Análise da Conformidade do Parque Tecnológico de UTIs Neonatais Tipo II e III nos Municípios de São Paulo e Uberlândia

Abstract

The high prematurity rate in Brazil, along with its strong association with severe neonatal complications, highlights the critical need for appropriate hospital infrastructure, particularly in Neonatal Intensive Care Units (NICUs). Disparities in the distribution of technological resources between public and private hospitals stress the importance of evaluating compliance with regulatory standards. This study aimed to analyze the compliance of the technological infrastructure in Type II and Type III NICUs in São Paulo and Uberlândia, based on the technical criteria established by Brazilian Ministry of Health Ordinance No. 930/2012. The research was motivated by the role of medical equipment in neonatal care and the need to ensure equitable access to intensive care. A quantitative, descriptive, and comparative methodology was adopted, using data from the National Registry of Health Establishments (CNES) regarding the number of neonatal beds and key devices such as incubators, radiant warmers, mechanical ventilators, phototherapy systems, and bilirubinometers. These data were compared against ordinance requirements to assess compliance. The results showed that while most hospitals met the minimum standards, there were gaps, particularly in the registration of transport ventilators and incubators. The findings highlight the need for improvements in national health data systems and reaffirm the strategic role of biomedical engineers in the management and functionality of hospital technology infrastructure.