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Health policy for persons with disabilities in Brazil: Spatial Distribution of Specialized Rehabilitation Centers
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  • Paulo Henrique dos Santos Mota,
  • Bianca Tomi Rocha Suda,
  • Patricia Marques Moralejo Bermudi,
  • Francisco Chiaravalloti Neto,
  • Aylene Bousquat
Paulo Henrique dos Santos Mota
University of São Paulo

Corresponding Author:paulohsmota@gmail.com

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Bianca Tomi Rocha Suda
University of São Paulo
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Patricia Marques Moralejo Bermudi
University of São Paulo
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Francisco Chiaravalloti Neto
University of São Paulo
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Aylene Bousquat
University of São Paulo
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Abstract

Objective: To analyze the spatial patterns of distribution of Specialized Rehabilitation Centers(CERs). Methods: An ecological-level study design, descriptive and Bayesian spatial regression analyses was carried out using the 438 Brazilian Health Regions. Main outcome is the “presence or absence of CER” and as covariates the rate of PWD, health funding and socioeconomic indicators. Modeling considered a binomial probability distribution and spatial randomness in the Besag-York-Mollié model. Neighborhood relationships between Health Regions were constructed using Queen-type contiguity matrix. Results:Considering four types of disability(hearing, intellectual, physical and visual) alone, the rate of PWD and transfers of financial resources increase the chances of implementing an CER. In joint analysis of disabilities, implementation of CERs doesn’t correspond to regions with higher rates of PWD. Conclusions:Prioritize the CER implementation according to territorial distribution of needs is essential to improve equitable access. Use of qualified data to identify PWD is essential for the creation of public policies.
09 May 2023Submitted to International Journal of Health Planning and Management
12 May 2023Submission Checks Completed
12 May 2023Assigned to Editor
12 May 2023Review(s) Completed, Editorial Evaluation Pending
30 Jun 2023Reviewer(s) Assigned