title: Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil.
abstract: OBJECTIVE To describe the migration flows of demand for public and private hospital care among the health regions of the state of Sao Paulo, Brazil.METHODS Study based on a database of hospitalizations in the public and private systems of the state of Sao Paulo, Southeastern Brazil, in 2006. We analyzed data from 17 health regions of the state, considering people hospitalized in their own health region and those who migrated outwards (emigration) or came from other regions (immigration). The index of migration effectiveness of patients from both systems was estimated. The coverage (hospitalization coefficient) was analyzed in relation to the number of inpatient beds per population and the indexes of migration effectiveness.RESULTS The index of migration effectiveness applied to the hospital care demand flow allowed characterizing health regions with flow balance, with high emigration of public and private patients, and with high attraction of public and private patients.CONCLUSIONS There are differences in hospital care access and opportunities among health regions in the state of Sao Paulo, Brazil.
authors.affiliation: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
authors.forename: Juan Stuardo Yazlle
authors.initials: JS
authors.lastname: Rocha
authors.affiliation: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, BR.
authors.forename: Rosane Aparecida
authors.initials: RA
authors.lastname: Monteiro
authors.affiliation: Agência Nacional de Saúde Suplementar, Rio de Janeiro, RJ, BR.
authors.forename: Marizélia Leão
authors.initials: ML
authors.lastname: Moreira
mesh_terms: D001938:Brazil; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006753:Hospital Records; D006760:Hospitalization / Q000706:statistics & numerical data*; D016304:Hospitals, Private / Q000706:statistics & numerical data*; D006801:Humans; D011634:Public Health / Q000706:statistics & numerical data*