153 lines
5.1 KiB
YAML
153 lines
5.1 KiB
YAML
abstract: 'ObjectiveIn this study, we assess the delivery of congenital pediatric
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surgical care under Brazil''s system of universal health coverage and
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evaluate differences in delivery between public and private sectors.
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MethodsA cross-sectional national survey of pediatric surgeons in Brazil
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was conducted. Participants were asked which of 23 interventions
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identified through the Disease Control Priorities 3 (Surgical
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Interventions for Congenital Anomalies) they perform and to report
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barriers faced while providing surgical care. Responses were weighted by
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state and stratified by sector (public vs private). ResultsA sample of
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352 responses was obtained and weighted to represent 1378 practicing
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pediatric surgeons registered in Brazil during the survey time. 73\%
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spend the majority of their time working in the public sector (''Sistema
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unico de Saude'' and Foundation hospitals), and most of them also work in
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the private sector. Generally, Brazilian pediatric surgeons have the
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expertise to provide thoracic, abdominal, and urologic procedures.
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Surgeons working mostly in the public sector were more likely to report
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a lack of access to essential medications (25\% vs 9\%, p<0.01) and a
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lack of access to hospital beds for surgical patients (52\% vs 32\%,
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p<0.01). ConclusionsBrazilian pediatric surgeons routinely perform
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thoracic, abdominal, and urologic surgery. Those working in
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government-financed hospitals face barriers related to infrastructure,
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which may impact Brazilians who rely on Brazil''s universal health
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coverage system. Policies that support pediatric surgeons working in the
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public sector may promote the workforce available to provide congenital
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pediatric surgical care.'
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affiliation: 'Naus, AE (Corresponding Author), Harvard Med Sch, Program Global Surg
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\& Social Change, Boston, MA 02115 USA.
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Truche, Paul R.; Naus, Abbie E.; Bowder, Alexis; Caddell, Luke; Zimmerman, Kathrin,
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Harvard Med Sch, Program Global Surg \& Social Change, Boston, MA 02115 USA.
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Truche, Paul R., Rutgers Robert Wood Johnson Med Sch, Dept Surg, New Brunswick,
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NJ USA.
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Botelho, Fabio; Ferreira, Julia, McGill Univ, Dept Pediat Surg, Montreal, PQ, Canada.
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Bowder, Alexis, Med Coll Wisconsin, Dept Surg, Milwaukee, WI USA.
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Zimmerman, Kathrin, Univ Wisconsin Madison, Sch Med \& Publ Hlth, Dept Surg, Div
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Otolaryngol Head \& Neck Surg, Madison, WI USA.
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Faria, Isabella Maria de Freitas, Univ Fed Minas Gerais, Sch Med, Belo Horizonte,
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MG, Brazil.
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Lopes, Bellisa Caldas, Inst Med Integral Prof Fernando Figueira, Dept Pediat Surg,
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Recife, Brazil.
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Costa, Eduardo Correa, Hosp Clin Porto Alegre, Dept Pediat Surg, Porto Alegre, Brazil.
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Dantas, Fernanda Lage Lima, Univ Fed Acre, Dept Pediat Surg, Rio Branco, Brazil.
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Cavalcante, Augusto J. S. A., Hosp Santa Casa Belo Horizonte, Dept Pediat Surg,
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Belo Horizonte, Brazil.
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Carvalho, Carlos A. L. B., Univ Fed Mato Grosso, Dept Pediat Surg, Cuiaba, Brazil.
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Abib, Simone, Univ Fed Sao Paulo, Dept Pediat Surg, Sao Paulo, Brazil.
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Mooney, David P., Boston Childrens Hosp, Dept Pediat Surg, Boston, MA USA.
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Alonso, Nivaldo, Univ Sao Paulo, Dept Plast Surg, Inst Biomed Sci, Sao Paulo, Brazil.'
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article-number: e000534
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author: Truche, Paul R. and Naus, Abbie E. and Botelho, Fabio and Ferreira, Julia
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and Bowder, Alexis and Caddell, Luke and Zimmerman, Kathrin and Faria, Isabella
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Maria de Freitas and Lopes, Bellisa Caldas and Costa, Eduardo Correa and Dantas,
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Fernanda Lage Lima and Cavalcante, Augusto J. S. A. and Carvalho, Carlos A. L. B.
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and Abib, Simone and Mooney, David P. and Alonso, Nivaldo
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author-email: ae.naus1@gmail.com
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author_list:
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- family: Truche
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given: Paul R.
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- family: Naus
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given: Abbie E.
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- family: Botelho
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given: Fabio
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- family: Ferreira
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given: Julia
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- family: Bowder
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given: Alexis
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- family: Caddell
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given: Luke
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- family: Zimmerman
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given: Kathrin
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- family: Faria
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given: Isabella Maria de Freitas
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- family: Lopes
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given: Bellisa Caldas
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- family: Costa
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given: Eduardo Correa
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- family: Dantas
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given: Fernanda Lage Lima
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- family: Cavalcante
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given: Augusto J. S. A.
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- family: Carvalho
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given: Carlos A. L. B.
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- family: Abib
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given: Simone
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- family: Mooney
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given: David P.
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- family: Alonso
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given: Nivaldo
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da: '2023-09-28'
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doi: 10.1136/wjps-2022-000534
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eissn: 2516-5410
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files: []
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journal: WORLD JOURNAL OF PEDIATRIC SURGERY
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keywords: 'Congenital Abnormalities; Pediatrics; Health Care Economics and
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Organizations; Hospitals; Pediatric'
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keywords-plus: MIDDLE-INCOME COUNTRIES; GLOBAL SURGERY; ACCESS
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language: English
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month: JUL
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number: '3'
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number-of-cited-references: '40'
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orcid-numbers: 'Truche, Paul/0000-0001-6511-9887
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de Freitas Faria, Isabella Maria/0000-0002-3073-5636'
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papis_id: 1a70b954f04f137ad82e2fb4cfd661fc
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ref: Truche2023deliveryessential
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times-cited: '0'
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title: 'Delivery of essential pediatric congenital surgical care within Brazil''s
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universal health coverage system: a national survey of pediatric surgeons'
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type: article
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unique-id: WOS:001032217900001
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usage-count-last-180-days: '3'
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usage-count-since-2013: '3'
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volume: '6'
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web-of-science-categories: Pediatrics; Surgery
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year: '2023'
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