Brazil Health Care System preparation against COVID-19

Silva, Lincoln; Dutra, Amanda de Carvalho; Iora, Pedro Henrique; Ramajo, Guilherme Luiz Rodrigues; Messias, Gabriel Antônio Fernandes; Gualda, Iago Amado Peres; Scheidt, João Felipe Hermann Costa; Amaral, Pedro; Staton, Catherine A.; Rocha, Thiago Augusto Hernandes; Andrade, Luciano de; Vissoci, João Ricardo Nickenig

doi:10.1101/2020.05.09.20096719

Cited by 3 publications

(2 citation statements)

References 40 publications

(48 reference statements)

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“…While high-quality technological dentistry is available in the private sector, low-income citizens depend on public healthcare systems, which are struggling to cope with the pandemic (Silva et al 2020). Dentistry personnel are facing new routines, more expensive and less comfortable PPE, fewer appointments, and less revenue.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil

Moraes

Corrêa

Queiroz

et al. 2020

Preprint

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A nationwide survey of dentists was carried out in Brazil, a new pandemic epicenter, to analyze how dental coverage has been affected (public versus private networks), changes in routine and burdens, and how the local prevalence of COVID-19 affects dental professionals. Dentists were recruited via email and an Instagram campaign. Responses to an online questionnaire were collected May 15-24, 2020. COVID-19 case/death counts in the state where respondents work was used to test associations between contextual status and decreases in weekly appointments, fear of contracting COVID-19 at work, and current work status (alpha=0.05). Over 10 days, 3,122 responses were received, with region, gender, and age distributions similar to those of dentists in Brazil. Work status was affected for 94% of dentists, with less developed regions being more impacted. The impact on routine was high or very high for 84%, leading to varied changes to clinic infrastructure, personal protective equipment use, patient screening, and increased costs. COVID-19 patients had been seen by 5.3% of respondents, and 90% reported fearing contracting COVID-19 at work. Multilevel statistics showed that greater case and death rates (1000 cases or 100 deaths per million inhabitants) in one's state increased the odds of being fearful of contracting the disease (by 18% and 25%). For each additional 1000 cases or 100 deaths, the odds of currently not working or treating emergencies increased by 36% and 58%. The reduction in patients seen weekly per dentist was greater in public (38.7+/-18.6) than in private clinics (22.5+/-17.8). This study provides early evidence of three major impacts of the pandemic on dentistry in Brazil: increasing inequalities due to coverage differences between public and private networks; adoption of new clinical routines, which are associated with an economic burden; and associations of regional COVID-19 incidence and mortality with fear of contracting the disease at work.

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Section: Introductionmentioning

confidence: 99%

COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil

Moraes

Corrêa

Queiroz

et al. 2020

Preprint

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“…The Brazilian government provided �$9.57 billion in emergency funds across Brazil [57]. However, COVID-19 overwhelmed Brazil's health system in some regions, resulting in high mortality rates [58].…”

Section: Plos Onementioning

confidence: 99%

Quantifying holistic capacity response and healthcare resilience in tackling COVID-19: Assessment of country capacity by MCDM

Ozsahin,

Isa,

Uzun

et al. 2024

PLoS ONE

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The resilience of a country during the COVID-19 pandemic was determined based in whether it was holistically prepared and responsive. This resilience can only be identified through systematic data collection and analysis. Historical evidence-based response indicators have been proven to mitigate pandemics like COVID-19. However, most databases are outdated, requiring updating, derivation, and explicit interpretation to gain insight into the impact of COVID-19. Outdated databases do not show a country’s true preparedness and response capacity, therefore, it undermines pandemic threat. This study uses up-to-date evidence-based pandemic indictors to run a cross-country comparative analysis of COVID-19 preparedness, response capacity, and healthcare resilience. PROMETHEE—a multicriteria decision making (MCDM) technique—is used to quantify the strengths (positive) and weaknesses (negative) of each country’s COVID-19 responses, with full ranking (net) from best to least responsive. From 22 countries, South Korea obtained the highest net outranking value of 0.1945, indicating that it was the most resilient, while Mexico had the lowest (-0.1428). Although countries were underprepared, there was a robust response to the pandemic, especially in developing countries. This study demonstrates the performance and response capacity of 22 key countries to resist COVID-19, from which other countries can compare their statutory capacity ranking in order to learn/adopt the evidence-based responses of better performing countries to improve their resilience.

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