Latin American Health Regimes in the Face of the Pandemic

Bizberg, Ilán

doi:10.4000/interventionseconomiques.16665

Cited by 4 publications

(7 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Márquez-González et al [27], Carrillo-Vega et al [51], and Salinas-Escudero et al [52] analyzed the national database to identify the risk factors for hospitalization and death in the Mexican population, showing a lower patient survival rate among those hospitalized in public institutions. This problem is prevalent among health systems in most LAC countries, which, to varying degrees, all lack universal public health regimes, instead relying heavily on private subsystems and, in most cases, considerable out-of-pocket expenses [32,[53][54][55]. In their cohort study of a private healthcare network in Brazil, De Oliveira et al also reported a considerably lower mortality rate compared with other cohorts from the public subsystem in Brazil and other parts of the world [5].…”

Section: Discussionmentioning

confidence: 99%

“…Latin America and the Caribbean (LAC) has arguably been one of the areas most impacted by the pandemic, five of the region's countries being among the 20 with the highest number of reported cases and deaths [30,31]. The pandemic has had a very elevated socioeconomic impact on the region, particularly affecting vulnerable populations: groups with a high poverty index or a lack of formal employment [21,31] as well as those with preexisting comorbidities, exacerbated by deficiencies of the health institutions in vulnerable countries [32], with most of these regions being unable to guarantee public healthcare to a considerable percentage of the population. As a response to the lack of complete public coverage, health systems in countries such as Mexico are forced to rely heavily on private spending [32][33][34].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors for Mortality of Hospitalized Adult Patients with COVID-19 Pneumonia: A Two-Year Cohort Study in a Private Tertiary Care Center in Mexico

López-Pérez

Cruz-Pavlovich

Montiel-Cortés

et al. 2023

IJERPH

View full text Add to dashboard Cite

During the COVID-19 pandemic, the high prevalence of comorbidities and the disparities between the public and private health subsystems in Mexico substantially contributed to the severe impact of the disease. The objective of this study was to evaluate and compare the risk factors at admission for in-hospital mortality of patients with COVID-19. A 2-year retrospective cohort study of hospitalized adult patients with COVID-19 pneumonia was conducted at a private tertiary care center. The study population consisted of 1258 patients with a median age of 56 ± 16.5 years, of whom 1093 recovered (86.8%) and 165 died (13.1%). In the univariate analysis, older age (p < 0.001), comorbidities such as hypertension (p < 0.001) and diabetes (p < 0.001), signs and symptoms of respiratory distress, and markers of acute inflammatory response were significantly more frequent in non-survivors. The multivariate analysis showed that older age (p < 0.001), the presence of cyanosis (p = 0.005), and previous myocardial infarction (p = 0.032) were independent predictors of mortality. In the studied cohort, the risk factors present at admission associated with increased mortality were older age, cyanosis, and a previous myocardial infarction, which can be used as valuable predictors for patients’ outcomes. To our knowledge, this is the first study analyzing predictors of mortality in COVID-19 patients attended in a private tertiary hospital in Mexico.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Mortality of Hospitalized Adult Patients with COVID-19 Pneumonia: A Two-Year Cohort Study in a Private Tertiary Care Center in Mexico

López-Pérez

Cruz-Pavlovich

Montiel-Cortés

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…The findings of this study may thus be reflecting the effects of problems existing in the dental sector labour market prior to the pandemic, especially in southern Brazil, where this study took place and where, after the southeast, most of Brazil's dentists are concentrated 32 . The findings, which are grounded in the concepts of the theoretical models applied 33,34 , help to explain, in part, socioeconomic points of view on occupa-tional stress among dentists, which was aggravated during COVID-19.…”

Section: Discussionmentioning

confidence: 84%

“…In Latin America, the pandemic defeated not only the health systems but also the historical model of Iberian American societies without universal social protection regimens 32,33 . Health systems in the region need to be organized practically under the principle of Health for All, but rather Health for Some 34 .…”

Section: The Structural Postponement Of Forecasting Attention By Deve...mentioning

confidence: 99%

Resilient health systems for already resilient countries? Pandemic discourses in the post-COVID-19 era

Arroyo-Laguna

2023

Ciênc. saúde coletiva

View full text Add to dashboard Cite

This study aimed to reconstruct and analyze the discourses of the pandemic in the post-COVID-19 era. The methodology was based on a critical review of the scientific literature on the pandemic, selecting 80 non-biomedical, clinical, or pharmacological articles published in journals indexed in Scopus or Web of Science from a sample of the 500 most cited scientific articles on the pandemic in Google Scholar. The theoretical approach was based on the debates on predictability, unpredictability, determination, and indeterminacy in the health and social sciences. As a result, six theses on the pandemic were identified and analyzed: a) the thesis of the unpredictability of pandemics; b) the thesis of pandemic denial; c) the thesis of the pandemic as a failure in predictability systems; d) the thesis of the prevention of catastrophic events with timely interventions; e) the thesis of the structural postponement of predictive care by non-developed countries; and f) the environmentalist-health thesis, of foreseeing a critical phase for the planet and humanity. We concluded on the limits of resilience as the center in preparing Latin American health systems in the post-pandemic.

show abstract

“…Porque en Latinoamérica la pandemia derrotó no sólo a los sistemas de salud, sino al modelo histórico de sociedades iberoamericanas sin regímenes de protección social universales 32,33 . Los sistemas de salud de la región no están organizados en términos prácticos según el principio de Salud para Todos, sino de Salud para Algunos 34 .…”

Section: La Postergación Estructural De La Atención De Predicciones P...unclassified

¿Sistemas de salud resilientes para países ya resilientes? Los discursos de la pandemia en la era post COVID-19

Arroyo-Laguna

2023

Ciênc. saúde coletiva

View full text Add to dashboard Cite

Resumen El objetivo fue reconstruir y analizar los discursos de la pandemia en la era post-COVID-19. La metodología se basó en una revisión crítica de la literatura científica sobre la pandemia, seleccionándose entre una muestra de los 500 artículos científicos más citados en Google Scholar sobre la pandemia, a 80 artículos de carácter no biomédico, clínico o farmacológico, publicados en revistas indexadas en Scopus o Web of Science. El abordaje teórico se basó en los debates sobre predictibilidad e impredecibilidad, determinación e indeterminación, en las ciencias de la salud y ciencias sociales. Como resultado se identificaron y analizaron seis tesis sobre la pandemia: a) la tesis de la impredecibilidad de las pandemias; b) la tesis negacionista de la pandemia; c) la tesis de la pandemia como falla en los sistemas de predictibilidad; d) la tesis de la prevención de eventos catastróficos con intervenciones puntuales; e) la tesis de la postergación estructural de la atención de predicciones por los países no desarrollados; y f) la tesis ecologista-sanitaria, de previsión de una fase crítica para el planeta y la humanidad. Se concluyó sobre los límites de la resiliencia como centro en la preparación de los sistemas de salud de Latinoamérica en la post-pandemia.

show abstract

Latin American Health Regimes in the Face of the Pandemic

Abstract: Les régimes de santé latino-américains face à la pandémie Los regímenes de salud latinoamericanos ante la pandemia Ilán BizbergWith the collaboration of Mauricio Jiménez Hernández.

Cited by 4 publications

References 17 publications

Risk Factors for Mortality of Hospitalized Adult Patients with COVID-19 Pneumonia: A Two-Year Cohort Study in a Private Tertiary Care Center in Mexico

Risk Factors for Mortality of Hospitalized Adult Patients with COVID-19 Pneumonia: A Two-Year Cohort Study in a Private Tertiary Care Center in Mexico

Resilient health systems for already resilient countries? Pandemic discourses in the post-COVID-19 era

¿Sistemas de salud resilientes para países ya resilientes? Los discursos de la pandemia en la era post COVID-19

Contact Info

Product

Resources

About