Regionalization in the Brazilian Healthcare System, SUS: a critical review

Cien Saude Colet. 2017 Apr;22(4):1311-1320. doi: 10.1590/1413-81232017224.26412016.
[Article in Portuguese, English]

Abstract

Objective: to review the output and the use of the data to support managers in making decisions on the healthcare system, and analyze academic output on the theme.

Method: An online search of the SciELO database for articles using 'regionalization' and 'health/healthcare' as the keywords, and all indices as the 'scope of the study'. We found a total of 102 references, and after analyzing the abstracts selected 70 articles that effectively discuss regionalization of health/healthcare in Brazil. We also found four articles in non-health related journals.

Analysis: the institutional criteria (journal, theme area, date of publication, scope and number of authors), and the analytical criteria created by author - Type 1 - "Exploratory Studies" (26), "Evaluation Studies" (6), "Comparison Studies" (3); and "Reports of Experience" (5), Type 2 - "Theoretical-Analytical" papers (20) and "Historical-Conceptual Reviews" (4), and Type 3 - "Editorials (3) and "Book Reviews" (3).

Findings: regionalization has become more important in journals published since 2010. Most of the articles fall in the Type 1 category.

Publication types

  • Review

MeSH terms

  • Brazil
  • Decision Making
  • Delivery of Health Care / organization & administration*
  • Humans
  • National Health Programs / organization & administration*
  • Periodicals as Topic / statistics & numerical data
  • Regional Health Planning / organization & administration*
  • Research Design