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Spatial distribution of specialized cardiac care units in the state of Santa Catarina.

Cirino S, Lima FS, Gonçalves MB - Rev Saude Publica (2014)

Bottom Line: RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions.The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012.The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.

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Affiliation: Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.

ABSTRACT
OBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. As the state is divided into 21 health care regions, a methodology which suggests an arrangement of eight intermediate cardiac care units was analyzed, comparing the results obtained using data from 1996 and 2012. RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions. The current study provided a satisfactory response, indicated by the homogeneity of the results regarding the location of the intermediate cardiac care units and their respective regional administrations, thereby decreasing the average distance traveled by users to health care units, located in higher population density areas. The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012. CONCLUSIONS The current spatial distribution of specialized cardiac care units is more homogeneous and reflects the demographic changes that have occurred in the state over the last 17 years. The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.

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Location of the eight intermediate cardiac care units. Santa Catarina, Southern Brazil, 1996.
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f03: Location of the eight intermediate cardiac care units. Santa Catarina, Southern Brazil, 1996.

Mentions: The location of the eight ICCU proposed by Limad and the determination of their location using data from 2012 are presented in Table 2. Figure 2 shows the regional administrations that would be served by each unit located (indicated with different shades of gray); Figure 3 shows the solution obtained by Limad in 1996 (different hatched areas represent the regional administrations served by each unit). To address this issue using data from 2012 (Figure 2), the macro-region, involving the Far West Region and part of the Midwest Region, established a center in Chapecó that was responsible for regional health care, which did not occur in 1996 when the macro-region of the Far West installed two cardiac care units (in Sao Miguel do Oeste and Chapecó), as shown in Figure 3.


Spatial distribution of specialized cardiac care units in the state of Santa Catarina.

Cirino S, Lima FS, Gonçalves MB - Rev Saude Publica (2014)

Location of the eight intermediate cardiac care units. Santa Catarina, Southern Brazil, 1996.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4285834&req=5

f03: Location of the eight intermediate cardiac care units. Santa Catarina, Southern Brazil, 1996.
Mentions: The location of the eight ICCU proposed by Limad and the determination of their location using data from 2012 are presented in Table 2. Figure 2 shows the regional administrations that would be served by each unit located (indicated with different shades of gray); Figure 3 shows the solution obtained by Limad in 1996 (different hatched areas represent the regional administrations served by each unit). To address this issue using data from 2012 (Figure 2), the macro-region, involving the Far West Region and part of the Midwest Region, established a center in Chapecó that was responsible for regional health care, which did not occur in 1996 when the macro-region of the Far West installed two cardiac care units (in Sao Miguel do Oeste and Chapecó), as shown in Figure 3.

Bottom Line: RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions.The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012.The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.

ABSTRACT
OBJECTIVE To analyze the methodology used for assessing the spatial distribution of specialized cardiac care units. METHODS A modeling and simulation method was adopted for the practical application of cardiac care service in the state of Santa Catarina, Southern Brazil, using the p-median model. As the state is divided into 21 health care regions, a methodology which suggests an arrangement of eight intermediate cardiac care units was analyzed, comparing the results obtained using data from 1996 and 2012. RESULTS Results obtained using data from 2012 indicated significant changes in the state, particularly in relation to the increased population density in the coastal regions. The current study provided a satisfactory response, indicated by the homogeneity of the results regarding the location of the intermediate cardiac care units and their respective regional administrations, thereby decreasing the average distance traveled by users to health care units, located in higher population density areas. The validity of the model was corroborated through the analysis of the allocation of the median vertices proposed in 1996 and 2012. CONCLUSIONS The current spatial distribution of specialized cardiac care units is more homogeneous and reflects the demographic changes that have occurred in the state over the last 17 years. The comparison between the two simulations and the current configuration showed the validity of the proposed model as an aid in decision making for system expansion.

Show MeSH