An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers

The tests for tracking diseases in newborns available through the National Neonatal Screening Program of the Brazilian Unified Health Care System cover six diseases. Mass spectrometer equipment is needed to expand and more efficiently and effectively detect new diseases. However, only four neonatal...

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Main Authors: João Flávio de Freitas Almeida, Lásara Fabrícia Rodrigues, Luiz Ricardo Pinto, Francisco Carlos Cardoso de Campos
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Healthcare Analytics
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772442524000510
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author João Flávio de Freitas Almeida
Lásara Fabrícia Rodrigues
Luiz Ricardo Pinto
Francisco Carlos Cardoso de Campos
author_facet João Flávio de Freitas Almeida
Lásara Fabrícia Rodrigues
Luiz Ricardo Pinto
Francisco Carlos Cardoso de Campos
author_sort João Flávio de Freitas Almeida
collection DOAJ
description The tests for tracking diseases in newborns available through the National Neonatal Screening Program of the Brazilian Unified Health Care System cover six diseases. Mass spectrometer equipment is needed to expand and more efficiently and effectively detect new diseases. However, only four neonatal screening centers have the equipment capable of carrying out the extended test, and the expansion of health service capacity should consider both the rationalization of costs and the comprehensiveness and accessibility of care to the population. This study uses analytics to analyze and estimate the cost of centralized or distributed logistics networks and the level of service to perform the expanded test for newborns throughout Brazil. We evaluate the accessibility of the current infrastructure for the neonatal screening program and propose a novel location–allocation model to create a more integrated infrastructure for reducing disparities and increase the accessibility to neonatal screening services.
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spelling doaj-art-ed263e4e667144d5be6fd947c94b10852025-08-20T02:52:30ZengElsevierHealthcare Analytics2772-44252024-12-01610034910.1016/j.health.2024.100349An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centersJoão Flávio de Freitas Almeida0Lásara Fabrícia Rodrigues1Luiz Ricardo Pinto2Francisco Carlos Cardoso de Campos3Industrial Engineering Department, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Belo Horizonte, MG, Brazil; Corresponding author.Industrial Engineering Department, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Belo Horizonte, MG, BrazilIndustrial Engineering Department, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Belo Horizonte, MG, BrazilCollective Health Education Center - School of Medicine, Federal University of Minas Gerais, Av. Prof. Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte MG, BrazilThe tests for tracking diseases in newborns available through the National Neonatal Screening Program of the Brazilian Unified Health Care System cover six diseases. Mass spectrometer equipment is needed to expand and more efficiently and effectively detect new diseases. However, only four neonatal screening centers have the equipment capable of carrying out the extended test, and the expansion of health service capacity should consider both the rationalization of costs and the comprehensiveness and accessibility of care to the population. This study uses analytics to analyze and estimate the cost of centralized or distributed logistics networks and the level of service to perform the expanded test for newborns throughout Brazil. We evaluate the accessibility of the current infrastructure for the neonatal screening program and propose a novel location–allocation model to create a more integrated infrastructure for reducing disparities and increase the accessibility to neonatal screening services.http://www.sciencedirect.com/science/article/pii/S2772442524000510Location–allocationPublic-healthAccessibilityNewborn screening
spellingShingle João Flávio de Freitas Almeida
Lásara Fabrícia Rodrigues
Luiz Ricardo Pinto
Francisco Carlos Cardoso de Campos
An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
Healthcare Analytics
Location–allocation
Public-health
Accessibility
Newborn screening
title An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
title_full An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
title_fullStr An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
title_full_unstemmed An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
title_short An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
title_sort integrated location allocation model for reducing disparities and increasing accessibility to public health screening centers
topic Location–allocation
Public-health
Accessibility
Newborn screening
url http://www.sciencedirect.com/science/article/pii/S2772442524000510
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