Abstract
Abstract Paper aims This work aims at proposing a mathematical model for allocation of oncological treatment units of SUS. Originality A model of the same architecture was not found in the literature for the delimited problem. Research method The mathematical models of location in the literature were reviewed and based the choice by the two-level hierarchical pq-median model with additional constraints of maximum distance and vertices eligibility, which was implemented in the CPLEX optimization software. Main findings Satisfactory results with homogeneous networks, centralized facilities in their service area and shorter distance traveled by users indicate the efficiency of the model in determining the optimum location given the number of facilities to be allocated. Implications for theory and practice The model proved to be an efficient tool to assist health managers in their decision-making about the network of facilities, not just oncological, but of any nature and many others public sectors.
Highlights
The central objective of a National Health Service (NHS) is to provide universal and free healthcare and medicines for all citizens
Paper aims: This work aims at proposing a mathematical model for allocation of oncological treatment units of SUS
This is justified by the report entitled Impact Assessment and Data Openness in Planning and Financial Health Management, produced by the Public Prosecutor’s Office of Rio de Janeiro in March of this year, which shows that at least since 2014, the ERJ has stopped applying the minimum of 12% of annual tax revenue in public health actions and services
Summary
The central objective of a National Health Service (NHS) is to provide universal and free healthcare and medicines for all citizens This system is financed through taxes and the general budget of the State. At the end of 2017, the Regional Council of Medicine announced the state of technical calamity in the health area in the state due to problems such as lack of medicines and personnel, delays in salaries and broken equipment, calling society’s attention to the real bankruptcy of the structure public health system This is justified by the report entitled Impact Assessment and Data Openness in Planning and Financial Health Management, produced by the Public Prosecutor’s Office of Rio de Janeiro in March of this year, which shows that at least since 2014, the ERJ has stopped applying the minimum of 12% of annual tax revenue in public health actions and services. The State Government does not keep the data of the Transparency Portal up to date, clear and with easy access, being in the last position in the ranking of the Brazil Transparente scale
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