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Compreende-se a centralidade intraurbana como especializacoes funcionais de algumas fracoes espaciais da cidade que se singularizam a partir da concentracao e geracao de fluxos permanentes de pessoas e mercadorias. Nessa direcao, a centralidade dos servicos de saude de Teresina tem seu marco inicial com a instalacao do Hospital Getulio Vargas (1941) no centro historico da cidade. Desde entao, diversos hospitais, clinicas, laboratorios e atividades correlatas ai se instalaram, o que lhes configura como o espaco de maior concentracao destes na cidade. Mas, a partir dos anos 2000 inicia-se um processo de descentralizacao dos servicos de saude para outros espacos citadinos, notadamente para os bairros mais centrais da zona Leste. Nesse sentido, objetiva-se analisar a producao espacial da centralidade dos servicos de saude na zona Leste de Teresina, pautado em depoimentos de profissionais e empreendedores dos bairros Fatima, Joquei e Sao Cristovao que lidam com os referidos servicos. Argumenta-se que a constituicao dessa nova centralidade dos servicos de saude de Teresina baseia-se na busca do segmento de renda alta da cidade, o qual exige servicos exclusivos e proximos aos seus locais de moradia ou de mais facil acessibilidade quando comparados aos encontrados no centro principal. Palavras-chaves : Centralidade. Servicos de Saude. Zona Leste de Teresina. Abstract The intraurban centrality is understood as the functional specializations of some space fractions of the city that singularize from the concentration of people and goods permanent flux generation. In this direction, the centrality of the health services of Teresina has its beginning with the installation of Getulio Vargas Hospital (1941) in the historic center of the city. Since then, several hospitals, laboratories and related activities have been installed, which is configured as their greatest concentration space of this city. But, from 2000, a process of decentralization of health services has begun to other city places, mainly to the more central districts of the East region. This way, it is aimed to analyze the space production of the centrality of the health services in the least region of Teresina, based on the testimony of the professionals and entrepreneurs of the districts of Fatima, Joquei and Sao Cristovao that deal with such services. It argues that the constitution of this new centrality of health services in Teresina is based on the search for the high income population of the city, which demands exclusive services and near their living places or of easier accessibility when compared to the ones found in the main downtown.  Keywords : Centrality. Health Services. East Region of Teresina.

caderno de geografia

Centralidade dos serviços de saúde na zona leste de Teresina (PI): uma análise de sua produção espacial / Centrality of the health services in the East region of Teresina, PI: an analysis of its space production