Brazil is recognized for its social and regional inequalities, and this promotes inequalities in
access to health services, especially in tertiary care, which demands highly complex
assistance in a set of highly specialized therapies and procedures. Social and economic
determinants influence the survival of a population, therefore, based on state and national
public data and epistemological references, economic and social aspects have an influence
on access to hospital admission services and patient outcomes. Therefore, this research
aims to analyze the impacts of economic, social and regional determinants on the demand
for hospitalizations and mortality in public ICUs in Tocantins, outlining the components
related to the IFDM from the 2005 to 2016 series of municipalities in Tocantins, allocating
their weighted averages to each region. health and data on local economic and social
conditions, including the Gini index, per capita income, water supply, population in extreme
poverty and the presence of sewage systems. To analyze the impact of economic and social
variables collected on the demand for clinical, surgical and ICU beds, hospital data for the
same period of the IFDM historical series were analyzed, that is, from 2005 to 2016, taking
into account only hospitalizations of individuals residing in Tocantins. The results found
demonstrated problems related to the access of more vulnerable groups to health services
and the influence of regional economic and social markers on demand and mortality in ICUs.
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