The Regionalization of Tomography and Magnetic Resonance Imaging in the State of Pernambuco in 2008 and 2012

Abstract

The broadening access to health services reinforces the challenge of ensuring medium and high complexity support to the population, due to various difficulties, in particular the enormous concentration of these services in a few cities, and even the complete absence of certain services of high complexity in different regions. In this sense, this article aims to analyze the process of regionalization of high complexity exams – Tomography and Magnetic Resonance Imaging - in the state of Pernambuco in 2008 and 2012. An ecological descriptive study was conducted using secondary data sources from information systems in health national basis. One has found out an increased supply of CT scans and magnetic resonance imaging in towns of the state (148.7%) compared to 1st Health Region (62.9%) from 2008 to 2012. In addition, one has observed a significant (p <0.001) concerning to examinations/10.000hab in seven health regions in the state of PE, reduced invasion in 1^st Health Region and reduced dropout rates in other regions. In spite of the evidence, the offer has not been devolved in some regions, requiring investment of the State government in this action.