Navegando por Palavras-chave "Healthcare disparities"

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    Tendências do tratamento das lesões do ligamento cruzado anterior do joelho nos sistemas de saúde pública e suplementar do Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2014-02-26) Batista, Rodrigo Martins Borges Ferreira [UNIFESP]; Cohen, Moises [UNIFESP]; http://lattes.cnpq.br/6174355233304675; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE: Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding the treatment of a damaged anterior cruciate ligament (ACL), which is a common knee injury. DESIGN AND SETTING: Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS: We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS: The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. DISCUSSION: Patients with ACL injuries are sometimes dealt with differently in the public and private systems in Brazil. In some situations, the results are not so disparate, but in others, the harm done both to patients and to surgeons themselves may become irreparable. This may be due either to the restrictions of healthcare operators or to the limited or poorly distributed budget of the Brazilian National Health System (Sistema Único de Saúde, SUS). In fact, what is done in practice does not always follow what the literature suggests as the most appropriate treatment. CONCLUSIONS: Both in the public and in the private systems in Brazil, because of nonmedical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.
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    Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil
    (Associação Paulista de Medicina - APM, 2013-01-01) Astur, Diego Costa; Batista, Rodrigo Ferreira; Arliani, Gustavo Goncalves; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.