Evidence map›Paper›PMID 36419054›Full record

ArticleBMC health services research2022

Challenges to the provision of specialized care in remote rural municipalities in Brazil.

Fabiely Gomes da Silva Nunes, Adriano Maia Dos Santos, Ângela Oliveira Carneiro, Márcia Cristina Rodrigues Fausto, Lucas Manoel da Silva Cabral, Patty Fidelis de Almeida

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Toward Iran's health system regionalization: A qualitative approach.Journal of education and health promotion · 2025
    Article
  8. Missed preoperative nursing care in dentistry.Frontiers in oral health · 2025
    Article
  9. Geographic disparities and temporal trends regarding access to cancer treatment: a spatial analysis, Brazil, 2015-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fabiely Gomes da Silva NunesMultidisciplinary Health Institute, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil. fabielygomes@gmail.com.
Adriano Maia Dos SantosMultidisciplinary Health Institute, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil. maiaufba@ufba.br.
Ângela Oliveira CarneiroFederal University of Vale do São Francisco, Petrolina, Pernambuco, Brazil.
Márcia Cristina Rodrigues FaustoSérgio Arouca National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Lucas Manoel da Silva CabralHésio Cordeiro Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Patty Fidelis de AlmeidaCollective Health Institute, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case study analyses the challenges to providing specialized care in Brazilian remote rural municipalities (RRM). Interviews were conducted with managers from two Brazilian states (Piauí and Bahia). We identified that the distance between municipalities is a limiting factor for access and that significant care gaps contribute to different organizational arrangements for providing and accessing specialized care. Physicians in all the RRMs offer specialized care by direct disbursement to users or sale of procedures to managers periodically, compromising municipal and household budgets. Health regions do not meet the demand for specialized care and exacerbate the need for extensive travel. RRM managers face additional challenges for the provision of specialized care regarding the financing, implementation of cooperative arrangements, and the provision of care articulated in networks to achieve comprehensive care, seeking solutions to the locoregional specificities.

Indexed as

BudgetsCommerceBrazilCitiesComprehensive Health CareHumansAccess to health servicesBrazilComprehensive health careRural health servicesSecondary health care

Identifiers

PMID36419054
PMCPMC9682659

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.