Análise da distribuição de equipamentos no Brasil de acordo com dados do cadastro nacional de estabelecimentos de saúde (CNES)

Abstract

Medical-assistance equipment (EMAs) are increasingly present in Health Assistance Establishments (EASs) public or private, and are essential to perform diagnosis and therapy of patients. However, the distribution of EMAs, especially in the EASs that make up the Unified Health System, is not always adequate to meet the demand. Thus, the present work aims to carry out a study on the distribution of medical equipment in Health Care Establishments in Brazil, with emphasis on the states of São Paulo and Minas Gerais and in the municipality of Uberlândia. The survey was conducted from 02/18/2021 to 09/28/2021. Researches were carried out on the websites of the Brazilian Institute of Geography and Statistics (IBGE), National Register of Health Establishments (CNES), on legislation and norms related to the subject, as well as a search in the literature dealing with the subject. The limiting results that the amount of equipment in use is always less than the amount of existing equipment. At the level of Brazil, it was possible to verify, according to CNES data, that the states of Acre, Amapá and Roraima provide a total of 0 (zero) equipment. The state of Minas Gerais has a percentage of equipment a little higher than the percentage of population. The population of Uberlândia represents a total of 0.33% of the Brazilian population. The total existing equipment in the city of Uberlândia represents a percentage of 0.8% of the existing equipment in the country, the equipment supplied to SUS totals 0.41% of the total in the country and approximately 0.42% of the total equipment in use in the country. Unified Health System. In relation to the percentage of the population in the country and quantities of equipment, it can be concluded that the proportionality of equipment is greater. In relation to the state of Minas Gerais, the Municipality of Uberlândia is the second most populous city in its state and one of the most inhabited in the country still has a relatively low number to serve the public network. Thus, a survey show ed that CNES data need to be best managed by those responsible for data insertions in the EAS, that itis necessary to check the EASs to verify the real situation of the existence of the equipment and perhaps clarify and train the professionals about entering this data. Another important issue to consider is the need to establish distribution parameters for a greater diversity of medical equipment.