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

作     者：Paul R Truche Abbie E Naus Fabio Botelho Julia Ferreira Alexis Bowder Luke Caddell Kathrin Zimmerman Isabella Maria de Freitas Faria Bellisa Caldas Lopes Eduardo Corrêa Costa Fernanda Lage Lima Dantas Augusto J S A Cavalcante Carlos A L B Carvalho Simone Abib David P Mooney Nivaldo Alonso Paul R Truche;Abbie E Naus;Fabio Botelho;Julia Ferreira;Alexis Bowder;Luke Caddell;Kathrin Zimmerman;Isabella Maria de Freitas Faria;Bellisa Caldas Lopes;Eduardo Corrêa Costa;Fernanda Lage Lima Dantas;Augusto J S A Cavalcante;Carlos A L B Carvalho;Simone Abib;David P Mooney;Nivaldo Alonso

作者机构：Program in Global Surgery and Social ChangeHarvard Medical SchoolBostonMassachusettsUSA Department of SurgeryRutgers Robert Wood Johnson Medical SchoolNew BrunswickNew JerseyUSA Department of Pediatric SurgeryMcGill UniversityMontrealQuébecCanada Department of SurgeryMedical College of WisconsinMilwaukeeWisconsinUSA Division of Otolaryngology-Head and Neck SurgeryDepartment of SurgeryUniversity of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA School of MedicineUFMGBelo HorizonteMinas GeraisBrazil Department of Pediatric SurgeryInstituto de Medicina Integral Professor Fernando FigueiraRecifeBrazil Department of Pediatric SurgeryHospital de Clinicas de Porto AlegrePorto AlegreBrazil Department of Pediatric SurgeryFederal University of AcreRio BrancoBrazil Department of Pediatric SurgeryHospital Santa Casa de Belo HorizonteBelo HorizonteBrazil Department of Pediatric SurgeryFederal University of Mato GrossoCuiabaBrazil Department of Pediatric SurgeryUNIFESPSao PauloBrazil Department of Pediatric SurgeryBoston Children's HospitalBostonMassachusettsUSA Department of Plastic SurgeryUniversity of São Paulo Institute of Biomedical SciencesSao PauloBrazil 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2023年第6卷第3期

页      面：136-146页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：pediatric survey Brazil 

摘      要：Objective In 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 *** A cross-sectional national survey of pediatric surgeons in Brazil was *** 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 *** were weighted by state and stratified by sector(public vs private).Results A 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(‘SistemaÚnico de Saúde’and Foundation hospitals),and most of them also work in the private ***,Brazilian pediatric surgeons have the expertise to provide thoracic,abdominal,and urologic *** working mostly in the public sector were more likely to report a lack of access to essential medications(25%vs 9%,p0.01)and a lack of access to hospital beds for surgical patients(52%vs 32%,p0.01).Conclusions Brazilian pediatric surgeons routinely perform thoracic,abdominal,and urologic *** working in government-financed hospitals face barriers related to infrastructure,which may impact Brazilians who rely on Brazil’s universal health coverage *** that support pediatric surgeons working in the public sector may promote the workforce available to provide congenital pediatric surgical care.