Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019

Author:

Pereira Claudio Vitorino1ORCID,Leite Isabel Cristina Gonçalves1ORCID,Nogueira Mário Círio1ORCID,Ferreira Gustavo Fernandes2ORCID

Affiliation:

1. Universidade Federal de Juiz de Fora, Brazil

2. Hospital Santa Casa de Misericórdia de Juiz de Fora, Brazil

Abstract

ABSTRACT Objective: To analyze the spatial flow of care for patients undergoing dialysis therapy in the health regions of the State of Minas Gerais. Methods: Ecological study whose population was patients undergoing dialysis therapy in public, philanthropic institutions or whose treatment was paid for by the Unified Health System in private clinics in partnership, in the State of Minas Gerais. Patients were grouped by health region of residence. The proportions of patients who underwent dialysis were calculated, as well as enrollment on the kidney transplant list in their own region of residence or outside it. Person correlations of these proportions with socioeconomic and care indicators of the health regions were estimated. Spatial exploratory techniques estimated general (Moran’s I) and local (LISA) spatial correlation coefficients. Results: Regions with higher GDP had a higher number of nephrologists and a higher proportion of registrations in the region of residence. A cluster of regions with low GDP was identified further to the northeast of the State (also with lower nephrologist ratio values), a cluster with a high proportion of those registered on the transplant list in the center of the State, and a cluster with a low proportion of dialysis in the same region of residence further southeast. Conclusion: Regional disparities were evident in relation to the proportion of patients registered on the waiting list for kidney transplantation, the proportion of patients undergoing dialysis in the same region of residence and the proportion of patients registered on the waiting list for kidney transplantation in the same region of residence. residence.

Publisher

FapUNIFESP (SciELO)

Reference18 articles.

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2. Using geographic catchment areas to measure population-based access to kidney transplant in the United States;Ross-Driscoll K;Transplantation,2020

3. Censo brasileiro de diálise 2021 [Internet],2021

4. Pobreza no estado de Minas Gerais: uma análise da região Norte;Pereira NJ;Revista Iniciativa Econômica,2018

5. Dimensionamento dos transplantes no Brasil e em cada estado 2014–2021 [Internet],2021

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