Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600538 |
Resumo: | Summary Introduction: The Regulatory Complex is the structure that operationalizes actions for making resources available to meet the needs of urgent and emergency care in the municipality of São Paulo. In the case of urgent care, needs are immediate and associated with high morbidity and mortality. Objective: To identify the most frequently requested resources, the resolution capacity and the mortality rate associated with the unavailability of a certain resource. Method: Our study was based on data from medical bulletins issued by the Urgent and Emergency Regulation Center (CRUE) in the city of São Paulo from 2009 to 2013. Results: 91,823 requests were made over the five years of the study (2009 to 2013). Neurosurgery requests were the most frequent in all years (4,828, 5,159, 4,251, 5,008 and 4,394, respectively), followed by computed tomography (CT) scans, adult intensive care unit (ICU) beds, cardiac catheterization, and pediatric ICU beds. On average, requests for neurosurgery, adult ICU, pediatric ICU, CT scans, catheterization and vascular surgery were answered in 70%, 27%, 39%, 97%, 87% and 77% of cases. The total number of deaths relating to requests for neurosurgery, CT scans, adult ICU, pediatric ICU, catheterization and vascular surgeon assessment were 182, 9, 1,536, 1,536, 135, 49 and 24 cases, respectively. Conclusion: There is a lack of resources to meet urgent and emergency needs in the city of São Paulo. |
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Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013health systemshealth care coordination and monitoringemergency medical serviceshealth care (public health)unified health systemneurosurgerySummary Introduction: The Regulatory Complex is the structure that operationalizes actions for making resources available to meet the needs of urgent and emergency care in the municipality of São Paulo. In the case of urgent care, needs are immediate and associated with high morbidity and mortality. Objective: To identify the most frequently requested resources, the resolution capacity and the mortality rate associated with the unavailability of a certain resource. Method: Our study was based on data from medical bulletins issued by the Urgent and Emergency Regulation Center (CRUE) in the city of São Paulo from 2009 to 2013. Results: 91,823 requests were made over the five years of the study (2009 to 2013). Neurosurgery requests were the most frequent in all years (4,828, 5,159, 4,251, 5,008 and 4,394, respectively), followed by computed tomography (CT) scans, adult intensive care unit (ICU) beds, cardiac catheterization, and pediatric ICU beds. On average, requests for neurosurgery, adult ICU, pediatric ICU, CT scans, catheterization and vascular surgery were answered in 70%, 27%, 39%, 97%, 87% and 77% of cases. The total number of deaths relating to requests for neurosurgery, CT scans, adult ICU, pediatric ICU, catheterization and vascular surgeon assessment were 182, 9, 1,536, 1,536, 135, 49 and 24 cases, respectively. Conclusion: There is a lack of resources to meet urgent and emergency needs in the city of São Paulo.Associação Médica Brasileira2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600538Revista da Associação Médica Brasileira v.63 n.6 2017reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.63.06.538info:eu-repo/semantics/openAccessCoimbra,Silvana HebeCamanho,Eliete Dominguez LopezHeringer,Lindolfo CarlosBotelho,Ricardo VieiraVasconcellos,Cidiaeng2017-08-29T00:00:00Zoai:scielo:S0104-42302017000600538Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2017-08-29T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
title |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
spellingShingle |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 Coimbra,Silvana Hebe health systems health care coordination and monitoring emergency medical services health care (public health) unified health system neurosurgery |
title_short |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
title_full |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
title_fullStr |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
title_full_unstemmed |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
title_sort |
Analysis of the availability of the resources necessary for urgent and emergency healthcare in São Paulo between 2009-2013 |
author |
Coimbra,Silvana Hebe |
author_facet |
Coimbra,Silvana Hebe Camanho,Eliete Dominguez Lopez Heringer,Lindolfo Carlos Botelho,Ricardo Vieira Vasconcellos,Cidia |
author_role |
author |
author2 |
Camanho,Eliete Dominguez Lopez Heringer,Lindolfo Carlos Botelho,Ricardo Vieira Vasconcellos,Cidia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Coimbra,Silvana Hebe Camanho,Eliete Dominguez Lopez Heringer,Lindolfo Carlos Botelho,Ricardo Vieira Vasconcellos,Cidia |
dc.subject.por.fl_str_mv |
health systems health care coordination and monitoring emergency medical services health care (public health) unified health system neurosurgery |
topic |
health systems health care coordination and monitoring emergency medical services health care (public health) unified health system neurosurgery |
description |
Summary Introduction: The Regulatory Complex is the structure that operationalizes actions for making resources available to meet the needs of urgent and emergency care in the municipality of São Paulo. In the case of urgent care, needs are immediate and associated with high morbidity and mortality. Objective: To identify the most frequently requested resources, the resolution capacity and the mortality rate associated with the unavailability of a certain resource. Method: Our study was based on data from medical bulletins issued by the Urgent and Emergency Regulation Center (CRUE) in the city of São Paulo from 2009 to 2013. Results: 91,823 requests were made over the five years of the study (2009 to 2013). Neurosurgery requests were the most frequent in all years (4,828, 5,159, 4,251, 5,008 and 4,394, respectively), followed by computed tomography (CT) scans, adult intensive care unit (ICU) beds, cardiac catheterization, and pediatric ICU beds. On average, requests for neurosurgery, adult ICU, pediatric ICU, CT scans, catheterization and vascular surgery were answered in 70%, 27%, 39%, 97%, 87% and 77% of cases. The total number of deaths relating to requests for neurosurgery, CT scans, adult ICU, pediatric ICU, catheterization and vascular surgeon assessment were 182, 9, 1,536, 1,536, 135, 49 and 24 cases, respectively. Conclusion: There is a lack of resources to meet urgent and emergency needs in the city of São Paulo. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600538 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000600538 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.63.06.538 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.63 n.6 2017 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212832514146304 |