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Nos últimos anos, em Portugal continental, tem-se assistido ao envelhecimento da população, tornando-se crucial a renovação geracional e, com isso, a assistência dada a grávidas e recém-nascidos. Assim, a avaliação dos centros de nascimento adquire considerável importância, essencialmente no que toca ao acesso geográfico e à qualidade dos mesmos.
Desta forma, neste trabalho é avaliado o acesso geográfico a centros de nascimento, recorrendo-se para isso ao método Extended Kernel Density Two Step Floating Catchment Area (EKD2SFCA). A aplicação deste método tem como objetivo identificar potenciais áreas de Portugal continental com acesso reduzido a centros de nascimento.
A avaliação dos centros de nascimento aqui considerada não é constituída apenas pelo acesso, mas também pela qualidade. Para este caso específico recorreu-se a uma análise de eficiência dos centros de nascimento, através do método de Data Envelopment Analysis (DEA). Esta análise tem como objetivo identificar áreas com centros de nascimento relativamente ineficientes, ou seja, aqueles cujos recursos não estão bem alocados dado o volume de partos realizados pelos mesmos.
Ambas as análises permitem concluir que níveis mais elevados de acesso e eficiência se encontram na Área Metropolitana de Lisboa. No entanto, excluindo os prestadores privados, os resultados pioram. Conclui-se também que nem sempre um melhor nível de acesso implica um melhor nível de eficiência, e vice-versa.
In the past few years, continental Portugal have been experiencing population aging, which is why it becomes crucial the generational renewal and so the assistance given to pregnant women and newborns. Thus, the assessment of birth centers becomes considerably important, particularly on what it concerns the spatial accessibility and the quality of those birth centers. Therefore, this work assesses the spatial accessibility to birth centers using the Extended Kernel Density Two Step Floating Catchment Area (EKD2SFCA) method. The aim of this analysis is to identify potential areas with scarce accessibility to birth centers. Not only the spatial accessibility features the assessment to birth centers, but also their quality. In this specific case, the analysis was done with Data Envelopment Analysis (DEA) method. The objective of this analysis is to identify the relatively inefficient birth centers, i.e. those whose inputs are not well allocated given their number of births. Both analysis lead to the conclusion that there are higher accessibility and efficiency levels in Metropolitan Area of Lisbon. However, these levels become lower when the privates are excluded from the analysis. It is also concluded that a higher level of accessibility does not always mean a higher level of efficiency and vice-versa.
In the past few years, continental Portugal have been experiencing population aging, which is why it becomes crucial the generational renewal and so the assistance given to pregnant women and newborns. Thus, the assessment of birth centers becomes considerably important, particularly on what it concerns the spatial accessibility and the quality of those birth centers. Therefore, this work assesses the spatial accessibility to birth centers using the Extended Kernel Density Two Step Floating Catchment Area (EKD2SFCA) method. The aim of this analysis is to identify potential areas with scarce accessibility to birth centers. Not only the spatial accessibility features the assessment to birth centers, but also their quality. In this specific case, the analysis was done with Data Envelopment Analysis (DEA) method. The objective of this analysis is to identify the relatively inefficient birth centers, i.e. those whose inputs are not well allocated given their number of births. Both analysis lead to the conclusion that there are higher accessibility and efficiency levels in Metropolitan Area of Lisbon. However, these levels become lower when the privates are excluded from the analysis. It is also concluded that a higher level of accessibility does not always mean a higher level of efficiency and vice-versa.
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Centros de nascimento Acesso Eficiência Birth centers Spatial accessibility Efficiency