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Community Care Administration of Spinal Deformities in the Brazilian Public Health System
OBJECTIVE: Underfunding of the surgical treatment of complex spinal deformities has been an important reason for the steadily growing waiting lists in publicly funded healthcare systems. The aim of this study is to characterize the management of the treatment of spinal deformities in the public heal...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577630/ https://www.ncbi.nlm.nih.gov/pubmed/28954008 http://dx.doi.org/10.6061/clinics/2017(08)06 |
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author | Bressan-Neto, Mario da Silva Herrero, Carlos Fernando Pereira Pacola, Lilian Maria Nunes, Altacílio Aparecido Defino, Helton Luiz Aparecido |
author_facet | Bressan-Neto, Mario da Silva Herrero, Carlos Fernando Pereira Pacola, Lilian Maria Nunes, Altacílio Aparecido Defino, Helton Luiz Aparecido |
author_sort | Bressan-Neto, Mario |
collection | PubMed |
description | OBJECTIVE: Underfunding of the surgical treatment of complex spinal deformities has been an important reason for the steadily growing waiting lists in publicly funded healthcare systems. The aim of this study is to characterize the management of the treatment of spinal deformities in the public healthcare system. METHODS: A cross-sectional study of 60 patients with complex pediatric spinal deformities waiting for treatment in December 2013 was performed. The evaluated parameters were place of origin, waiting time until first assessment at a specialized spine care center, waiting time for the surgical treatment, and need for implants not reimbursed by the healthcare system. RESULTS: Ninety-one percent of the patients lived in São Paulo State (33% from Ribeirão Preto - DRS XIII). Patients waited for 0.5 to 48.0 months for referral, and the waiting times for surgery ranged from 2 to 117 months. Forty-five percent of the patients required implants for the surgical procedure that were not available. CONCLUSION: The current management of patients with spinal deformities in the public healthcare system does not provide adequate treatment for these patients in our region. They experience long waiting periods for referral and prolonged waiting times to receive surgical treatment; additionally, many of the necessary procedures are not reimbursed by the public healthcare system. |
format | Online Article Text |
id | pubmed-5577630 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-55776302017-09-05 Community Care Administration of Spinal Deformities in the Brazilian Public Health System Bressan-Neto, Mario da Silva Herrero, Carlos Fernando Pereira Pacola, Lilian Maria Nunes, Altacílio Aparecido Defino, Helton Luiz Aparecido Clinics (Sao Paulo) Clinical Science OBJECTIVE: Underfunding of the surgical treatment of complex spinal deformities has been an important reason for the steadily growing waiting lists in publicly funded healthcare systems. The aim of this study is to characterize the management of the treatment of spinal deformities in the public healthcare system. METHODS: A cross-sectional study of 60 patients with complex pediatric spinal deformities waiting for treatment in December 2013 was performed. The evaluated parameters were place of origin, waiting time until first assessment at a specialized spine care center, waiting time for the surgical treatment, and need for implants not reimbursed by the healthcare system. RESULTS: Ninety-one percent of the patients lived in São Paulo State (33% from Ribeirão Preto - DRS XIII). Patients waited for 0.5 to 48.0 months for referral, and the waiting times for surgery ranged from 2 to 117 months. Forty-five percent of the patients required implants for the surgical procedure that were not available. CONCLUSION: The current management of patients with spinal deformities in the public healthcare system does not provide adequate treatment for these patients in our region. They experience long waiting periods for referral and prolonged waiting times to receive surgical treatment; additionally, many of the necessary procedures are not reimbursed by the public healthcare system. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2017-08 2017-08 /pmc/articles/PMC5577630/ /pubmed/28954008 http://dx.doi.org/10.6061/clinics/2017(08)06 Text en Copyright © 2017 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited. |
spellingShingle | Clinical Science Bressan-Neto, Mario da Silva Herrero, Carlos Fernando Pereira Pacola, Lilian Maria Nunes, Altacílio Aparecido Defino, Helton Luiz Aparecido Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title | Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title_full | Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title_fullStr | Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title_full_unstemmed | Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title_short | Community Care Administration of Spinal Deformities in the Brazilian Public Health System |
title_sort | community care administration of spinal deformities in the brazilian public health system |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577630/ https://www.ncbi.nlm.nih.gov/pubmed/28954008 http://dx.doi.org/10.6061/clinics/2017(08)06 |
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