Desenvolvimento, desigualdade socioespacial e assistência à saúde: uma análise da infraestrutura de leitos hospitalares e policlínicas no Estado da Bahia.

Abstract

This study has as its central theme the issue of health and development. It investigates, in the State of Bahia and its 417 municipalities, how public and private health services are offered in its territory. It considers territorial governance as a tool for the application of public health policies and understands socioeconomic inequalities as a result of a historical process of regionalization and urbanization of the territory. The general objective of the present study is to assess the extent to which health services are accessible to the Bahian population. The distribution of the Regional Health Polyclinics of the interfederative health consortia and of public and private hospital beds was analyzed. We sought to understand the spatial distribution of access to a basic health service and its relationship with population density in municipalities and GDP per capita. For the analysis of the distribution of private beds, Walter Christaller and his Theory of Central Places (TLC) were used. Still with regard to the methodological procedures, the georeferencing analysis used the free software Quantum Gis, Version 3.12. It was concluded that there is a percentage of the population that is excluded from the analyzed medical services, there is a high dependence on the SUS by the population, the discrepancy in the distribution of public beds per 1,000 inhab is relevant. by municipality and that there is adherence to the TLC in the distribution of private hospital beds. It is recommended to carry out a complementary study to clarify the causes of this discrepancy and establish a direction for efforts to correct it