title: Supply and usage of hemodynamic services in the state of Rio de Janeiro, Brazil.
abstract: OBJECTIVE
  To analyze the supply of equipment and procedures inherent to public hemodynamic services in the State of Rio de Janeiro, Brazil.
  
  
  METHODS
  We conducted an exploratory study based on official data banks: AMS survey of IBGE, CNES, AIH and APAC, and ANS. The examination period of the supply was from 1999 to 2009, and of the use, from 2008 to October 2012.
  
  
  RESULTS
  Since 1999 there has been a growth in the acquisition of hemodynamic equipment. The private sector concentrates most of the offer, but has been reducing its availability to the Unified Health System (SUS). The ratio of the equipment and the population exceeds that of some rich countries. On the supply side, there was, in Rio de Janeiro, in 2009, a rate of 4.1 units per million inhabitants, higher than in Brazil as a whole, of 3.4; however, when considering only the offer for the SUS (SUS), the values are similar, 1.6 and 1.5.
  
  
  CONCLUSIONS
  The procedures of interventional cardiology grew between 2008 and 2011 in Rio de Janeiro, but the majority of public hospitals have reduced production and the private have increased it, resulting in the referral of SUS users to be submitted to procedures great distances from home.
authors.affiliation: Department of Preventive Medicine, Faculty of Medicine, Federal University of Rio de Janeiro, RJ, Brazil.
authors.forename: Maria de Fatima Siliansky de
authors.initials: Mde F
authors.lastname: Andreazzi
authors.affiliation: Brazilian Institute of Geography and Statistics, IBGE, RJ, Brazil.
authors.forename: Marco Antonio Ratzsch de
authors.initials: MA
authors.lastname: Andreazzi
authors.affiliation: Institute for the Study of Collective Health, Federal University of Rio de Janeiro, RJ, Brazil.
authors.forename: Leyla
authors.initials: L
authors.lastname: Sancho
authors.affiliation: Institute for the Study of Collective Health, Federal University of Rio de Janeiro, RJ, Brazil.
authors.forename: Heitor Alarico Gonçalves de
authors.initials: HA
authors.lastname: Freitas
mesh_terms: D001938:Brazil; D003935:Diagnostic Techniques, Cardiovascular / Q000706:statistics & numerical data*; D006296:Health Services / Q000706:statistics & numerical data* / Q000600:supply & distribution*; D006439:Hemodynamics; D006801:Humans; D015641:Radiography, Interventional / Q000706:statistics & numerical data*