Treatment Delays for Patients Exiting an Aortic Aneurysm Surveillance Programme

Oram, Byron J.; Buckenham, T.M.; Roake, Justin; Lewis, David R.

doi:10.1111/j.1445-2197.2007.04391.x

“…The risk of such gaps is in the lack of healthcare for patients in need of cardiovascular surgery. For instance, several studies (e.g., Oram, Buckenham, Roake, & Lewis, 2008;Turnbull et al, 2000) have shown that late diagnosis, examination and treatment of patients with peripheral obstructive arterial disease lead to increased complications and mortality.…”

Section: Resultsmentioning

confidence: 99%

Relação público-privada na política brasileira de atenção cardiovascular de alta complexidade

Oliveira

¹

,

Guerra

²

,

Gomes

³

et al. 2019

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Specialized health care in Brazil has been provided by the private sector under public regulation and financing since the 1950s. It continued after the promulgation of the 1988 Federal Constitution, which also created the Unified Health System (SUS). In the last decades, the share of the private sector has increased in tertiary care, including cardiovascular services, generating changes in SUS. This study analyzes the public-private relationship in the National Tertiary Care Policy for Cardiovascular Conditions from 2008 to 2014. The results indicate that, compared to the public sector, the private sector has a greater share in both tertiary care for cardiovascular conditions and receivables for providing health services. This points to a contradiction in the management of the health system in Brazil, which, albeit public, all-population-oriented, and free in its conception, has privileged the private sector.

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“…The number of patients waiting for surgery in Brazil is greater than the number of hospital beds available at the SUS, and treatment delay may increase the rate of amputations and deaths. ( 3 , 6 )…”

Section: Discussionmentioning

confidence: 99%

“…O número de pacientes aguardando cirurgia em nosso país é maior que o número de vagas disponibilizado pelo SUS, e o atraso no tratamento pode aumentar o índice de amputações e óbitos. ( 3 , 6 )…”

Section: Discussionunclassified

“…( 4 ) Turnbull et al and Oram et al noticed that a delay in treating patients with abdominal aorta aneurysm (AAA) increases the incidence of ruptures and results in higher mortality rate. ( 5 , 6 )…”

Section: Introductionmentioning

confidence: 99%

“…( 4 ) Turnbull et al e Oram et al verificaram que o atraso no atendimento de pacientes portadores de aneurisma de aorta abdominal (AAA) pode aumentar o índice de ruptura e mortalidade. ( 5 , 6 )…”

Section: Introductionunclassified

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Public private partnership in vascular surgery

Mendes

¹

,

Martins

²

,

Teivelis

³

et al. 2014

Einstein (São Paulo)

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Objective To describe and analyze the results of a public-private partnership between the Ministry of Health and a private hospital in a project of assistance and scientific research in the field of endovascular surgery. Methods: The flows, costs and clinical outcomes of patients treated in a the public-private partnership between April 2012 and July 2013 were analyzed. All patients underwent surgery and stayed at least one day at the intensive care unit of the private hospital. They also participated in a research protocol to compare two intravenous contrast media used in endovascular surgery (iodinated contrast and carbon dioxide).Results A total of 62 endovascular procedures were performed in 57 patients from the public healthcare system. Hospital and endovascular supplies expenses were significantly higher as compared to the amount paid by the Unified Health System (SUS - Sistema Único de Saúde) in two out of three disease groups studied. Among outpatients, the average interval between appointment and surgery was 15 days and, in hospitalized patients 7 days. All procedures were successful with no conversion to open surgery. The new contrast medium studied - carbon dioxide – was effective and cheaper.Conclusion The waiting time for patients between indication and accomplishment of surgery was significantly reduced. Public-private partnerships can speed up care of patients from public health services, and generate and improve scientific knowledge.

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

Oliveira

¹

,

Guerra

²

,

Gomes

³

et al. 2019

View full text Add to dashboard Cite

Specialized health care in Brazil has been provided by the private sector under public regulation and financing since the 1950s. It continued after the promulgation of the 1988 Federal Constitution, which also created the Unified Health System (SUS). In the last decades, the share of the private sector has increased in tertiary care, including cardiovascular services, generating changes in SUS. This study analyzes the public-private relationship in the National Tertiary Care Policy for Cardiovascular Conditions from 2008 to 2014. The results indicate that, compared to the public sector, the private sector has a greater share in both tertiary care for cardiovascular conditions and receivables for providing health services. This points to a contradiction in the management of the health system in Brazil, which, albeit public, all-population-oriented, and free in its conception, has privileged the private sector.

show abstract

Treatment Delays for Patients Exiting an Aortic Aneurysm Surveillance Programme

Cited by 3 publications

References 6 publications

Relação público-privada na política brasileira de atenção cardiovascular de alta complexidade

Relação público-privada na política brasileira de atenção cardiovascular de alta complexidade

Public private partnership in vascular surgery

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

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