학술논문
Delivery of essential pediatric congenital surgical care within Brazil’s universal health coverage system: a national survey of pediatric surgeons
Document Type
article
Author
Luke Caddell; David P Mooney; Fabio Botelho; Kathrin Zimmerman; Nivaldo Alonso; Alexis Bowder; Bellisa Caldas Lopes; Simone Abib; Paul R Truche; Abbie E Naus; Julia Ferreira; Isabella Maria de Freitas Faria; Eduardo Corrêa Costa; Fernanda Lage Lima Dantas; Augusto J S A Cavalcante; Carlos A L B Carvalho
Source
World Journal of Pediatric Surgery, Vol 6, Iss 3 (2023)
Subject
Language
English
ISSN
2516-5410
Abstract
Objective In this study, we assess the delivery of congenital pediatric surgical care under Brazil’s system of universal health coverage and evaluate differences in delivery between public and private sectors.Methods A cross-sectional national survey of pediatric surgeons in Brazil was conducted. Participants were asked which of 23 interventions identified through the Disease Control Priorities 3 (Surgical Interventions for Congenital Anomalies) they perform and to report barriers faced while providing surgical care. Responses were weighted by state and stratified by sector (public vs private).Results A sample of 352 responses was obtained and weighted to represent 1378 practicing pediatric surgeons registered in Brazil during the survey time. 73% spend the majority of their time working in the public sector (‘Sistema Único de Saúde’ and Foundation hospitals), and most of them also work in the private sector. Generally, Brazilian pediatric surgeons have the expertise to provide thoracic, abdominal, and urologic procedures. Surgeons working mostly in the public sector were more likely to report a lack of access to essential medications (25% vs 9%, p