Cadernos de saude publica最新文献_第10页

[Representation and representativeness in health councils: between formalization and participatory legitimacy]. [卫生理事会的代表性和代表性：正规化与参与性合法性之间]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT115524

Edna Moreira Barros, José Patrício Bispo-Júnior, Luzia Célia Batista Soares, Mauro Serapioni

{"title":"[Representation and representativeness in health councils: between formalization and participatory legitimacy].","authors":"Edna Moreira Barros, José Patrício Bispo-Júnior, Luzia Célia Batista Soares, Mauro Serapioni","doi":"10.1590/0102-311XPT115524","DOIUrl":"10.1590/0102-311XPT115524","url":null,"abstract":"The action of social representatives greatly influences the performance of health councils and the quality of participatory management in the Brazilian Unified National Health System. This study aimed to analyze the mechanisms of representation and forms of representativeness within health councils in municipalities of different population sizes. This multiple case study was carried out in Vitória da Conquista, Guanambi, and Urandi, in Bahia State, Brazil. Data and information were obtained by document analysis, observation of plenary meetings, and interviews with 30 health board members. A theoretical matrix structured in five dimensions was used for data analysis: the process to choose representatives; relationships between representatives and those who are represented; types of represented interests; criteria to define positions; and participatory practice. Results showed the predominance of non-electoral criteria to choose representatives. The relationship between representatives and those who are represented shows the former's isolation and reduced accountability. Individual conscience predominated as the board defined positions. The population size of the municipalities also influenced representation in health councils as that with the smallest population evinced consistent weaknesses for the exercise of representation. Results showed insufficiencies in the representative process. This study stresses the need to draw representatives and those they represent near each other and the importance of valuing experiential knowledge as an element that can grant legitimacy to representation.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00115524"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The spatiotemporal diffusion of measles: an intra-urban analysis in Rio de Janeiro, Brazil]. [麻疹的时空扩散：巴西里约热内卢的城市内部分析]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT166724

Larissa Nunes Moreira Reis, Alexandre San Pedro, Jefferson Pereira Caldas Dos Santos, Yasmin Toledo Santos, Heitor Levy Ferreira Praça, Paula Barbosa Conceição, Gerusa Gibson

{"title":"[The spatiotemporal diffusion of measles: an intra-urban analysis in Rio de Janeiro, Brazil].","authors":"Larissa Nunes Moreira Reis, Alexandre San Pedro, Jefferson Pereira Caldas Dos Santos, Yasmin Toledo Santos, Heitor Levy Ferreira Praça, Paula Barbosa Conceição, Gerusa Gibson","doi":"10.1590/0102-311XPT166724","DOIUrl":"10.1590/0102-311XPT166724","url":null,"abstract":"This study aimed to analyze the profile of measles cases in the municipality of Rio de Janeiro, Brazil, from 2007 to 2021 and to describe their diffusion and cluster formation in epidemic years. Neighborhoods were considered as the units of this ecological study. A bivariate analysis of socioeconomic and epidemiological variables was conducted according to previous vaccination and hospitalization. Cluster and spatial diffusion analyses were performed by the SCAN screening method and Inverse Distance Weighting. Of the 774 confirmed cases, 57.6% were men, 72.9% were adults, and 63.7% self-identified as white. A higher proportion of previous vaccination occurred in white individuals and in those who were aged from 5 to 11 years. The stratum with higher schooling showed a higher proportion of previous vaccination. About 16.3% underwent hospitalization, with the highest risk occurring in those aged from 5 to 11 years and the lowest for those aged from 18 to 29 years old when compared to children up to one year of age. The first cases in the epidemic occurred in the Greater Tijuca area, then spreading to western and southern zones, showing hierarchical diffusion by relocation. The highest risk clusters were formed in the south and center zones. Findings confirm the change in the epidemiological profile of the disease and its diffusion pattern under the influence of the intra-urban hierarchy of the municipality, the neighborhoods of which with greater commerce and tourism act as initiators and diffusers of transmission. Such aspects should support control strategies, guiding immunization campaigns that address the most affected age groups and with custom actions in the areas of disease diffusion.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00166724"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Child and adolescent mental health: analysis of therapeutic itineraries in an inner municipality without Child and Adolescent Psychosocial Care Centers]. [儿童和青少年心理健康：对一个没有儿童和青少年心理社会护理中心的内城的治疗路线的分析]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT115824

Iagor Brum Leitão, Luziane Zacché Avellar, Thays Picoli Martins, Júlia Miloti, Tharssa Karolynie da Silva Negreiros Fernandes

{"title":"[Child and adolescent mental health: analysis of therapeutic itineraries in an inner municipality without Child and Adolescent Psychosocial Care Centers].","authors":"Iagor Brum Leitão, Luziane Zacché Avellar, Thays Picoli Martins, Júlia Miloti, Tharssa Karolynie da Silva Negreiros Fernandes","doi":"10.1590/0102-311XPT115824","DOIUrl":"10.1590/0102-311XPT115824","url":null,"abstract":"Research on therapeutic itineraries in child and adolescent mental health has been predominantly carried out in Child and Adolescent Psychosocial Care Centers or in regions that have these services. To expand the understanding of this field, this study analyzed the therapeutic itineraries of children and adolescents assisted by the Multiprofessional Mental Health Team service - locally known as \"Mental Health\" - in an inner municipality without Child and Adolescent Psychosocial Care Centers. Semistructured interviews were conducted with 12 mothers and two fathers to understand their motivations for seeking care, the places they visited, and the experiences they had in this process. The data were analyzed by descending hierarchical classification, made possible by IRaMuTeQ. In total, four categories were formed: (1) initial detection of needs, (2) motivations for seeking care, (3) service dynamics, and (4) factors that affect continuity of care. Schools prevailed as the drivers of the search for care, whereas basic health units acted more as referral points for specialists. Psychologists and psychiatrists from the Multiprofessional Mental Health Team, speech therapists from the Polyclinic, and neurologists from the private network and the Regional Center of Specialties were the specialties that received the most visits. Participants deemed the high turnover of professionals as the main barrier to access and continuity of care. Unlike other studies - which have been developed in contexts with more comprehensive service networks -, which often suggest strengthening the existing child and adolescent mental health networks, this study highlights the need to build such networks from the ground up.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00115824"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The regulation of supplementary health care in Brazil from 2000 to 2018]. 【2000 - 2018年巴西补充医疗监管】。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT023524

Ivo Aurelio Lima Junior, Cristiani Vieira Machado, Sheyla Maria Lemos Lima

{"title":"[The regulation of supplementary health care in Brazil from 2000 to 2018].","authors":"Ivo Aurelio Lima Junior, Cristiani Vieira Machado, Sheyla Maria Lemos Lima","doi":"10.1590/0102-311XPT023524","DOIUrl":"10.1590/0102-311XPT023524","url":null,"abstract":"This article analyzes the performance of the Brazilian National Regulatory for Private Health Insurance and Plans Agency (ANS, acronym in Portuguese) in the regulation of care in the sector from 2000 to 2018. After documentary analysis, the main initiatives of the regulatory dimension were characterized in the five terms of the agency's board of directors in the period. Furthermore, the study explores the legal and infra-legal norms related to the theme and the ANS main actions to guarantee coverage and qualification of the assistance offered by operators and service providers. These regulations were organized into three axes of care regulation: list of procedures and events in healthcare and care coverage; care segmentation; and Initiatives for health promotion, disease prevention, and qualification of care. We observed that the measures of care regulation implemented followed a continuity trend, despite the variation in political orientations and professional trajectories of their CEOs or the configuration of the collegiate board. This can be attributed to factors such as the professionalization of the regulation and the establishment of ANS institutional framework. Despite the micro-regulatory nature of the agency's performance, care regulation contributed to the promotion of comprehensive care for health plan beneficiaries and to the induction of better care practices by operators and their service providers. However, companies stakeholders still pressure public managers, aiming at making care regulation more flexible.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00023524"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Romero DE, Freitez A, Maia LR, Souza NA. Self-rated health and sociodemographic inequalities among Venezuelan adults: a study based on the National Survey of Living Conditions (ENCOVI 2021). Cad Saúde Pública 2024; 40(6):e00149323. Romero DE, Freitez A, Maia LR, Souza NA。委内瑞拉成年人自我评估的健康和社会人口不平等：基于全国生活条件调查（ENCOVI 2021）的研究。Cad Saúde Pública 2024；40 (6): e00149323。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEREN149323

引用次数: 0

Gender and urban health: a Latin American structured tool for research and policy. 性别与城市健康：拉丁美洲研究和政策的结构化工具。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN046124

Lidia Maria de Oliveira Morais, Elis Borde, Paula Guevara, Roxana Valdebenito, Laura Baldovino-Chiquillo, Olga L Sarmiento, Alejandra Vives Vergara, Amélia Augusta de Lima Friche, Waleska Teixeira Caiaffa

{"title":"Gender and urban health: a Latin American structured tool for research and policy.","authors":"Lidia Maria de Oliveira Morais, Elis Borde, Paula Guevara, Roxana Valdebenito, Laura Baldovino-Chiquillo, Olga L Sarmiento, Alejandra Vives Vergara, Amélia Augusta de Lima Friche, Waleska Teixeira Caiaffa","doi":"10.1590/0102-311XEN046124","DOIUrl":"10.1590/0102-311XEN046124","url":null,"abstract":"Latin American cities have evolved via exclusionary historical processes, resulting in hasty and unplanned urbanization, insufficient infrastructure, and extreme levels of violence. These issues have well-documented health implications. In urban settings, gender may lead to unequal access to opportunities and services, however, its consideration into policies, interventions, and research remains insufficient, potentially exacerbating urban inequities. Drawing inspiration from feminist urbanism and urban health research, we propose a structured tool for Latin American cities to develop gender-sensitive urban policies, interventions, and urban health research. The study encompassed: (1) a narrative literature review of feminist urbanism frameworks and the Delphi method to select the most appropriate dimensions; (2) a thorough examination of data availability and indicators in three studies of urban transformation interventions in Brazil, Colombia, and Chile to evaluate data availability and local interest; and (3) an urban health dialogue with the relevant indicators. We identified three key dimensions: \"proximity\", \"autonomy\", and \"representativeness\". Neighborhood was considered the most meaningful level for analyses. The indicators were organized into subdimensions, considering existing literature on their implications for gender and health. The proposed tool is comprehensive and adaptable, thus, it can be used in diverse Latin American urban contexts. It is a valuable resource for incorporating a gender-sensitive perspective into urban policymaking, interventions, and health-related research.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00046124"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regional differences in the daily consumption of smoked and smokeless tobacco among adults (25-64 years) in Mozambique: 2005 versus 2014/2015. 莫桑比克成人（25-64岁）每日吸烟和无烟烟草消费量的区域差异：2005年与2014/2015年。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN029024

José Ramón Enjo-Barreiro, Filipa Fontes, Sheila Tualufo, Carla Silva-Matos, Albertino Damasceno, Nuno Lunet

{"title":"Regional differences in the daily consumption of smoked and smokeless tobacco among adults (25-64 years) in Mozambique: 2005 versus 2014/2015.","authors":"José Ramón Enjo-Barreiro, Filipa Fontes, Sheila Tualufo, Carla Silva-Matos, Albertino Damasceno, Nuno Lunet","doi":"10.1590/0102-311XEN029024","DOIUrl":"10.1590/0102-311XEN029024","url":null,"abstract":"Within-country differences in the prevalence of tobacco consumption may be expected in Mozambique, as determinants of tobacco use vary considerably countrywide. We compared the daily use of smoked and smokeless tobacco in 2005 and 2014/2015 across Mozambican regions. Two surveys were conducted in Mozambique, in 2005 and 2014/2015, with representative samples of the adult population, following the World Health Organization's STEPwise Approach to NCD Risk Factor Surveillance. Prevalence estimates were computed for daily use of different types of tobacco, stratified by regions. Data from the 2014/2015 survey were compared to those from the 2005 survey, after direct age-standardization. During the 10-year period, a significant reduction was observed in the prevalence of daily tobacco smoking among women in the Northern and men in the Southern provinces, due to the decrease in the consumption of hand-rolled cigarettes among Northern women (from 9.6% to 2.3%), and manufactured cigarettes among Southern men (from 23.7% to 11.8%). In Center and Northern regions, nonsignificant increases were observed in the consumption of manufactured cigarettes among men. The consumption of smokeless tobacco among Southern women decreased (from 3.1% to 1%). There was a decrease in the daily consumption of hand-rolled cigarettes among women in the North and of manufactured cigarettes among men in the South, as well as a potential trend towards residual smokeless tobacco consumption. However, the results suggest increases in the daily consumption of manufactured cigarettes among men in the Center and Northern regions.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00029024"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of depressive symptoms and associated factors in Brazilian older adults: 2019 Brazilian National Health Survey. 巴西老年人抑郁症状患病率及相关因素：2019年巴西国家健康调查

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN006124

Frederico Kochen Trevisan, Ritele Hernandez da Silva, Simone Farias Antunez Reis, Marui Weber Corseuil Giehl

{"title":"Prevalence of depressive symptoms and associated factors in Brazilian older adults: 2019 Brazilian National Health Survey.","authors":"Frederico Kochen Trevisan, Ritele Hernandez da Silva, Simone Farias Antunez Reis, Marui Weber Corseuil Giehl","doi":"10.1590/0102-311XEN006124","DOIUrl":"10.1590/0102-311XEN006124","url":null,"abstract":"This study aimed to describe the prevalence of depressive symptoms and associated factors among older adults. A cross-sectional population-based study using data from the 2019 Brazilian National Health Survey was carried out. The prevalence of depressive symptoms was determined using the 9-item Patient Health Questionnaire (PHQ-9), and associations were tested according to sociodemographic, health and behavioral variables. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated using Poisson's regression. The overall prevalence of depressive symptoms was 10.7% (95%CI: 9.9; 11.5). Higher PHQ-9 scores were associated with female gender (PR = 2.11, 95%CI: 1.82; 2.44), lack of participation in religious activities (PR = 1.20, 95%CI: 1.07; 1.35), nonsmoking status (PR = 1.55, 95%CI: 1.32; 1.83), poor or very poor self-perceived health (PR = 7.55, 95%CI: 5.82; 9.80), and multimorbidity (PR = 2.26, 95%CI: 1.85; 2.75). Higher education (PR = 0.55, 95%CI: 0.42; 0.73), income (PR = 0.68, 95%CI: 0.54; 0.85), and physical activity (PR = 0.72, 95%CI: 0.57; 0.90) were found to be negatively associated with the outcome. The most prevalent depressive symptoms were: sleeping problems (24.8%, 95%CI: 23.8; 25.8), not feeling rested or willing/feeling without energy (14.5%, 95%CI: 13.7; 15.4), and being depressed/down/without perspective (10.5%, 95%CI: 9.7; 11.2). These findings highlight the importance of prioritizing the identification and treatment of depressive symptoms in older Brazilian populations, particularly given that one in ten older Brazilians experience depressive symptoms.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00006124"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimorbidity and associated factors in the adult Indigenous population living in villages in the municipality of Aracruz, Espírito Santo, State, Brazil. 居住在巴西圣托州阿拉克鲁斯市村庄的成年土著人口的多病及其相关因素。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XEN135323

Hully Cantão Dos Santos, José Geraldo Mill

{"title":"Multimorbidity and associated factors in the adult Indigenous population living in villages in the municipality of Aracruz, Espírito Santo, State, Brazil.","authors":"Hully Cantão Dos Santos, José Geraldo Mill","doi":"10.1590/0102-311XEN135323","DOIUrl":"10.1590/0102-311XEN135323","url":null,"abstract":"Multimorbidity is associated with negative effects on the health of individuals, increasing the complexity of health care. This study aimed to determine the prevalence of multimorbidity and associated factors in the adult Indigenous population living in villages in Aracruz, Espírito Santo State, Brazil. This is a cross-sectional study using data from the project called Assessment of the Prevalence and Severity of Chronic Diseases in the Indigenous Population of Espírito Santo State. Data were collected from 2020 to 2022. Multimorbidity was defined as the presence of two or more chronic morbidities in a group of eight morbidities. As a measure of association, the prevalence ratio (PR) and its 95% confidence interval (95%CI), calculated by Poisson regression with robust variance, in crude models and models adjusted for covariates were used. The prevalence of multimorbidity was 52.1% (95%CI: 49.1-55.2), being significantly higher among women (PR = 1.47; 95%CI: 1.29-1.67), those aged ≥ 40 years (40-59 years: PR = 1.49; 95%CI: 1.28-1.73; ≥ 60 years: PR = 1.85; 95%CI: 1.55-2.20) and lower for individuals with higher education (PR = 0.65; 95%CI: 0.47-0.89). The prevalence of multimorbidity in the Indigenous population living in villages in Espírito Santo State was higher than that found in other studies in the general Brazilian population. There was association between the presence of multimorbidity and sex, age and education level.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"40 12","pages":"e00135323"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Analysis of the performance of dialysis centers in referring and enrolling patients into the pre-kidney transplant waiting list in Minas Gerais State, Brazil, 2015 to 2019]. [2015 - 2019年巴西米纳斯吉拉斯州透析中心转介和入组肾移植前等待名单的绩效分析]。

IF 1.9 4区医学

Cadernos de saude publica Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1590/0102-311XPT021423

Cláudio Vitorino Pereira, Isabel Cristina Gonçalves Leite, Mário Círio Nogueira, Gustavo Fernandes Ferreira

{"title":"[Analysis of the performance of dialysis centers in referring and enrolling patients into the pre-kidney transplant waiting list in Minas Gerais State, Brazil, 2015 to 2019].","authors":"Cláudio Vitorino Pereira, Isabel Cristina Gonçalves Leite, Mário Círio Nogueira, Gustavo Fernandes Ferreira","doi":"10.1590/0102-311XPT021423","DOIUrl":"10.1590/0102-311XPT021423","url":null,"abstract":"Despite the relevance of kidney transplantation, the supply of organs and the process for inclusion in its waiting list still represent obstacles. This study aimed to analyze the performance of dialysis centers in referring patients for pre-kidney transplant evaluation and inclusion in the waiting list of incident dialysis patients from 2015 to 2019 in the state of Minas Gerais, Brazil. This retrospective cohort study sampled 23,297 records of patients who underwent dialysis therapy in public or philanthropic institutions or who had their treatment funded by the Brazilian Unified National Health System in private clinics. Survival analysis by the Kaplan-Meier method was used to evaluate pre-kidney transplant referral. The strength of the association between the exposure variables and the occurrence of inclusion on the list were analyzed by Cox regression models. Only 14.8% of the sample was enrolled on the pre-kidney transplant waiting list. The cumulative probability of enrollment totaled 1.2% in 180 days and 3.3% in one year from 2016 to 2019. Northern Minas Gerais had the highest cumulative probability of enrollment on the waiting list, whereas its South, the lowest. Adult individuals were more likely to be enrolled than older adults, and enrollment was more likely in 2016 than in 2018 and 2019. Although Ordinance n. 389/2014 from the Brazilian Ministry of Health established the minimum percentage of eligible patients that must be included in the list, this study observed no positive repercussion on the accumulated probability of enrollment in dialysis incidents in subsequent years.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 1","pages":"e00021423"},"PeriodicalIF":1.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0