and a high probability of system overload in the states of the Southeast and Northeast regions of Brazil, thus highlighting the inequities in access to healthcare services in the country. IMPLICATIONS FOR SERVICES: This study presents a methodology for the improved allocation of resources and management of surgical and medical bed flows in areas with the highest bed overload and regions with low service availability. PERSPECTIVES: It is necessary to promote public policies that ensure the equitable supply of beds for oncological treatment within the SUS, especially in states with bed overload and healthcare service gaps. OBJETIVO: Evaluar la demanda y ocupación de camas en el Sistema Único de Salud (SUS) de los principales tipos de cáncer en Brasil, de 2018 a 2021. MÉTODOS: Estudio descriptivo transversal, utilizando datos del Sistema de Información Hospitalaria. Se realizaron cálculos basados en el modelo de teoría de colas de: tasa promedio de ingreso por hospitalización, tasa promedio de hospitalización, probabilidad de sobrecarga y número promedio de personas en lista de espera. RESULTADOS: Las regiones Sur y Sureste presentaron las tasas promedio de hospitalización más altas, mientras que la región Norte tuvo las tasas más bajas. La región Sureste presentó alta probabilidad de sobrecarga de camas quirúrgicas, sobre todo San Pablo (99,0%), Minas Gerais (97,0%) y Río de Janeiro (97,0%). San Pablo presentó sobrecarga superior al 95,0% en todos los tipos de camas analizadas. CONCLUSIÓN: Hubo alta probabilidad de ocupación de camas de oncología en el SUS, mayormente en quirúrgicas y clínicas, además de disparidades regionales en la sobrecarga de camas.
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