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- Title
Challenges to the provision of specialized care in remote rural municipalities in Brazil.
- Authors
Nunes, Fabiely Gomes da Silva; Santos, Adriano Maia dos; Carneiro, Ângela Oliveira; Fausto, Márcia Cristina Rodrigues; Cabral, Lucas Manoel da Silva; Almeida, Patty Fidelis de
- Abstract
This case study analyses the challenges to providing specialized care in Brazilian remote rural municipalities (RRM). Interviews were conducted with managers from two Brazilian states (Piauí and Bahia). We identified that the distance between municipalities is a limiting factor for access and that significant care gaps contribute to different organizational arrangements for providing and accessing specialized care. Physicians in all the RRMs offer specialized care by direct disbursement to users or sale of procedures to managers periodically, compromising municipal and household budgets. Health regions do not meet the demand for specialized care and exacerbate the need for extensive travel. RRM managers face additional challenges for the provision of specialized care regarding the financing, implementation of cooperative arrangements, and the provision of care articulated in networks to achieve comprehensive care, seeking solutions to the locoregional specificities.
- Subjects
BRAZIL; BAHIA (Brazil : State); CITIES &; towns; MUNICIPAL budgets; HOUSEHOLD budgets; RURAL health services; PATIENT care; BUSINESS; METROPOLITAN areas; BUDGET
- Publication
BMC Health Services Research, 2022, Vol 22, Issue 1, p1
- ISSN
1472-6963
- Publication type
journal article
- DOI
10.1186/s12913-022-08805-6