Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100238 |
Resumo: | ABSTRACT Objective: Brazil is a country with universal health coverage, yet access to surgery among remote rural populations remains understudied. This study assesses surgical care capacity among hospitals providing care for the rural populations in the Amazonas state of Brazil through in-depth facility assessments. Methods: a stratified randomized cross-sectional evaluation of hospitals that self-report providing surgical care in Amazonas was conducted from July 2016 to March 2017. The Surgical Assessment Tool (SAT) developed by the World Health Organization and the Program in Global Surgery and Social Change at Harvard Medical School was administered at remote hospitals, including a retrospective review of medical records and operative logbooks. Results: 18 hospitals were surveyed. Three hospitals (16.6%) had no operating rooms and 12 (66%) had 1-2 operating rooms. 14 hospitals (77.8%) reported monitoring by pulse oximetry was always present and six hospitals (33%) never have a professional anesthesiologist available. Inhaled general anesthesia was available in 12 hospitals (66.7%), but 77.8% did not have any mechanical ventilation device. An average of 257 procedures per 100,000 were performed. 10 hospitals (55.6%) do not have a specific post-anesthesia care unit. For the regions covered by the 18 hospitals, with a population of 497,492 inhabitants, the average surgeon, anesthetist, obstetric workforce density was 6.4. Conclusion: populations living in rural areas in Brazil face significant disparities in access to surgical care, despite the presence of universal health coverage. Development of a state plan for the implementation of surgery is necessary to ensure access to surgical care for rural populations. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional studySurgerySafetyQuality Indicators, Health CareQuality of Health CareHealth Care Quality, Access and EvaluationABSTRACT Objective: Brazil is a country with universal health coverage, yet access to surgery among remote rural populations remains understudied. This study assesses surgical care capacity among hospitals providing care for the rural populations in the Amazonas state of Brazil through in-depth facility assessments. Methods: a stratified randomized cross-sectional evaluation of hospitals that self-report providing surgical care in Amazonas was conducted from July 2016 to March 2017. The Surgical Assessment Tool (SAT) developed by the World Health Organization and the Program in Global Surgery and Social Change at Harvard Medical School was administered at remote hospitals, including a retrospective review of medical records and operative logbooks. Results: 18 hospitals were surveyed. Three hospitals (16.6%) had no operating rooms and 12 (66%) had 1-2 operating rooms. 14 hospitals (77.8%) reported monitoring by pulse oximetry was always present and six hospitals (33%) never have a professional anesthesiologist available. Inhaled general anesthesia was available in 12 hospitals (66.7%), but 77.8% did not have any mechanical ventilation device. An average of 257 procedures per 100,000 were performed. 10 hospitals (55.6%) do not have a specific post-anesthesia care unit. For the regions covered by the 18 hospitals, with a population of 497,492 inhabitants, the average surgeon, anesthetist, obstetric workforce density was 6.4. Conclusion: populations living in rural areas in Brazil face significant disparities in access to surgical care, despite the presence of universal health coverage. Development of a state plan for the implementation of surgery is necessary to ensure access to surgical care for rural populations.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100238Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223368-eninfo:eu-repo/semantics/openAccessSOUZA,JOSÉ EMERSONFERREIRAI,RODRIGO VAZSALUJA,SAURABHAMUNDSON,JULIACITRON,ISABELLETRUCHE,PAULROA,LINAZIMMERMAN,KATHRINJENNY,HILLARY EBOWDER,ALEXIS NGOMES,PEDRO HENRIQUE DA SILVACORREIA,JESSICA DE OLIVEIRAMEARA,JOHNALONSO,NIVALDOeng2022-09-14T00:00:00Zoai:scielo:S0100-69912022000100238Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-09-14T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
title |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
spellingShingle |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study SOUZA,JOSÉ EMERSON Surgery Safety Quality Indicators, Health Care Quality of Health Care Health Care Quality, Access and Evaluation |
title_short |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
title_full |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
title_fullStr |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
title_full_unstemmed |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
title_sort |
Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study |
author |
SOUZA,JOSÉ EMERSON |
author_facet |
SOUZA,JOSÉ EMERSON FERREIRAI,RODRIGO VAZ SALUJA,SAURABH AMUNDSON,JULIA CITRON,ISABELLE TRUCHE,PAUL ROA,LINA ZIMMERMAN,KATHRIN JENNY,HILLARY E BOWDER,ALEXIS N GOMES,PEDRO HENRIQUE DA SILVA CORREIA,JESSICA DE OLIVEIRA MEARA,JOHN ALONSO,NIVALDO |
author_role |
author |
author2 |
FERREIRAI,RODRIGO VAZ SALUJA,SAURABH AMUNDSON,JULIA CITRON,ISABELLE TRUCHE,PAUL ROA,LINA ZIMMERMAN,KATHRIN JENNY,HILLARY E BOWDER,ALEXIS N GOMES,PEDRO HENRIQUE DA SILVA CORREIA,JESSICA DE OLIVEIRA MEARA,JOHN ALONSO,NIVALDO |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
SOUZA,JOSÉ EMERSON FERREIRAI,RODRIGO VAZ SALUJA,SAURABH AMUNDSON,JULIA CITRON,ISABELLE TRUCHE,PAUL ROA,LINA ZIMMERMAN,KATHRIN JENNY,HILLARY E BOWDER,ALEXIS N GOMES,PEDRO HENRIQUE DA SILVA CORREIA,JESSICA DE OLIVEIRA MEARA,JOHN ALONSO,NIVALDO |
dc.subject.por.fl_str_mv |
Surgery Safety Quality Indicators, Health Care Quality of Health Care Health Care Quality, Access and Evaluation |
topic |
Surgery Safety Quality Indicators, Health Care Quality of Health Care Health Care Quality, Access and Evaluation |
description |
ABSTRACT Objective: Brazil is a country with universal health coverage, yet access to surgery among remote rural populations remains understudied. This study assesses surgical care capacity among hospitals providing care for the rural populations in the Amazonas state of Brazil through in-depth facility assessments. Methods: a stratified randomized cross-sectional evaluation of hospitals that self-report providing surgical care in Amazonas was conducted from July 2016 to March 2017. The Surgical Assessment Tool (SAT) developed by the World Health Organization and the Program in Global Surgery and Social Change at Harvard Medical School was administered at remote hospitals, including a retrospective review of medical records and operative logbooks. Results: 18 hospitals were surveyed. Three hospitals (16.6%) had no operating rooms and 12 (66%) had 1-2 operating rooms. 14 hospitals (77.8%) reported monitoring by pulse oximetry was always present and six hospitals (33%) never have a professional anesthesiologist available. Inhaled general anesthesia was available in 12 hospitals (66.7%), but 77.8% did not have any mechanical ventilation device. An average of 257 procedures per 100,000 were performed. 10 hospitals (55.6%) do not have a specific post-anesthesia care unit. For the regions covered by the 18 hospitals, with a population of 497,492 inhabitants, the average surgeon, anesthetist, obstetric workforce density was 6.4. Conclusion: populations living in rural areas in Brazil face significant disparities in access to surgical care, despite the presence of universal health coverage. Development of a state plan for the implementation of surgery is necessary to ensure access to surgical care for rural populations. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
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=S0100-69912022000100238 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100238 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223368-en |
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 |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
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||revistacbc@cbc.org.br |
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