O problema da fila de espera para cirurgias otorrinolaringológicas em serviços públicos

Sarmento, Krishnamurti Matos de Araujo; Tomita, Shiro; Kós, Arthur Octavio de Ávila

doi:10.1590/s0034-72992005000300001

Cited by 12 publications

(14 citation statements)

References 6 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the cases of chronic otitis media with effusion, the treatment includes low complexity surgery, with return of hearing at normal threshold. 10,16,17,19 Chronic nasal obstruction was, in the present study, the main otolaryngological disorder in primary care. Most common causes of nasal obstruction in childhood are allergic rhinitis, sinusitis and tonsillar and adenoidal hypertrophy.…”

Section: Discussionmentioning

confidence: 57%

“…The problem is that secondary care in Otolaryngology can not cope with the demand. 5,16 Removing impacted cerumen is a procedure of low complexity and low risk. 11,13 Therefore, primary care professionals could be trained for removing impacted cerumen, enabling secondary care professionals to perform actions and procedures restricted to their specialty, therefore enhancing the effi ciency of the system.…”

Section: Resultsmentioning

confidence: 99%

“…13,15,21 In the approaching of diseases associated with nasal obstruction in childhood, allergic rhinitis and sinusitis are clinically treated, whereas tonsillar hypertrophy and adenoid are treated as surgical procedure. 6,16 At fi rst, only the cases of tonsillar and adenoidal hypertrophy should be referred to secondary care, which would increase the effi ciency of the hierarchical health system. Differential diagnoses among these causes of nasal obstruction may be conducted according to clinical criteria and simple X-ray.…”

Section: Discussionmentioning

confidence: 99%

“…*** The population chosen was restricted to pediatric, because this age group concentrates most of the otolaryngological disorders. 15,16 Inclusion criteria were: the patient with otolaryngological disorders had to be assessed in a public health service in primary care had been referred to secondary care by the pediatrician or by the family physician.…”

Section: Methodsmentioning

confidence: 99%

“…5 This could be due to the diffi culties of resolution in primary care. 16 One of the main challenges of this level of care is to decide when to refer the patient to be seen by a specialist in second or tertiary care. 21 Belo Horizonte is the capital of the state of Minas Gerais and one of the main urban centers in the country, it is the fi fth city in terms of population with 2.399.920 inhabitants.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Otorrinolaringologia pediátrica no Sistema Público de Saúde de Belo Horizonte

et al. 2007

View full text Add to dashboard Cite

OBJECTIVE:To assess the suitability of referral from primary to secondary care in pediatric Otolaryngology. METHODS:The study was performed in the city of Belo Horizonte, in the state of Minas Gerais, from March 2004 to May 2005. A total of 408 pre-school children referred from primary care to secondary care in the department of Otolaryngology presenting with otitis, tonsillitis, sinusitis, allergic rhinitis, and tonsillar/adenoidal hypertrophy was assessed. The studied variables were: agreement between diagnoses in primary and secondary care; waiting time for doctor's appointment; follow-up, and professional (pediatrician or family physician) that examined children in primary care. Agreement of diagnoses was assessed using kappa statistics. RESULTS:Patients were fi ve years old on average, 214 (52.5%) were boys, mean waiting time for appointment was 3.7 months. Diagnoses in primary and secondary care were respectively: otitis (44%, 49%), tonsillar/adenoidal hypertrophy (22%, 33%), tonsillitis (18%, 23%), sinusitis (13%, 21%), allergic rhinitis (3%, 33%). Agreement analysis of kappa was 0.15 for otitis with effusion, 0.35 for recurrent otitis, 0.04 for tonsillar/adenoidal hypertrophy, 0.43 for tonsillitis, 0.05 for allergic rhinitis, and 0.2 for sinusitis. Diagnoses in primary care referred to secondary care were in agreement when given either by pediatrician or family physician. CONCLUSIONS:Unsuitability of referrals from primary to secondary care in Otolaryngology was expressed by the long time waiting for appointments and by the low agreement between diagnoses in different level of care for the same patients. Primary health care could be more effi cient if professionals were better qualifi ed in Otolaryngology.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Resultsmentioning

confidence: 99%