O enfrentamento da pandemia de Covid-19 no estado da Bahia: possibilidades para o planejamento da Auditoria do SUS/BA.

Abstract

The high volume of resources involved in confronting Covid-19, associated with the relaxation of rules for purchasing and contracting, brought a greater risk of resource diversion, which should be prioritized by the control institutions. Therefore, a quantitative, exploratory research was carried out, with the objective of identifying how available information on the confrontation of Covid-19 in the state of Bahia can support the reorientation of the planning of the Audit of SUS / BA by prioritizing objects to be audited. Therefore, three statistical models were built using multiple linear regression, to establish relationships using as dependent variables the number of cases and deaths per Covid by municipality of residence and occurrence. The models showed that the independent average household income per capita and percentage of the population with corresponding sanitation conditions are related to the three models, while the number of beds and respirators only show significant statistics when evaluating deaths by the occurrence, and the Covid resources only associated with the statistic related to the number of cases. The number of physicians was not significant and had a negative predictive effect in the three models. In turn, an analysis of the indicators in a concentration of beds, equipment and professionals, especially in the capital and, to a lesser extent, in the municipalities of regions of the health regions, a situation that was not accompanied by the release of resources. As a proposition resulting from the research, a risk matrix was elaborated for the selection of municipalities that should be prioritized as an object of audit with regard to fighting the pandemic.