Evaluation performance in health regions in Brazil

Uchimura, Liza Yurie Teruya; Felisberto, Eronildo; Fusaro, Edgar Rodrigues; Ferreira, Maria Paula; Viana, Ana Luiza d’Ávila

doi:10.1590/1806-9304201700s100012

Cited by 6 publications

(7 citation statements)

References 12 publications

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“…Among them, one finds infrastructural unpreparedness in work environments and professional practice held in Northern and Northeastern Brazil. 13,19 Because of the self-reported difficulty, these professionals (PWD) tend to not believe in the influence of their approach on patients' adherence to treatment and on their therapeutic success.…”

Section: Discussionmentioning

confidence: 99%

“…The Brazilian health system presents different performances depending on the analyzed region. 19 The Southeastern, Midwestern and Southern regions present the best regional indicators, and it means that they have the best health service performance. 19 On the other hand, the Northern and Northeastern regions present the worst regional indicators in the country, except for regions covering Northeastern states' capitals; therefore, their health service has low performance.…”

Section: Discussionmentioning

confidence: 99%

“…19 The Southeastern, Midwestern and Southern regions present the best regional indicators, and it means that they have the best health service performance. 19 On the other hand, the Northern and Northeastern regions present the worst regional indicators in the country, except for regions covering Northeastern states' capitals; therefore, their health service has low performance. 19 The highest prevalence of PWD was associated with the Northern and Northeastern regions, whereas the highest prevalence of PND was attributed to the Midwestern, Southeastern and Southern regions.…”

Section: Discussionmentioning

confidence: 99%

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Analyzing the approach and treatment applied by Endocrinology- and Metabology-expert physicians to patients living with excess weight

Lopardi¹,

Seco

Oliveira³

et al. 2022

hu rev

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Introduction: Body weight increase is a contemporary trend that leads to health issues in the world’s population. Social stigma associated with this patient profile has negative repercussions, mainly in physician-patient interactions, which can result in weight gain and in increased mortality rates. Thus, the management of this worldwide disease requires a better understanding of its multiple aspects, as recommended by international guidelines. Purpose: The aim of the current study was to analyze some aspects of the therapeutic approach adopted by Endocrinology and Metabology-expert physicians to treat patients living with excess weight, based on information available in current guidelines. Methodology: Observational, cross-sectional study conducted with convenience sample deriving from the scientific update group “EndoNews”, which is hosted in online platform. Data were collected through structured questionnaire completed by 246 participants. Similar responses were grouped and subjected to Chi-square tests, at 5% Alpha. Results: 72% of physicians reported to have additional difficulties to treat this patient profile (PWD). PWD reports were mostly associated with work environments described as ill-equipped (p-value = 0.009), with the Northern and Northeastern macroregions (p-Value = 0.012), with weak belief in long-term therapeutic success (p-value = 0.004) and with approach self-reported as less encouraging (p-value = 0.001). Other variables presenting statistical significance were also reported. Conclusion: It was possible drawing different profiles for physicians with (PWD) and without difficulty (PND) to treat patients living with excess weight. Factors, such as region of practice and ill-equipped infrastructure, were predictive of such a difficulty. Moreover, certain factors used to analyze participants’ agreement with guidelines have shown that PWD diverged more often from the recommended information. Therefore, reflections on language, strategies and infrastructural preparedness to serve these patients were suggested, aiming at subsequent changes in physicians’ attitude towards their treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Analyzing the approach and treatment applied by Endocrinology- and Metabology-expert physicians to patients living with excess weight

Lopardi¹,

Seco

Oliveira³

et al. 2022

hu rev

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“…16 Cenário semelhante de desigualdade entre as regiões brasileiras já foi documentado em outros trabalhos que avaliaram as diferenças regionais em saúde. 17,18 As desigualdades no acesso às tecnologias de informação e comunicação no Brasil são significativas: no final de 2018, a região Norte possuía apenas 3,7% do total nacional de acesso a banda larga fixa. 19 Resolver essa questão ultrapassa os limites da Saúde, requer investimentos e ações conjuntas de múltiplos setores, públicos e privados.…”

Section: Discussionunclassified

Estrutura e processo de trabalho para implantação da teleconsulta médica no Sistema Único de Saúde do Brasil, um estudo transversal com dados de 2017-2018

Catapan

Willemann

Calvo

2021

Epidemiol. Serv. Saúde

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Resumo Objetivo Comparar estrutura e processo de trabalho na Atenção Básica para implantação da teleconsulta médica em municípios de diferentes regiões e portes populacionais (mil habitantes: <25; 25-100; >100). Métodos Estudo transversal, com análise descritiva e bivariada, sobre dados de 2017-2018, para avaliar disponibilidade de computador com internet, câmera, microfone e caixa de som, e processo de trabalho das equipes (utilizar Telessaúde, central de regulação e fluxo de comunicação). Resultados Analisadas 30.346 UBS e 38.865 equipes, a presença de equipamentos para teleconsulta entre UBS variou de 1,2% em municípios grandes do Norte a 26,7% em municípios pequenos do Sul. O processo de trabalho variou de 10,7% em municípios pequenos do Norte a 39,5% em municípios grandes do Sul. Comparados ao Sul, municípios médios do Norte (OR=0,14 - IC95% 0,11;0,17) e do Nordeste (OR=0,21 - IC95% 0,18;0,25) tiveram menores chances de dispor dos equipamentos necessários. Conclusão Significativas desigualdades regionais recomendam investimentos em Saúde Digital.

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“…This pattern is observed in the southeast and south compared with northern and northeastern areas. 37 38 39 The additional investigation in this case was performed in another region because there is no center for immunohistochemical analysis in the author’s region, limiting clinical takes and leading to conduct changes. Once the patient died, the public health service does not pay highly complex biomolecular examinations, nor did the family allow the body to be exhumed for further investigation.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Biphasic Primitive Tumor in the Mandible of a Child

et al. 2020

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Pediatric mandibular tumors present an aggressive biological behavior and difficult diagnosis. A wide range of odontogenic and nonodontogenic tumors comprise the spectrum of these lesions. We report a case of a 1-year-old male child patient showing facial asymmetry symptomatic of an expansive lesion extending throughout the body and ramus of the left hemimandible with a diameter of 8 cm. The histopathological report suggested a high-grade mucoepidermoid carcinoma (MEC), recommending further immunohistochemical investigation of the ectomesenchymal or neuroectodermal origin of the tumor cells. The patient evolved with extensive bilateral pleural effusion followed by metastasis in the middle third of the right humerus, and died 2 months after the first biopsy procedure by acute renal failure with tubular necrosis, before a final inconclusive immunohistochemical report was reached. The lack of resources for less-favored regions of Brazil impairs rapid biomolecular examinations such as immunohistochemical resulting in delay of appropriate therapeutic procedures.

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Evaluation performance in health regions in Brazil

Abstract: Objectives: To propose a regional synthetic indicator (ISR)

Cited by 6 publications

References 12 publications

Analyzing the approach and treatment applied by Endocrinology- and Metabology-expert physicians to patients living with excess weight

Analyzing the approach and treatment applied by Endocrinology- and Metabology-expert physicians to patients living with excess weight

Estrutura e processo de trabalho para implantação da teleconsulta médica no Sistema Único de Saúde do Brasil, um estudo transversal com dados de 2017-2018

Metastatic Biphasic Primitive Tumor in the Mandible of a Child

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