Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19

Detalhes bibliográficos
Ano de defesa: 2022
Autor(a) principal: Lopes, Maria Lêticia
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal da Paraíba
Brasil
Economia
Programa de Pós-Graduação em Economia
UFPB
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/29349
Resumo: Between 2020 and 2021, the COVID-19 pandemic advanced in the number of cases and deaths. Most countries, including Brazil, have enacted measures to contain the spread of this disease, such as strict social isolation policies (Lockdown). Several interventions were adopted in the health services management, causing the damming of visits and hospitalizations for diseases not related to COVID-19, especially those of an elective nature. In this context, the objective of this work is to estimate the impact of the lockdown measure on elective weekly hospitalizations not related to COVID-19, using data on hospitalizations, deaths, and bed supply, as well as the dates of establishment of restricted isolation contained in the municipal and/or state decrees/ordinances/acts of 53 selected municipalities (state capitals and those municipalities with more than 500 thousand inhabitants). Therefore, it was observed through an event study model that there was an average reduction of 8.1% in the number of elective hospitalizations and shows differences in results between the types of diseases. There was an impact of the policy mentioned above on hospitalizations for circulatory, endocrine, and neoplasm diseases and contacts with healthcare, while no effect was observed on hospitalizations for reasons of mental and behavioral disorders. The results can contribute to the formulation of new public health policies in case a situation similar to the COVID-19 pandemic occurs in the future, helping those interested in understanding the behavior of individuals in the face of the imposition of a rigid isolation policy.
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spelling Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19Covid-19 - LockdownServiços de saúdePolíticas Públicas de SaúdeAnálise causalHealth servicesCausal analysisCNPQ::CIENCIAS SOCIAIS APLICADAS::ECONOMIABetween 2020 and 2021, the COVID-19 pandemic advanced in the number of cases and deaths. Most countries, including Brazil, have enacted measures to contain the spread of this disease, such as strict social isolation policies (Lockdown). Several interventions were adopted in the health services management, causing the damming of visits and hospitalizations for diseases not related to COVID-19, especially those of an elective nature. In this context, the objective of this work is to estimate the impact of the lockdown measure on elective weekly hospitalizations not related to COVID-19, using data on hospitalizations, deaths, and bed supply, as well as the dates of establishment of restricted isolation contained in the municipal and/or state decrees/ordinances/acts of 53 selected municipalities (state capitals and those municipalities with more than 500 thousand inhabitants). Therefore, it was observed through an event study model that there was an average reduction of 8.1% in the number of elective hospitalizations and shows differences in results between the types of diseases. There was an impact of the policy mentioned above on hospitalizations for circulatory, endocrine, and neoplasm diseases and contacts with healthcare, while no effect was observed on hospitalizations for reasons of mental and behavioral disorders. The results can contribute to the formulation of new public health policies in case a situation similar to the COVID-19 pandemic occurs in the future, helping those interested in understanding the behavior of individuals in the face of the imposition of a rigid isolation policy.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESEntre 2020 e 2021, a pandemia de COVID-19 avançou em número de casos e de óbitos. A maioria dos países, incluindo o Brasil, decretaram medidas de contenção da propagação dessa doença, a exemplo das políticas de isolamento social rígido (Lockdown). Várias intervenções foram adotadas na gestão de serviços de saúde, causando represamento de atendimentos e internações para doenças não relacionadas a COVID-19, especialmente, aquelas de caráter eletivo. Nesse contexto, o objetivo deste trabalho é estimar o impacto da medida de lockdown sobre as internações semanais eletivas não relacionadas a COVID-19, utilizando dados de internações, óbitos e oferta de leitos, assim como, as datas de estabelecimento do isolamento restrito contidas nos decretos/portarias/atos municipais e/ou estaduais de 53 municípios selecionados (as capitais dos estados e aqueles municípios com mais de 500 mil habitantes). Por conseguinte, observou-se através de um modelo de event study que houve redução média de 8,1% no número de internações eletivas, com diferenças de resultado entre os tipos de doenças. Verificou-se impacto da referida política em internações por motivos de doenças circulatórias, doenças endócrinas e do neoplasma e por contatos com os serviços de saúde, enquanto não foi observado efeito sobre as internações por motivos de transtornos mentais e comportamentais. Os resultados encontrados podem contribuir na formulação de novas políticas públicas de saúde, caso ocorra uma situação semelhante à pandemia de COVID-19 no futuro, ajudando aos interessados na compreensão do comportamento dos indivíduos frente a imposição de uma política de isolamento rígido.Universidade Federal da ParaíbaBrasilEconomiaPrograma de Pós-Graduação em EconomiaUFPBRamalho, Hilton Martins de BritoLattes não recuperado em 24/01/2023.Souza, Wallace Patrick de FariasLattes não recuperado em 24/01/2023.Lopes, Maria Lêticia2024-01-24T16:28:37Z2023-02-062024-01-24T16:28:37Z2022-10-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/29349porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2024-01-25T06:05:45Zoai:repositorio.ufpb.br:123456789/29349Repositório InstitucionalPUBhttps://repositorio.ufpb.br/oai/requestdiretoria@ufpb.br||bdtd@biblioteca.ufpb.bropendoar:25462024-01-25T06:05:45Repositório Institucional da UFPB - Universidade Federal da Paraíba (UFPB)false
dc.title.none.fl_str_mv Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
title Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
spellingShingle Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
Lopes, Maria Lêticia
Covid-19 - Lockdown
Serviços de saúde
Políticas Públicas de Saúde
Análise causal
Health services
Causal analysis
CNPQ::CIENCIAS SOCIAIS APLICADAS::ECONOMIA
title_short Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
title_full Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
title_fullStr Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
title_full_unstemmed Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
title_sort Efeitos do lockdown sobre as internações eletivas no Brasil durante a pandemia de COVID-19
author Lopes, Maria Lêticia
author_facet Lopes, Maria Lêticia
author_role author
dc.contributor.none.fl_str_mv Ramalho, Hilton Martins de Brito
Lattes não recuperado em 24/01/2023.
Souza, Wallace Patrick de Farias
Lattes não recuperado em 24/01/2023.
dc.contributor.author.fl_str_mv Lopes, Maria Lêticia
dc.subject.por.fl_str_mv Covid-19 - Lockdown
Serviços de saúde
Políticas Públicas de Saúde
Análise causal
Health services
Causal analysis
CNPQ::CIENCIAS SOCIAIS APLICADAS::ECONOMIA
topic Covid-19 - Lockdown
Serviços de saúde
Políticas Públicas de Saúde
Análise causal
Health services
Causal analysis
CNPQ::CIENCIAS SOCIAIS APLICADAS::ECONOMIA
description Between 2020 and 2021, the COVID-19 pandemic advanced in the number of cases and deaths. Most countries, including Brazil, have enacted measures to contain the spread of this disease, such as strict social isolation policies (Lockdown). Several interventions were adopted in the health services management, causing the damming of visits and hospitalizations for diseases not related to COVID-19, especially those of an elective nature. In this context, the objective of this work is to estimate the impact of the lockdown measure on elective weekly hospitalizations not related to COVID-19, using data on hospitalizations, deaths, and bed supply, as well as the dates of establishment of restricted isolation contained in the municipal and/or state decrees/ordinances/acts of 53 selected municipalities (state capitals and those municipalities with more than 500 thousand inhabitants). Therefore, it was observed through an event study model that there was an average reduction of 8.1% in the number of elective hospitalizations and shows differences in results between the types of diseases. There was an impact of the policy mentioned above on hospitalizations for circulatory, endocrine, and neoplasm diseases and contacts with healthcare, while no effect was observed on hospitalizations for reasons of mental and behavioral disorders. The results can contribute to the formulation of new public health policies in case a situation similar to the COVID-19 pandemic occurs in the future, helping those interested in understanding the behavior of individuals in the face of the imposition of a rigid isolation policy.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-31
2023-02-06
2024-01-24T16:28:37Z
2024-01-24T16:28:37Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://repositorio.ufpb.br/jspui/handle/123456789/29349
url https://repositorio.ufpb.br/jspui/handle/123456789/29349
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nd/3.0/br/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nd/3.0/br/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal da Paraíba
Brasil
Economia
Programa de Pós-Graduação em Economia
UFPB
publisher.none.fl_str_mv Universidade Federal da Paraíba
Brasil
Economia
Programa de Pós-Graduação em Economia
UFPB
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFPB
instname:Universidade Federal da Paraíba (UFPB)
instacron:UFPB
instname_str Universidade Federal da Paraíba (UFPB)
instacron_str UFPB
institution UFPB
reponame_str Repositório Institucional da UFPB
collection Repositório Institucional da UFPB
repository.name.fl_str_mv Repositório Institucional da UFPB - Universidade Federal da Paraíba (UFPB)
repository.mail.fl_str_mv diretoria@ufpb.br||bdtd@biblioteca.ufpb.br
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