Abstract:
OBJECTIVE:To analyze geographic access to hospital childbirth in Brazilian municipalities. METHODS:Information on deaths and births were analyzed in regards to appropriateness for calculating the infant mortality rate during the period 2005 to 2007, for the 5,564 Brazilian municipalities. Indicators of supply and geographic access to health services were calculated to express hospital childbirth access. A multivariate regression model was used to test the association between geographic access to childbirth and the infant mortality rate in municipalities with adequate vital information. RESULTS:Of the municipalities analyzed, 56% had adequate vital information, corresponding to 72% of Brazil's population. The geographic distance between the municipality of residence and municipality of hospitalization was inversely associated to population size, per capita income and the infant mortality rate, even when controlling for demographic and socioeconomic factors. CONCLUSIONS:Although important strategies have been developed in Brazil to improve the quality of care for pregnant women, actions to guarantee equal access to childbirth services are still insufficient. Large geographic distance to childbirth facility was identified as a risk factor for infant mortality, together with unequal supply of quality health services and lack of integration with primary care.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Almeida Wda S,Szwarcwald CLdoi
10.1590/s0034-89102012005000003subject
Has Abstractpub_date
2012-02-01 00:00:00pages
68-76issue
1eissn
0034-8910issn
1518-8787pii
S0034-89102012005000003journal_volume
46pub_type
杂志文章abstract:OBJECTIVE:The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) carried out a study to compare and evaluate the practices of protecting, promoting and supporting breastfeeding in public and private hospitals using the "ten steps" of the Hospital Initiative (BFHI) as a reference parameter. ...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102001000500001
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000013
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journal_title:Revista de saude publica
pub_type: 杂志文章
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abstract:OBJECTIVE:To assess the association between iron status at birth and growth of preterm infants. METHODS:Ninety-five premature babies (26 to 36 weeks of gestational age) born from July 2000 to May 2001 in a public hospital in Rio de Janeiro, Southeastern Brazil, were followed up for six months, corrected by gestational...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000500013
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journal_title:Revista de saude publica
pub_type: 杂志文章
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pub_type: 杂志文章
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abstract:OBJECTIVE:To estimate the prevalence and assess risk factors of common mental disorders among medical students. METHODS:A cross-sectional study was carried out comprising 551 university medical students in the state of São Paulo, Southeastern Brazil. A self-administered questionnaire to collect sociodemographic and co...
journal_title:Revista de saude publica
pub_type: 杂志文章
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journal_title:Revista de saude publica
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journal_title:Revista de saude publica
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journal_title:Revista de saude publica
pub_type: 杂志文章
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更新日期:1996-04-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
doi:10.1590/s0034-89102006000400015
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pub_type: 杂志文章
doi:10.1590/s0034-89102002000100009
更新日期:2002-02-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000200021
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVES:To identify spatial and space-time clusters with high incidence rates of AIDS in men living in the city of São Paulo since the first case of the disease in 1980. METHODS:HIV/AIDS notifications were obtained from the Notifiable Diseases Information System (57,440 men) between January 1980 and June 2012. The ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054001815
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1590/s0034-89102008000200014
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102002000700001
更新日期:2002-12-01 00:00:00
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journal_title:Revista de saude publica
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更新日期:2017-05-04 00:00:00
abstract:OBJECTIVE:To analyze the characteristics, demands and expectations of users of an HIV testing and counseling center. METHODOLOGICAL PROCEDURES:Qualitative research carried out with 32 users of a testing and counseling center in the state of Minas Gerais (southeastern Brazil), from November 2005 to March 2006. The open...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000010
更新日期:2010-06-01 00:00:00
abstract::Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary...
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pub_type: 杂志文章
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更新日期:2018-02-05 00:00:00
abstract::OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2014048005388
更新日期:2014-12-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000300014
更新日期:2006-06-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000900003
更新日期:2008-12-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101997000200006
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVE:To develop a composite indicator to evaluate the quality of municipal management of primary health care. METHODS:The evaluation model focuses on aspects of health system management. Fifty-five performance indicators were used and classified according to the criteria of relevance, effectiveness, efficacy and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000034
更新日期:2012-06-01 00:00:00