{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T15:26:13Z","timestamp":1763911573154},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Equity Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>In Brazil, a country of continental dimensions, the health needs of each region have an impact. In this context and the name of the principle of equity, the SUS organizes actions especially aimed at social groups such as the elderly, children, pregnant women, and indigenous peoples. The concept of justice proposed by John Rawls is one of equity, which is essential to this country.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is an ecological, descriptive study, which analyzed hospital spending on cardiovascular diseases in the Unified Health System (SUS) among the indigenous elderly population and other ethnicities\/colors in Brazil, between 2010 and 2019.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Hospitalization costs and fatality rates for indigenous populations and other colors\/ethnicities, between 2010 and 2019, were evaluated. A reduction in hospitalization costs for the indigenous population and an increase in other populations was observed throughout the historical series, while there was an increase in fatality rates for both groups. A comparison was made between hospitalization costs and the fatality rates of indigenous populations and other colors\/ethnicities according to sex, between 2010 and 2019. It was observed that regardless of sex, there are significant differences (p&lt;0.05) between hospitalization costs and fatality rates, with higher costs for patients of other colors\/ethnicities and higher fatality rates for the indigenous population.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Hospitalization costs due to cardiovascular diseases in elderly people from indigenous populations were lower compared to other ethnicities in most federative units, which may suggest an unequal allocation of resources or access for this indigenous population to the SUS. Although there is no strong correlation between spending on hospital admissions and fatality rates, it was found that these rates increased between 2010 and 2019, while spending was reduced.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12939-024-02102-w","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T15:04:54Z","timestamp":1707145494000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Distributive justice and equity in resource allocation: a temporal analysis of hospitalization costs in indigenous populations in Brazil"],"prefix":"10.1186","volume":"23","author":[{"given":"Luiz Oscar Machado","family":"Martins","sequence":"first","affiliation":[]},{"given":"Marcio Fernandes","family":"dos Reis","sequence":"additional","affiliation":[]},{"given":"Alfredo","family":"Chaoubah","sequence":"additional","affiliation":[]},{"given":"Guilhermina","family":"Rego","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"2102_CR1","unstructured":"www.gov.br Funda\u00e7\u00e3o Nacional dos Povos Ind\u00edgenas\u2013 Censo 2022 - IBGE."},{"key":"2102_CR2","unstructured":"Kettle. W- A import\u00e2ncia dos povos ind\u00edgenas para a natureza\u2013 UFPA- Minist\u00e9rio da Ci\u00eancia, Tecnologia e Inova\u00e7\u00f5es- abril\/23."},{"key":"2102_CR3","unstructured":"Rodrigues I, Vassar M, Almeida F-. Por que h\u00e1 necessidade de falar sobre povos ind\u00edgenas em que essa \u00e9 uma popula\u00e7\u00e3o minorit\u00e1ria-UFRRJ- outubro\/21."},{"key":"2102_CR4","unstructured":"Os relat\u00f3rios da Secretaria Especial de Sa\u00fade Ind\u00edgena. (Sesai) podem ser consultados em: https:\/\/www.saude.gov.br\/sesai."},{"key":"2102_CR5","unstructured":"Ipam.org. br- acesso em 26\/10\/23\u2013 Direito dos ind\u00edgenas, Terras ind\u00edgenas do Brasil."},{"key":"2102_CR6","unstructured":"Conselho Nacional de Sa\u00fade- Minist\u00e9rio da Sa\u00fade- CNS.: 2002. Dispon\u00edvel em http:\/\/conselho.saude.gov.br\/biblioteca\/livro.htm."},{"key":"2102_CR7","unstructured":"Portaria 254., de 31 de janeiro de 2002- Funasa\u2013 acesso em 09\/9\/21."},{"key":"2102_CR8","unstructured":"Portaria 254., Decreto n.3.156\/1999\u2013 DOU-27 de agosto de 1999."},{"key":"2102_CR9","unstructured":"Lei. n.9836 de 27\/9\/1999\u2013 Congresso Nacional- Lei Arouca."},{"key":"2102_CR10","unstructured":"Aith F-. Direito \u00e0 sa\u00fade de pessoas em condi\u00e7\u00e3o de vulnerabilidade em centros urbanos\u2013 Revista USP(107)- 2017-S\u00e3o Paulo."},{"key":"2102_CR11","doi-asserted-by":"crossref","unstructured":"Travassos GF-C, Arends-Kuenning AB-. MP- the elderly in Brazil: demografic transition, profile, and socioeconomic condition-rev. Bras Est Pop v.37, 1\u201327, e0129-2022\u2013 S\u00e3o Paulo.","DOI":"10.20947\/S0102-3098a0129"},{"key":"2102_CR12","doi-asserted-by":"crossref","unstructured":"Silva R-F. 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This research was developed as part of the postgraduate program in Public Health at the Federal University of Juiz de Fora (UFJF) and was exempt from consideration by the Research Ethics Committee as it used data from official health information systems, in the public domain, respecting the principles of National Health Council Resolution No. 466, of December 12, 2012.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"21"}}