Public-private relation in the Brazilian policy of tertiary care for cardiovascular conditions

Oliveira, Petter Ricardo de; Guerra, Mariana; Gomes, Adalmir de Oliveira; Martins, Aiane Luiz

doi:10.1590/0034-761220170179x

Cited by 4 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly to the aforementioned results, in a study conducted to discuss the public-private relationship in high-complexity cardiovascular care in SUS, the authors evidenced that 73% of the services were provided by private entities hired by SUS ( 8 ) .…”

Section: Discussionmentioning

confidence: 60%

“…In this perspective, the scarcity of studies conducted on how surgical hospitalizations are distributed by SUS is highlighted, focusing on the legal nature of the hospital units, including all surgical specialties and of national geographic scope. In fact, an existing study with this focus was limited to addressing the public-private arrangement in only one surgical specialty ( 8 ) . Therefore, this study is a precursor in the production of this knowledge and can contribute to reducing the knowledge gaps and to the scientific advancement of this theme in Health and Nursing.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Public-private relationship in surgical hospitalizations through the Unified Health System

Sá

Covre

Melo

et al. 2021

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: to characterize surgical hospitalizations, length of stay, cost and mortality, according to the legal nature (public and private) of the hospital institution linked to the Unified Health System (Sistema Único de Saúde, SUS). Method: a descriptive study, of the survey type, with retrospective data collection (2008 to 2017) and a quantitative approach. The dependent variables surgical hospitalizations in Brazil, costs, length of stay and mortality and the independent variables regime/legal nature (public and private) were obtained from the Informatics Department of the Unified Health System. The Mann-Whitney test was used for analysis. Results: the average number of hospitalizations through the Unified Health System was 4,214,083 hospitalizations/year, 53.5% occurred in private hired hospitals and 46.5% in public hospitals (p=0.001). The financial transfer was greater for the private sector (60.6%) against 39.4% for the public (p=0.001). The average stay was 4.5 days in the public hospital and 3.1 days in its private counterpart (p<0.001). Mortality was higher in the public (1.8%) than in the private hospital (1.4%) (p<0.001). Conclusion: there was predominance of surgical hospitalizations through the Unified Health System in private hospitals with greater financial transfer to this sector, to the detriment of the public. The diverse evidence produced contributes to the debate and actions to avoid budgetary asphyxiation in the public sector in favor of the private sector.

show abstract

Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Public-private relationship in surgical hospitalizations through the Unified Health System

Sá

Covre

Melo

et al. 2021

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…Furthermore, awareness regarding the benefit of a healthy lifestyle is limited, and we observe the adoption of unhealthy diets, low physical activity, and high consumption of alcohol and tobacco especially in low-income communities [ 40 ]. It is important that both patients and health care professionals belonging to the public health system [ 43 , 44 ] receive continued education and updates from the latest available clinical practice guidelines from the Brazilian Society of Cardiology, and that they understand the importance of adopting the guidelines and achieving the goals in daily practice.…”

Section: Discussionmentioning

confidence: 99%

Challenges faced by patients with dyslipidemia and systemic arterial hypertension in Brazil: a design of the patient journey

Faria-Neto

Yarleque²,

Vieira³

et al. 2022

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background and objective Non-communicable diseases like systemic arterial hypertension (SAH) and dyslipidemia are poorly studied in terms of patient journey aspects. This semi-systematic review provides evidence synthesis for the management of SAH and dyslipidemia in Brazil and also discusses challenges faced by patients at the local level along with a suggested care approach by local experts. Methods A semi-systematic review using both structured literature databases (Embase and Medline) and unstructured scientific records (WHO, IPD, MOH and Google) on hypertension and dyslipidemia in the English language from 2010 to 2019 was performed by reviewers. After two-level screening based on pre-defined criteria, patient journey touchpoints and prevalence information were extracted from the included articles. Data gaps were bridged through the insights of local experts. Results Prevalence of hypertension and dyslipidemia in Brazil were 23% and 40.8%, respectively. Awareness of dyslipidemia was found in a larger proportion (58.1%) than in SAH (22.2%). Similarly, screening for hypertension (97%) and dyslipidemia (55.4%) were found to be effective, while treatment was (62.9%) and (30.0%) for hypertension and dyslipidemia, respectively. Conclusion There were important gaps on patient awareness and treatment of dyslipidemia and hypertension. Limited patient education, regional disease distribution, and treatment allocation, along with limited resources for diagnosis and treatment are the key challenges.

show abstract

“…[40][41][42] Furthermore, awareness regarding the bene t of a healthy lifestyle is limited, and we observe the adoption of unhealthy diets, low physical activity, and high consumption of alcohol and tobacco especially in low-income communities. [40] It is important that both patients and health care professionals belonging to the public health system [43,44] receive continued education and updates from the latest available clinical practice guidelines from the Brazilian Society of Cardiology, and that they understand the importance of adopting the guidelines and achieving the goals in daily practice.…”

Section: Challenges With Patient Journey Touchpointsmentioning

confidence: 99%

Challenges Faced by Patients with Dyslipidemia and Systemic Arterial Hypertension in Brazil: A Design of the Patient Journey

Neto

Yarleque

Vieira

et al. 2021

Preprint

View full text Add to dashboard Cite

Background & Objective: Non-communicable diseases like systemic arterial hypertension (SAH) and dyslipidemia are poorly studied in terms of patient journey aspects. This semi-systematic review provides evidence synthesis for the management of SAH and dyslipidemia in Brazil and also discusses challenges faced by patients at the local level along with a suggested care approach by local experts.Methods: A semi-systematic review using both structured literature databases (Embase and Medline) and unstructured scientific records (WHO, IPD, MOH and Google) on hypertension and dyslipidemia in the English language from 2010–2019 was performed by reviewers. After two-level screening based on pre-defined criteria, patient journey touchpoints and prevalence information were extracted from the included articles. Data gaps were bridged through the insights of local experts.Conclusion: Limited patient education, regional disease distribution, and treatment allocation, along with limited resources for diagnosis and treatment are the key challenges. To improve overall patient journey considering critical touchpoints, timely and strict adoption of pharmacological treatment guidelines, campaigns for increased patient literacy about healthy diet and lifestyle modification, about the importance of self-reporting for early disease diagnosis, and benefits of treatment adherence are strongly recommended. Also, it is suggested to ensure the availability of skilled resources through continued education to render quality care to cardiovascular patients in Brazil.

show abstract

Public-private relation in the Brazilian policy of tertiary care for cardiovascular conditions

Cited by 4 publications

References 12 publications

Public-private relationship in surgical hospitalizations through the Unified Health System

Public-private relationship in surgical hospitalizations through the Unified Health System

Challenges faced by patients with dyslipidemia and systemic arterial hypertension in Brazil: a design of the patient journey

Challenges Faced by Patients with Dyslipidemia and Systemic Arterial Hypertension in Brazil: A Design of the Patient Journey

Contact Info

Product

Resources

About