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Patients with dementia syndrome in public and private services in southern Brazil
Dementia is characterized by deficits in more than one cognitive domain, affecting language, praxis, gnosis, memory or executive functions. Despite the essential economic growth observed in many developing countries, especially over the last century, huge differences remain in health care, whether a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Neurologia Cognitiva e do
Comportamento
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618993/ https://www.ncbi.nlm.nih.gov/pubmed/29213943 http://dx.doi.org/10.1590/S1980-57642015DN91000010 |
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author | Camargo, Carlos Henrique Ferreira Retzlaff, Giuliano Justus, Filipe Fernandes Resende, Marcelo |
author_facet | Camargo, Carlos Henrique Ferreira Retzlaff, Giuliano Justus, Filipe Fernandes Resende, Marcelo |
author_sort | Camargo, Carlos Henrique Ferreira |
collection | PubMed |
description | Dementia is characterized by deficits in more than one cognitive domain, affecting language, praxis, gnosis, memory or executive functions. Despite the essential economic growth observed in many developing countries, especially over the last century, huge differences remain in health care, whether among nations themselves or across different regions of the same country. OBJECTIVE: The aim of this study was to assess the management and main features of dementia, comparing public (PUBL) and private (PRIV) reference services. METHODS: We performed a retrospective analysis of medical records of subjects with dementia. Sociocultural data, mean follow-up time in the service, Mini-mental State Examination (MMSE) scores at admission, main diagnosis of dementia, family history of dementia, comorbidities, imaging methods and treatment were assessed. RESULTS: the time elapsed before admission in the service of the PUBL group (2.08±2.06 years) was higher than for the PRIV group (1.24±2.55 years) (p=0.0356); the MMSE score at admission in the PUBL group (15.05±8.16 years) was lower than in the PRIV group (18.95±6.69 years) (p=0.016); the PUBL group showed lower treatment coverage with cholinesterase inhibitors (52.94%) than the PRIV group (84.93%) (p=0.0001). CONCLUSION: Patients seeking the public health service have less access to medical care, reaching the system at more advanced stages of disease. The public service also offered lower pharmacological coverage. |
format | Online Article Text |
id | pubmed-5618993 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Associação de Neurologia Cognitiva e do
Comportamento |
record_format | MEDLINE/PubMed |
spelling | pubmed-56189932017-12-06 Patients with dementia syndrome in public and private services in southern Brazil Camargo, Carlos Henrique Ferreira Retzlaff, Giuliano Justus, Filipe Fernandes Resende, Marcelo Dement Neuropsychol Original Articles Dementia is characterized by deficits in more than one cognitive domain, affecting language, praxis, gnosis, memory or executive functions. Despite the essential economic growth observed in many developing countries, especially over the last century, huge differences remain in health care, whether among nations themselves or across different regions of the same country. OBJECTIVE: The aim of this study was to assess the management and main features of dementia, comparing public (PUBL) and private (PRIV) reference services. METHODS: We performed a retrospective analysis of medical records of subjects with dementia. Sociocultural data, mean follow-up time in the service, Mini-mental State Examination (MMSE) scores at admission, main diagnosis of dementia, family history of dementia, comorbidities, imaging methods and treatment were assessed. RESULTS: the time elapsed before admission in the service of the PUBL group (2.08±2.06 years) was higher than for the PRIV group (1.24±2.55 years) (p=0.0356); the MMSE score at admission in the PUBL group (15.05±8.16 years) was lower than in the PRIV group (18.95±6.69 years) (p=0.016); the PUBL group showed lower treatment coverage with cholinesterase inhibitors (52.94%) than the PRIV group (84.93%) (p=0.0001). CONCLUSION: Patients seeking the public health service have less access to medical care, reaching the system at more advanced stages of disease. The public service also offered lower pharmacological coverage. Associação de Neurologia Cognitiva e do Comportamento 2015 /pmc/articles/PMC5618993/ /pubmed/29213943 http://dx.doi.org/10.1590/S1980-57642015DN91000010 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Camargo, Carlos Henrique Ferreira Retzlaff, Giuliano Justus, Filipe Fernandes Resende, Marcelo Patients with dementia syndrome in public and private services in southern Brazil |
title | Patients with dementia syndrome in public and private services in
southern Brazil |
title_full | Patients with dementia syndrome in public and private services in
southern Brazil |
title_fullStr | Patients with dementia syndrome in public and private services in
southern Brazil |
title_full_unstemmed | Patients with dementia syndrome in public and private services in
southern Brazil |
title_short | Patients with dementia syndrome in public and private services in
southern Brazil |
title_sort | patients with dementia syndrome in public and private services in
southern brazil |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618993/ https://www.ncbi.nlm.nih.gov/pubmed/29213943 http://dx.doi.org/10.1590/S1980-57642015DN91000010 |
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