Política pública de saúde no Brasil: as ciladas da sociedade brasileira e a construção da universalidade no sistema de saúde

Elias, Paulo Eduardo

doi:10.1590/s1413-81232008000900005

Cited by 3 publications

(3 citation statements)

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“…Cancer is one of the main causes of worldwide morbidity and mortality [1]. In Brazil, the late diagnosis of this disease emphasizes a major public health problem [1][2][3]. The cancer diagnosis at advanced stages reduces the possibility of cure, increases patient's vulnerability to clinical complications and raises the need for higher technological support during treatment, which results a greater economic burden [4].…”

Section: Introductionmentioning

confidence: 99%

“…The Brazilian Public Health System (SUS) is configured as a decentralized network of health services that offers primary, secondary, and hospital care for free, across the Brazilian territory and to its entire population [2]. Almost 75% of the population resort only to the SUS when need to health care.…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, the Brazil is affected by severe socioeconomic disparities, and its health system often suffers from chronic underfunding and reduced access in poorer regions [5]. Furthermore, the current healthcare model has been shown to be fragmented, centered on hospital care and mostly focused on the acute demands by the population [2,5].…”

Section: Introductionmentioning

confidence: 99%

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Hospitalizations and length of stay of cancer patients: A cohort study in the Brazilian Public Health System

et al. 2020

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The hospitalizations are part of cancer care and has been studied by researchers worldwide. A better understanding about their associated factors may help to achieve improvements on this area. The aims of this study were to investigate the association between demographic and clinical characteristics and hospitalizations, as well as between these characteristics and the length of stay (LOS), within the first year of outpatient treatment, for the most incident cancers in the Brazilian population. In this cohort study, we investigated 417,477 patients aged 19 years or more, who started outpatient cancer treatment, from 2010-2014, for breast, prostate, colorectal, cervix, lung and stomach cancers. The outcomes evaluated were: i) Hospitalizations within the first year of outpatient cancer treatment; and ii) LOS of the hospitalized patients. It was performed a binary logistic regression to evaluate the association between the explanatory variables and the hospitalizations and a negative binomial regression to evaluate their influence on the length of hospital stay. The hospitalizations occurred for 34% of patients, with a median of LOS of 6 days (IQR: 2-15). Female patients were 16% less likely to be hospitalized (OR: 0.84; 95% CI: 0.82-0.86), with lower average of LOS (AR: 0.98; 95% CI: 0.97-0.99), each additional year of age reduced in 2% the hospitalization odds (OR: 0.98; 95% CI: 0.98-0.99) and in 1% the average of LOS (AR: 0.99; 95% CI: 0.98-0.99), patients from South region had twice more chances of hospitalization than from North region (OR: 2.01; 95% CI: 1.93-2.10) and patients with colorectal cancer had greater probability of hospitalization (OR: 4.42; 95% CI: 4.27-4.48), with the highest average of LOS (AR: 1.37; 95% CI: 1.35-1.40). In view of our results, we consider that the government must expand the policies with potential to reduce the number of hospitalizations.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospitalizations and length of stay of cancer patients: A cohort study in the Brazilian Public Health System

et al. 2020

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Major Expansion Of Primary Care In Brazil Linked To Decline In Unnecessary Hospitalization

et al. 2010

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In 1994Brazil launched what has since become the world's largest community-based primary health care program. Under the Family Health Program, teams consisting of at least one physician, one nurse, a medical assistant, and four to six trained community health agents deliver most of their services at community-based clinics. They also make regular home visits and conduct neighborhood health promotion activities. This study finds that during 1999-2007, hospitalizations in Brazil for ambulatory care-sensitive chronic diseases, including cardiovascular disease, stroke, and asthma, fell at a rate that was statistically significant and almost twice the rate of decline in hospitalizations for all other causes. In municipalities with high Family Health Program enrollment, chronic disease hospitalization rates were 13 percent lower than in municipalities with low enrollment, when other factors were held constant. These results suggest that the Family Health Program has improved health system performance in Brazil by reducing the number of potentially avoidable hospitalizations.

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The Influence of Primary Care and Hospital Supply on Ambulatory Care–Sensitive Hospitalizations Among Adults in Brazil, 1999–2007

et al. 2011

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Política pública de saúde no Brasil: as ciladas da sociedade brasileira e a construção da universalidade no sistema de saúde

Cited by 3 publications

References 0 publications

Hospitalizations and length of stay of cancer patients: A cohort study in the Brazilian Public Health System

Hospitalizations and length of stay of cancer patients: A cohort study in the Brazilian Public Health System

Major Expansion Of Primary Care In Brazil Linked To Decline In Unnecessary Hospitalization

The Influence of Primary Care and Hospital Supply on Ambulatory Care–Sensitive Hospitalizations Among Adults in Brazil, 1999–2007

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