Disease burden in Brazil and its states. Estimates from the Global Burden of Disease Study 2019.

Malta, Déborah Carvalho; Passos, Valéria Maria de Azeredo; Vasconcelos, Ana Maria Nogales; Carneiro, Mariângela; Gomes, Crizian Saar; Ribeiro, Antônio Luiz Pinho

doi:10.1590/0037-8682-0622-2021

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Although chronic non-communicable diseases (NCDs) are responsible for the largest share of the disease burden in the country, including RRMs, infectious diseases, and external causes coexist [ 65 ]. The triple burden of disease reflects Brazilian social inequalities expressed, among other factors, in access to health goods and services [ 13 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

“…The complex nature of the epidemiological situation [ 63 ] and population aging [ 66 ] require implementing integrated health care networks [ 67 ] coordinated by PHC 59 in regional territories [ 60 ], in which specialized care can be accessed from a sociocultural, epidemiological, and clinical perspective, without exposure to unnecessary procedures or mitigation of the full right to health guaranteed by the SUS [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

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Challenges to the provision of specialized care in remote rural municipalities in Brazil

Nunes

Santos

Carneiro

et al. 2022

BMC Health Serv Res

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This case study analyses the challenges to providing specialized care in Brazilian remote rural municipalities (RRM). Interviews were conducted with managers from two Brazilian states (Piauí and Bahia). We identified that the distance between municipalities is a limiting factor for access and that significant care gaps contribute to different organizational arrangements for providing and accessing specialized care. Physicians in all the RRMs offer specialized care by direct disbursement to users or sale of procedures to managers periodically, compromising municipal and household budgets. Health regions do not meet the demand for specialized care and exacerbate the need for extensive travel. RRM managers face additional challenges for the provision of specialized care regarding the financing, implementation of cooperative arrangements, and the provision of care articulated in networks to achieve comprehensive care, seeking solutions to the locoregional specificities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Nunes

Santos

Carneiro

et al. 2022

BMC Health Serv Res

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Tripla carga de doenças no Brasil, 1990-2021

Filho

França

Malta

2022

REME Rev Min Enferm.

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Objetivo: descrever a evolução temporal pela tripla carga de doenças no Brasil, comparando a mortalidade do Sistema de Informação de Mortalidade (SIM) e estudo de Carga Global de Doenças (GBD). Método: estudo descritivo e exploratório sobre a evolução temporal das taxas e a distribuição proporcional de óbitos para doenças infecciosas, crônicas não transmissíveis (DCNT) e causas externas usando duas fontes de dados, 1990 a 2021. As taxas no SIM foram ajustadas pelo método direto por idade e suavizadas por média móvel. As estimativas do GBD corrigem subregistro e causas garbage. Resultados: o Brasil registrou 817.284 óbitos (1990) e 1.349.801 (2019) no SIM, corrigidos em 17,7% e 1,9% no GBD para os respectivos anos. Neste período, as taxas de mortalidade diminuíram nas duas fontes, respectivamente: DCNT -16,8% (433,7 a 360,7) e -34% (720,5 a 474,6); infeciosas -20,2% (86 para 68,6) e -57,2% (198,5 para 84,9); causas externas -17,3% (77,4 para 64) e -27% (100,9 para 73,7). O SIM mostrou redução -79,2% (138,6 para 28,8) para as taxas de causas mal definidas (CMD). Os fatores de correção do GBD foram maiores nos anos anteriores a 2005. Após 2019, as taxas de infeciosas e CMD no SIM aumentaram respectivamente 207% (68,6 para 210,7) e 30,2% (28,8 para 37,5). Conclusão: o avanço da transição epidemiológica da carga de doenças e melhoria da qualidade do dado de óbito no Brasil foram interrompidos pela COVID-19, aumentando a carga das doenças infecciosas.

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Disease burden in Brazil and its states. Estimates from the Global Burden of Disease Study 2019.

Cited by 2 publications

References 4 publications

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Challenges to the provision of specialized care in remote rural municipalities in Brazil

Tripla carga de doenças no Brasil, 1990-2021

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