A saúde suplementar em perspectiva bioética

Carvalho, Regina Ribeiro Parizi; Fortes, Paulo Antonio de Carvalho; Garrafa, Volnei

doi:10.1016/j.ramb.2013.06.017

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Healthcare universal coverage is provided to all Brazilian citizens through a unified medicine system, free of charge, called “Sistema Unico de Saude (SUS)”. 6 Most of the vascular surgeons that have some form of job agreement with SUS also hold private practice jobs. Similar to the Veterans Affairs system in the USA, Brazilian vascular surgeons who work at SUS facilities can claim a pension based on the duration of their services.…”

Section: Discussionmentioning

confidence: 99%

“…However, complementary private healthcare systems coexist with the unified public healthcare system, which accentuate the separation between the rich and the poor. 6 The objective of this study was to analyze the survey responses from vascular surgeons in Brazil to understand the impact of the COVID-19 pandemic on these individuals during the time period of 10–24 April 2020.…”

Section: Introductionmentioning

confidence: 99%

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Brazilian vascular surgeons experience during the coronavirus (COVID-19) pandemic

et al. 2020

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Background The COVID-19 pandemic has made a significant impact on all spheres of society. The objective of this study was to examine the impact of COVID-19 on the practices, finances, and social aspects of Brazilian vascular surgeons’ lives. Methods This is a descriptive analysis of the responses from Brazilian vascular surgeons to the cross-sectional anonymous Society for Vascular Surgery Wellness Task Force Pandemic Practice, Anxiety, Coping, and Support Survey for Vascular Surgeons disseminated 14–24 April 2020. Survey dissemination in Brazil occurred mainly via the Brazilian Society of Angiology and Vascular Surgery (SBACV) and social media. The survey evaluated the impact of the COVID-19 pandemic on vascular surgeons’ lives by assessing COVID-19-related stressors, anxiety using theGeneral Anxiety Disorder (GAD)-7 scale, and coping strategies using the Brief Coping Orientation to Problems Experienced (Brief-COPE) inventory. Results A total of 452 responses were recorded from Brazil, with 335 (74%) respondents completing the entire survey. The majority of respondents were males ( N = 301, 67%) and practiced in an urban hospitals. The majority of respondents considered themselves at high risk to be infected with COVID-19 ( N = 251, 55.8%), and just over half the respondents noted that they had adequate PPE at their primary hospital ( N = 171, 54%). One hundred and nine (35%) surgeons confirmed that their hospitals followed professional surgical society guidelines for prioritizing surgeries during the pandemic. At the time of the survey, only 33 (10%) surgeons stated they have pre-operative testing of patients for COVID-19 available at their hospital. Academic vascular surgeons reported being redeployed more often to help with other non-vascular duties compared to community-based or solo practitioners (43% vs. 30% vs. 21% respectively, P = .01). Severe anxiety due to pandemic-related financial concerns was similar in those surgeons practicing solo compared to those in community- or academic-based/group practice (46% vs. 38% vs. 22%; P = .54). The respondents reported their anxiety levels as mild based on the stressors investigated instead of moderate-severe (54% vs. 46%; P = .04). Social media was utilized heavily during the pandemic, with video gatherings being the most commonly used tool (76%). Self-distraction (60%) and situational acceptance (81%) were the most frequently reported coping mechanisms used among Brazilian vascular surgeons. Conclusion The COVID pandemic has greatly affected healthcare providers around the world. At the time of this survey, Brazilian vascular surgeons are reporting low anxiety levels during this time and are using mostly active coping mechanisms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Brazilian vascular surgeons experience during the coronavirus (COVID-19) pandemic

et al. 2020

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“…Ela apresenta e discute questões que colocam em pauta os valores éticos e morais que devem ser agregados ao desenvolvimento tecnológico e científico nas sociedades, em conjunto com as dimensões humanas e sociais (6).…”

Section: Introductionunclassified

Fatores de risco no uso de antimicrobianos em uma instituição hospitalar: reflexões bioéticas

2016

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Resumo:Estudo descritivo e exploratório, retrospectivo, realizado a partir da coleta em prontuários de pacientes de uma unidade hematológica de um hospital de grande porte do município de Divinópolis, Minas Gerais, Brasil, com o objetivo de identificar fatores de risco no uso de antimicrobianos, no período de janeiro de 2010 a dezembro de 2012. A partir dos fatores identificados, foram propostas reflexões bioéticas baseadas no princípio da não maleficência, com enfoque para a questão da resistência bacteriana. Identificou-se como fatores de risco, a falta de adoção de medidas de precaução conforme o tipo de microorganismos, o uso empírico dos antimicrobianos, a não solicitação de cultura com antibiograma, a falta de adesão aos protocolos institucionais do serviço de controle de infecção e o tempo prolongado de internação hospitalar. Os resultados evidenciaram situações de risco que demonstram o uso irracional de antimicrobianos na instituição estudada, levando a riscos e até mesmo danos aos pacientes e contribuindo para o aumento da resistência bacteriana. Ressalta-se a importância de investimentos em pesquisas e na produção de novos antimicrobianos, entretanto, devem-se adotar medidas de controle e prevenção dos riscos associados à utilização indevida dos mesmos, conscientização profissional, institucional e da própria sociedade. Palavras-chave: agentes anti-infecciosos, fatores de risco, bioética, resistência bacteriana Factores de riesgo en el uso de antimicrobianos en una institución hospitalaria: reflexiones bioéticasResumen: Estudio retrospectivo descriptivo y exploratorio, realizado a partir de la recopilación de los registros de pacientes en una unidad de hematología de un hospital en la ciudad de Divinópolis, Minas Gerais, Brasil, con el objetivo de identificar los factores de riesgo en el uso de antimicrobianos en de enero 2010 a diciembre 2012. sobre la base de los factores identificados fueron propuestos reflexiones bioéticas basadas en el principio de no-maleficencia, centrándose en la cuestión de la resistencia bacteriana. Sido identificados como factores de riesgo, la falta de adopción de medidas cautelares de acuerdo al tipo de microorganismos, el uso empírico de antimicrobianos, la no captación de la cultura antibiograma, la falta de adherencia a los protocolos institucionales para el servicio de control de infecciones y hospitalización prolongada. Los resultados mostraron situaciones de riesgo que muestran el uso irracional de los agentes antimicrobianos en la institución estudiada, lo que lleva a los riesgos e incluso dañar a los pacientes y contribuir al aumento de la resistencia bacteriana. Hacemos hincapié en la importancia de la inversión en la investigación y producción de nuevos antibióticos, sin embargo, se debe adoptar medidas de control y prevención de los riesgos asociados con el uso indebido de los mismos, profesional, y la conciencia institucional de la sociedad misma.Palabras clave: agentes antiinfecciosos, factores de riesgo, bioética, resistencia bacteriana Risk factors in the u...

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“…Also according to Carvalho, bioethics is based on the transparency of information, the recognition of diverse interests, respect for differences, mediation of conflicts, the formulation, and reformulation of agreements, considering that many truths are transitory (…) [due to] the inequalities, diversity, and complexity of contemporary life 5 .…”

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confidence: 99%

Bioética, saúde e realidade brasileira

Barchifontaine

Trindade

2019

Rev. Bioét.

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Resumo Este artigo propõe abordagem social, crítica, ativa, humanista, justa e eficaz no combate às desigualdades do sistema de saúde. Busca-se discutir formas de sanar os problemas da assistência no país a partir de análise sociológica que considera questões de classe. A saúde é aqui discutida como direito inalienável de todo cidadão, com base nos princípios da inclusão, universalidade, integralidade e equidade, propondo metas para uma bioética que rompa com as causas de desequilíbrio na assistência. São enfatizados o bem comum e a ética da vida, ressaltando a importância da solidariedade e da busca da igualdade entre os seres humanos.

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A saúde suplementar em perspectiva bioética

Cited by 6 publications

References 12 publications

Brazilian vascular surgeons experience during the coronavirus (COVID-19) pandemic

Brazilian vascular surgeons experience during the coronavirus (COVID-19) pandemic

Fatores de risco no uso de antimicrobianos em uma instituição hospitalar: reflexões bioéticas

Bioética, saúde e realidade brasileira

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