Delivery of essential pediatric congenital surgical care within Brazil's universal health coverage system: a national survey of pediatric surgeons.
Congenital Abnormalities
Health Care Economics and Organizations
Hospitals, Pediatric
Pediatrics
Journal
World journal of pediatric surgery
ISSN: 2516-5410
Titre abrégé: World J Pediatr Surg
Pays: England
ID NLM: 101761337
Informations de publication
Date de publication:
2023
2023
Historique:
received:
25
11
2022
accepted:
10
05
2023
medline:
17
7
2023
pubmed:
17
7
2023
entrez:
17
9
2024
Statut:
epublish
Résumé
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 sectors. A cross-sectional national survey of pediatric surgeons in Brazil was conducted. Participants were asked which of 23 interventions identified through the 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 ('Sistema Único de Saúde' 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). Brazilian 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.
Identifiants
pubmed: 39286360
doi: 10.1136/wjps-2022-000534
pii: wjps-2022-000534
pmc: PMC11403139
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e000534Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: PRT is a member of the Editorial Board for World Journal of Pediatric Surgery. The paper was handled by the other associate editors and has undergone a rigorous peer review process. PRT was not involved in the journal’s review of, or decisions related to, this manuscript.