Business entrepreneurship in nursing care facilities in Brazil: an ecological study

Silva, Matheus Moraes; Menegaz, Jouhanna do Carmo; Ferreira, Glenda Roberta Oliveira Naiff; Costa, Josele de Jesus Quaresma Trindade; Martins, Maria Eduarda Libório; Squires, Allison

doi:10.1590/1518-8345.7657.4584

person Matheus Moraes Silva

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Project supervision and management

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0002-8879-2975

person Jouhanna do Carmo Menegaz

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Project supervision and management

schoolUniversidade do Estado de Santa Catarina, Departamento de Enfermagem, Chapecó, SC, Brazil.

0000-0002-7655-9826

person Glenda Roberta Oliveira Naiff Ferreira

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.

0000-0002-8206-4950

person Josele de Jesus Quaresma Trindade Costa

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0003-2510-2583

person Maria Eduarda Libório Martins

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal do Pará, Faculdade de Enfermagem, Belém, PA, Brazil.schoolScholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.

0000-0002-2217-4103

person Allison Squires

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolNew York University, Rory Meyers College of Nursing, New York, NY, United States of America.

0000-0002-5238-2122

personCorresponding author: Matheus Moraes Silva E-mail:
matheusmorais1980@gmail.com

Conflict of interest:

the authors have declared that there is no conflict of interest.

Associate Editor:

Ricardo Alexandre Arcêncio

Variable		Regions of Brazil
Variable		North 17 (%)	Northeast 50 (%)	Midwest31 (%)	Southeast 137 (%)	South 105 (%)	Brazil 340 (%)*
Type of establishment	Immunization center	0 (0.00)	4 (8.00)	4 (12.90)	20 (14.60)	3 (2.86)	31 (9.12)
	Specialized clinic	4 (23.53)	26 (52.00	12 (38.72)	24 (17.52)	16 (15.24)	82 (24.12)
	Isolated clinic	7 (41.18)	9 (18.00)	9 (29.03)	42 (30.65)	61 (58.10)	128 (37.64)
	Cooperative	1 (5.88)	2 (4.00)	2 (6.45)	1 (0.73)	5 (4.76)	11 (3.24)
	Polyclinic	1 (5.88)	0 (0.00)	0 (0.00)	2 (1.46)	2 (1.90)	5 (1.47)
	Home care service	4 (23.53)	9 (18.00)	4 (12.90)	43 (31.39)	14 (13.33)	74 (21.76)
	Diagnostic and therapy support unit	0 (0.00)	0 (0.00)	0 (0.00)	5 (3.65)	4 (3.81)	9 (2.65)
Main activity	Administration	1 (5.88)	2 (4.00)	2 (6.45)	1 (0.73)	5 (4.76)	11 (3.24)
	Health care	3 (17.65)	5 (10.00)	1 (3.23)	4 (2.92)	7 (6.67)	20 (5.88)
	Home care	3 (17.65)	6 (12.00)	3 (9.68)	38 (27.74)	13 (12.38)	63 (18.53)
	Outpatient consultation	9 (52.94)	29 (58.00)	20 (64.51)	66 (48.17)	73 (69.52)	197 (57.94)
	Hospitality	0 (0.00)	0 (0.00)	0 (0.00)	1 (0.73)	2 (1.91)	3 (0.88)
	Immunization	1 (5.88)	8 (16.00)	5 (16.13)	27 (19.71)	5 (4.76)	46 (13.53)
Level of attention	Primary care	4 (23.53)	4 (8.00)	3 (9.68)	8 (5.84)	41 (39.05)	60 (17.65)
	Medium complexity	13 (76.47)	46 (92.00)	28 (90.32)	128 (93.43)	63 (60.00)	278 (81.76)
	High complexity	0 (0.00)	0 (0.00)	0 (0.0)	1 (0.73)	1 (0.95)	2 (0.59)
Legal nature	Cooperative	1 (5.88)	2 (4.00)	2 (6.45)	1 (0.73)	5 (4.76)	11 (3.24)
	Individual entrepreneur	5 (29.41)	9 (18.00)	5 (16.13)	17 (12.41)	24 (22.86)	60 (17.65)
	Limited company	11 (64.71)	37 (74.00)	24 (77.42)	111 (81.02)	72 (68.57)	255 (75.00)
	Simple limited company	0 (0.00)	1 (2.00)	0 (0.00)	6 (4.38)	4 (3.81)	11 (3.24)
	Pure simple company	0 (0.00)	1 (2.00)	0 (0.00)	2 (1.46)	0 (0.00)	3 (0.87)
Agreement	Private	15 (88.24)	25 (50.00)	18 (58.06)	69 (50.36)	69 (65.71)	196 (57.65)
	Private health insurance	2 (11.76)	23 (46.00)	13 (41.94)	64 (46.72)	32 (30.48)	134 (39.41)
	Private and SUS ^†	0 (0.0)	2 (4.00)	0 (0.00)	4 (2.92)	4 (3.81)	10 (2.94)

Year	N *	% ^†	Standard error ^‡
2003	1	0.29	0.29
2004	1	0.29	0.29
2005	1	0.29	0.29
2006	1	0.29	0.29
2007	2	0.59	0.41
2008	3	0.88	0.50
2009	2	0.59	0.41
2010	2	0.59	0.41
2011	6	1.76	0.71
2012	6	1.76	0.71
2013	6	1.76	0.71
2014	9	2.65	0.87
2015	12	3.53	1.00
2016	13	3.82	1.04
2017	16	4.71	1.14
2018	28	8.24	1.49
2019	31	9.12	1.56
2020	46	13.53	1.85
2021	63	18.53	2.10
2022	47	13.82	1.87
2023	46	13.53	1.85

Period	APC*	p - value ^†	95%CI ^‡	Trends
2003 – 2021	30.07	0.00	28.51 – 34.65	Growing
2021 – 2023	-12.45	0.17	-24.09 – 1.67	Stationary
2003 – 2023	25.01 ^§	0.00	23.55 – 28.65	Growing

[1] Source: National Register of Health Establishments (CNES)

*% = Relative Frequency; ^†SUS = Unified Health System

Business entrepreneurship in nursing care facilities in Brazil: an ecological study

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