Brazilian National Registry of Healthcare Establishments as a tool for the analysis of dec

94.4% agreement was found between a classification method using the Brazilian National Registry of Healthcare Establishments (CNES) and a prior manual classification. The dataset likely contains records from 2002 to 2016, showing a 31.2% relative increase in tuberculosis care provided by basic services. Daniele Maria Pelissari from Universidade de São Paulo authored the study validating this method for analyzing healthcare decentralization trends.

Use Cases

• Tracking decentralization trends of tuberculosis treatment based on the classification of healthcare establishments.
• Validating automated healthcare service classification methods against manual programmatic classifications.
• Analyzing regional disparities in healthcare provision based on the reported percentage changes across Brazil.
• Modeling the impact of healthcare policy changes on service delivery levels over a 15-year period.

Strengths

• Validated classification method with a 94.4% agreement rate and a kappa index of 0.86.
• Covers a 15-year time range from 2002 to 2016.
• Provides a measure of decentralization with a reported 31.2% relative increase in basic care provision.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment.
• Last update date is unknown; freshness unverified.

Provenance

Source

Brazilian National Registry of Healthcare Establishments (CNES)

Collection Method

Registry data was used to classify healthcare services reporting tuberculosis cases as 'basic care' or 'other levels'.

Time Range

2002 to 2016

Geography

Brazil, with analysis by region