Delivery of essential pediatric congenital surgical care within Brazil's universal health coverage system: a national survey of pediatric surgeons

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTRUCHE, Paul R.
dc.contributor.authorNAUS, Abbie E.
dc.contributor.authorBOTELHO, Fabio
dc.contributor.authorFERREIRA, Julia
dc.contributor.authorBOWDER, Alexis
dc.contributor.authorCADDELL, Luke
dc.contributor.authorZIMMERMAN, Kathrin
dc.contributor.authorFARIA, Isabella Maria de Freitas
dc.contributor.authorLOPES, Bellisa Caldas
dc.contributor.authorCOSTA, Eduardo Correa
dc.contributor.authorDANTAS, Fernanda Lage Lima
dc.contributor.authorCAVALCANTE, Augusto J. S. A.
dc.contributor.authorCARVALHO, Carlos A. L. B.
dc.contributor.authorABIB, Simone
dc.contributor.authorMOONEY, David P.
dc.contributor.authorALONSO, Nivaldo
dc.date.accessioned2023-08-16T17:44:17Z
dc.date.available2023-08-16T17:44:17Z
dc.date.issued2023
dc.description.abstractObjectiveIn this study, we assess the delivery of congenital pediatric surgical care under Brazil's system of universal health coverage and evaluate differences in delivery between public and private sectors. MethodsA cross-sectional national survey of pediatric surgeons in Brazil was conducted. Participants were asked which of 23 interventions identified through the Disease Control Priorities 3 (Surgical Interventions for Congenital Anomalies) they perform and to report barriers faced while providing surgical care. Responses were weighted by state and stratified by sector (public vs private). ResultsA sample of 352 responses was obtained and weighted to represent 1378 practicing pediatric surgeons registered in Brazil during the survey time. 73% spend the majority of their time working in the public sector ('Sistema unico de Saude' and Foundation hospitals), and most of them also work in the private sector. Generally, Brazilian pediatric surgeons have the expertise to provide thoracic, abdominal, and urologic procedures. Surgeons working mostly in the public sector were more likely to report a lack of access to essential medications (25% vs 9%, p<0.01) and a lack of access to hospital beds for surgical patients (52% vs 32%, p<0.01). ConclusionsBrazilian pediatric surgeons routinely perform thoracic, abdominal, and urologic surgery. Those working in government-financed hospitals face barriers related to infrastructure, which may impact Brazilians who rely on Brazil's universal health coverage system. Policies that support pediatric surgeons working in the public sector may promote the workforce available to provide congenital pediatric surgical care.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationWORLD JOURNAL OF PEDIATRIC SURGERY, v.6, n.3, article ID e000534, 11p, 2023
dc.identifier.doi10.1136/wjps-2022-000534
dc.identifier.eissn2516-5410
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/54539
dc.language.isoeng
dc.publisherBMJ PUBLISHING GROUPeng
dc.relation.ispartofWorld Journal of Pediatric Surgery
dc.rightsopenAccesseng
dc.rights.holderCopyright BMJ PUBLISHING GROUPeng
dc.subjectCongenital Abnormalitieseng
dc.subjectPediatricseng
dc.subjectHealth Care Economics and Organizationseng
dc.subjectHospitalseng
dc.subjectPediatriceng
dc.subject.othermiddle-income countrieseng
dc.subject.otherglobal surgeryeng
dc.subject.otheraccesseng
dc.subject.wosPediatricseng
dc.subject.wosSurgeryeng
dc.titleDelivery of essential pediatric congenital surgical care within Brazil's universal health coverage system: a national survey of pediatric surgeonseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalTRUCHE, Paul R.:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA; Rutgers Robert Wood Johnson Med Sch, Dept Surg, New Brunswick, NJ USA
hcfmusp.author.externalNAUS, Abbie E.:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA
hcfmusp.author.externalBOTELHO, Fabio:McGill Univ, Dept Pediat Surg, Montreal, PQ, Canada
hcfmusp.author.externalFERREIRA, Julia:McGill Univ, Dept Pediat Surg, Montreal, PQ, Canada
hcfmusp.author.externalBOWDER, Alexis:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA; Med Coll Wisconsin, Dept Surg, Milwaukee, WI USA
hcfmusp.author.externalCADDELL, Luke:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA
hcfmusp.author.externalZIMMERMAN, Kathrin:Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA; Univ Wisconsin Madison, Sch Med & Publ Hlth, Dept Surg, Div Otolaryngol Head & Neck Surg, Madison, WI USA
hcfmusp.author.externalFARIA, Isabella Maria de Freitas:Univ Fed Minas Gerais, Sch Med, Belo Horizonte, MG, Brazil
hcfmusp.author.externalLOPES, Bellisa Caldas:Inst Med Integral Prof Fernando Figueira, Dept Pediat Surg, Recife, Brazil
hcfmusp.author.externalCOSTA, Eduardo Correa:Hosp Clin Porto Alegre, Dept Pediat Surg, Porto Alegre, Brazil
hcfmusp.author.externalDANTAS, Fernanda Lage Lima:Univ Fed Acre, Dept Pediat Surg, Rio Branco, Brazil
hcfmusp.author.externalCAVALCANTE, Augusto J. S. A.:Hosp Santa Casa Belo Horizonte, Dept Pediat Surg, Belo Horizonte, Brazil
hcfmusp.author.externalCARVALHO, Carlos A. L. B.:Univ Fed Mato Grosso, Dept Pediat Surg, Cuiaba, Brazil
hcfmusp.author.externalABIB, Simone:Univ Fed Sao Paulo, Dept Pediat Surg, Sao Paulo, Brazil
hcfmusp.author.externalMOONEY, David P.:Boston Childrens Hosp, Dept Pediat Surg, Boston, MA USA
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcNIVALDO ALONSO
hcfmusp.description.articlenumbere000534
hcfmusp.description.issue3
hcfmusp.description.volume6
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-85165568382
hcfmusp.origem.wosWOS:001032217900001
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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