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Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion

Overview of attention for article published in International Journal for Equity in Health, December 2017
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Title
Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion
Published in
International Journal for Equity in Health, December 2017
DOI 10.1186/s12939-017-0704-x
Pubmed ID
Authors

Pedro Vasconcelos Amaral, Thiago Augusto Hernandes Rocha, Allan Claudius Queiroz Barbosa, Adriana Lein, João Ricardo Nickenig Vissoci

Abstract

Access to health services is in part defined by the spatial distribution of healthcare equipment. To ensure equity in the provision of health services, it is important to examine availability across different health care providers taking into account population demand. Given the importance of the equitable provision of health equipment, we evaluate its spatial distribution in Brazil. This study is classified as cross-sectional with an ecological design. We evaluate Brazilian data on distance to available health equipment considering: dialysis machines (385), magnetic resonance imaging (MRI) (257), hospital beds (3675) and bone densitometers (429). We define two distance thresholds (50 km and 200 km) from a municipality to the center of services provision. The balance between infrastructure capacity and potential demand was evaluated to identify a lack or surplus of health services. The distribution of dialysis equipment and bone densitometers is not balanced across Brazilian states, and unmet demand is high. With respect to MRIs, the large capacity of this equipment results in a large excess of supply. However, this characteristic alone cannot account for excesses of supply of over 700%, as is the case of the Federal District when the range is limited to 50 km. At the same time, four states in the Northeastern region of Brazil show a net excess of demand. Some regions do not meet the standard amount of supply defined by Brazilian Ministry of Health. The quantity and distribution of hospital beds are not sufficient to provide full coverage to the population. Our main focus was to evaluate the network of the provision of health equipment in Brazil, considering both private and public sectors conjointly. We take into account two main aspects of a spatially balanced health system: the regional availability of health equipment and the geographic distance between its demand and supply at the municipality level. Some regions do not meet the minimum requirement defined by the Brazilian Ministry of Health regarding the supply of health services.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 16%
Student > Master 8 16%
Student > Doctoral Student 6 12%
Student > Ph. D. Student 5 10%
Student > Postgraduate 3 6%
Other 7 14%
Unknown 13 26%
Readers by discipline Count As %
Medicine and Dentistry 6 12%
Nursing and Health Professions 6 12%
Social Sciences 4 8%
Economics, Econometrics and Finance 4 8%
Psychology 3 6%
Other 11 22%
Unknown 16 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2017.
All research outputs
#14,763,584
of 23,622,736 outputs
Outputs from International Journal for Equity in Health
#1,472
of 1,973 outputs
Outputs of similar age
#240,971
of 442,221 outputs
Outputs of similar age from International Journal for Equity in Health
#30
of 42 outputs
Altmetric has tracked 23,622,736 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,973 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.4. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 442,221 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.