International journal of environmental research and public health · 2026
Territorial Vulnerabilities and Healthcare Capacity During the COVID-19 Pandemic: A Spatiotemporal Study of Hospitalizations and Mortality in a Large Metropolitan Area in Brazil.
СтатьяНазвание и аннотация: Перевод в очереди
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Viegas Ana Maria, de Sousa Selma Costa, Cardoso Diogo Tavares, Sales Aline Dayrell Ferreira, Veloso Isabela Farnezi, Barbosa David Soeiro
Аннотация
OBJECTIVE: This study aimed to identify priority areas, social vulnerability, and healthcare capacity and networks while considering hospitalization and mortality rates due to Severe Acute Respiratory Syndrome (SARS) caused by COVID-19 during the public health emergency period.
MATERIALS AND METHODS: A spatiotemporal analysis was performed to assess hospitalization, mortality, and case fatality rates among hospitalized patients due to severe COVID-19 across the municipalities of the Metropolitan Region of Belo Horizonte (MRBH), Brazil, between 2020 and 2022. The findings were contextualized by considering the social vulnerability of the population as well as the healthcare infrastructure and organizational characteristics of municipalities and health regions.
RESULTS: Municipalities located in the central area of the MRBH showed higher hospitalization rates, corresponding to areas with a greater concentration of healthcare infrastructure. However, mortality and case fatality rates among hospitalized patients were higher in municipalities with more limited healthcare infrastructure and greater social vulnerability.
CONCLUSION: The spatiotemporal disparities in hospitalization and mortality risks suggest health inequities that seem to be influenced by social determinants and healthcare system vulnerabilities. These findings emphasize the imperative for public health emergency responses to prioritize the strengthening of health system organization and the establishment of effective care pathways to enhance access and service delivery, particularly in municipalities exhibiting higher levels of social vulnerability.
MATERIALS AND METHODS: A spatiotemporal analysis was performed to assess hospitalization, mortality, and case fatality rates among hospitalized patients due to severe COVID-19 across the municipalities of the Metropolitan Region of Belo Horizonte (MRBH), Brazil, between 2020 and 2022. The findings were contextualized by considering the social vulnerability of the population as well as the healthcare infrastructure and organizational characteristics of municipalities and health regions.
RESULTS: Municipalities located in the central area of the MRBH showed higher hospitalization rates, corresponding to areas with a greater concentration of healthcare infrastructure. However, mortality and case fatality rates among hospitalized patients were higher in municipalities with more limited healthcare infrastructure and greater social vulnerability.
CONCLUSION: The spatiotemporal disparities in hospitalization and mortality risks suggest health inequities that seem to be influenced by social determinants and healthcare system vulnerabilities. These findings emphasize the imperative for public health emergency responses to prioritize the strengthening of health system organization and the establishment of effective care pathways to enhance access and service delivery, particularly in municipalities exhibiting higher levels of social vulnerability.