Evidence map›Paper›PMID 40678925›Full record

ArticleThe International journal of health planning and management2025

Equity in Health Policy for Persons With Disabilities in Brazil: Spatial Distribution of Specialised Rehabilitation Centres.

Paulo Henrique Dos Santos Mota, Bianca Tomi Rocha Suda, Patricia Marques Moralejo Bermudi, Francisco Chiaravalloti Neto, Aylene Bousquat

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Article in The International journal of health planning and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Paulo Henrique Dos Santos MotaDepartment of Policies, Management and Health, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-3507-3958
Bianca Tomi Rocha SudaPostgraduate Program in Public Health, School of Public Health, University of São Paulo, São Paulo, Brazil.
Patricia Marques Moralejo BermudiPostgraduate Program in Public Health, School of Public Health, University of São Paulo, São Paulo, Brazil.
Francisco Chiaravalloti NetoDepartment of Epidemiology, School of Public Health, University of São Paulo, São Paulo, Brazil.
Aylene BousquatDepartment of Policies, Management and Health, School of Public Health, University of São Paulo, São Paulo, Brazil.

Funding

CNPq/MS/SCTIE/DECIT 35/2018
6 · The paper itself

Abstract

objectiveTo analyse the spatial distribution of Specialised Rehabilitation Centres (CERs) in Brazil, considering the prevalence of persons with disabilities (PWD), socioeconomic factors, and health financing.

methodsAn ecological study design was employed, using descriptive and Bayesian spatial regression analyses on data from 438 health regions in Brazil. The presence or absence of CERs in these regions was the main outcome. Covariates included PWD population, socioeconomic indicators, health service funding, and health system factors.

resultsThe study revealed that CERs are present in only 32% of health regions, with significant associations between CER implementation and factors such as monthly per capita household income, health expenditure per inhabitant, and regional GDP. Notably, the increase in PWD numbers did not directly correlate with CER implementation at the regional level.

conclusionThe implementation of CERs is influenced by economic and health service factors, not just by the prevalence of PWD. To improve equity in access, it is essential to prioritise CER implementation in regions with higher rehabilitation needs and better utilise available data on disability demographics. Comprehensive, integrated care for PWD requires interdisciplinary and intersectoral actions.

Indexed as

Health EquityHealth PolicyPersons with DisabilitiesRehabilitation CentersBayes TheoremBrazilHealth Services AccessibilityHumansSocioeconomic FactorsSpatial Analysishealth planninghealth systempersons with disabilitiesrehabilitation servicesspatial analysis

Identifiers

PMID40678925
PMCPMC12579515

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LicenceCC BY
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Registered trials

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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.