Abstract
Abstract Objectives: To propose a regional synthetic indicator (ISR) to evaluate the health system performance in Brazilian regions based on a national database source available free of charge in a global network of computers. Methods: a cross-sectional study using secondary data, considered seven variables of five dimensions in the health system (population's health conditions, health system coverage, financing, human resources and SUS production) analyzed from a survey of 438 Brazilian regions and adopted factor analysis and cluster models, conditioned by variables, such as: socioeconomic development, offering and service complexity and which resulted in a grouping of five strata. Results: mapping and scheduling based on ISR in health regions in Brazil and a detailed analysis of different indicators that compose them. The regions that showed better perfor-mance are in the Southeast, South and Midwest. Conclusions: This article sums efforts of other authors to extend the evaluation studies in health systems in a regional level. In addition, it is expected that the researches broaden their scope and implement the discussions about the process of regionalization in order to provide health policies, a universalized access and care comprehensiveness.
Highlights
The health system performanceA health system, according to Roemer’s1 definition is a “combination of resources, organization, financing and managing that culminates in the provision of health services for the population”
Results: mapping and scheduling based on ISR in health regions in Brazil and a detailed analysis of different indicators that compose them
It is expected that the researches broaden their scope and implement the discussions about the process of regionalization in order to provide health policies, a universalized access and care comprehensiveness
Summary
A health system, according to Roemer’s1 definition is a “combination of resources, organization, financing and managing that culminates in the provision of health services for the population”. We emphasize Donabedian’s2 study who developed a model to evaluate the health systems. Donabedian’s2 pointed out that the evaluation result represents norms or criteria to be incorporated in the use of the performance indicators, so that they will be replicated and contribute to the improvement of the quality of the system. The author has developed concepts that evaluate the quality of a health system, composed of three axes: the structure, the process and the outcome. The structure describes the attributes of health policies, such as human resources, financing and information systems. The result presents the impact in relation to the efficiency and quality of the health service
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