Cadernos de saude publica最新文献_第3页

Real-time monitoring of formaldehyde exposure and acute health symptoms in healthcare workers in Morocco: a cross-sectional study. 摩洛哥卫生保健工作者甲醛暴露和急性健康症状的实时监测：一项横断面研究

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN191325

Loubna Sadki, Chadia Ouazzani, Abdallah Dami, Lhousaine Balouch, Abdellah Moustaghfir

{"title":"Real-time monitoring of formaldehyde exposure and acute health symptoms in healthcare workers in Morocco: a cross-sectional study.","authors":"Loubna Sadki, Chadia Ouazzani, Abdallah Dami, Lhousaine Balouch, Abdellah Moustaghfir","doi":"10.1590/0102-311XEN191325","DOIUrl":"10.1590/0102-311XEN191325","url":null,"abstract":"Formaldehyde remains widely used in clinical and dental procedures, particularly in low- and middle-income countries with limited regulatory oversight, where occupational exposure data remain scarce. This cross-sectional study evaluated real-time formaldehyde exposure and its association with acute health symptoms among 180 healthcare workers in Morocco. Airborne formaldehyde was measured across 12 hospital departments during eight-hour shifts using a calibrated semiconductor dosimeter, alongside a structured symptom questionnaire. Associations were assessed using multivariate logistic regression and Spearman's correlation. All mean concentrations remained below the Moroccan occupational limit of 0.25mg/m3 (range: 0.048-0.196mg/m3; 19-78% of the limit). Nevertheless, highly exposed workers reported significantly more symptoms, including eye irritation (72.5%), headaches (63%), and respiratory discomfort (56.5%). Prolonged exposure (≥ 8 hours/day, ≥ 3 days/week) independently predicted multiple symptoms (AOR = 3.2; 95%CI: 1.7-5.9), as did inadequate ventilation (AOR = 2.4) and inconsistent PPE use (AOR = 1.9). Years of exposure correlated moderately with symptom count (ρ = 0.41; p < 0.01). Despite the cross-sectional design, formaldehyde exposure was strongly associated with acute symptoms even at sub-threshold concentrations, suggesting current limits may not fully protect workers. Strengthening preventive measures is essential in resource-limited settings. These findings support integrated exposure-surveillance approaches in low- and middle-income countries. Longitudinal studies with biomarkers are needed to refine causal inference and inform policy.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00191325"},"PeriodicalIF":2.1,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839280","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

[From text to scene: legal devices and care trajectories in the adoption of children with disabilities]. [从文本到场景：收养残疾儿童的法律手段和照料轨迹]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT198625

Luciano Silveira Pacheco de Medeiros, Thiago Ferreira Abreu, Luciano Garcia Lourenção, Giovana Calcagno Gomes, Clarice Alves Bonow

{"title":"[From text to scene: legal devices and care trajectories in the adoption of children with disabilities].","authors":"Luciano Silveira Pacheco de Medeiros, Thiago Ferreira Abreu, Luciano Garcia Lourenção, Giovana Calcagno Gomes, Clarice Alves Bonow","doi":"10.1590/0102-311XPT198625","DOIUrl":"10.1590/0102-311XPT198625","url":null,"abstract":"This study aimed to analyze, through Critical Discourse Analysis, how five legal devices are activated, blocked, or reconfigured in the care trajectories of adoptive families of children with disabilities and with what effects on participation, predictability, comfort and continuity. This is a qualitative, analytical-descriptive study; with 11 caregivers. Semi-structured face-to-face interviews were conducted between 2023 and 2024, transcribed and analyzed by the three-dimensional model. It was found that normative texts enter the scene through practices and statements that sometimes unlock, sometimes erode rights. Strategies of blocking, gatekeeping, bureaucratization of the difference and neutralization by the report were identified - associated with the drop in markers; and low-cost mediations - bridge professional, light protocols, transparency of queues and reasonable adjustments agreed upon - associated with the increase in markers. Variations appeared by family arrangement and institutional scope. The re-textualization of the provisions depends on the definition of the situation and the negotiation of roles; when affiliation is publicized and coordination exists, paths are shortened and anxieties decrease; when the revolving door based on a report prevails, rescheduling and \"new beginnings\" multiply. It was concluded that the caregiver matters, but how the network responds matters just as much. It is recommended to institute a bridge professional, co-construct light protocols and reasonable adjustments, and ensure transparency of queues as a minimum infrastructure to transform a right provided for into a right lived; It is suggested to expand scenarios and include professional voices in future studies.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00198625"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720757","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

[Health surveillance after the Samarco dam disaster: evaluation of standards of care in chronic diseases and mental disorders (2008-2023)]. [萨马科大坝灾难后的健康监测：慢性病和精神障碍护理标准的评估（2008-2023）]。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XPT193725

Gederson Santos Rigoni, Andrea Sobral, Jonas Eduardo Monteiro Dos Santos, Andre Reynaldo Santos Périssé

{"title":"[Health surveillance after the Samarco dam disaster: evaluation of standards of care in chronic diseases and mental disorders (2008-2023)].","authors":"Gederson Santos Rigoni, Andrea Sobral, Jonas Eduardo Monteiro Dos Santos, Andre Reynaldo Santos Périssé","doi":"10.1590/0102-311XPT193725","DOIUrl":"10.1590/0102-311XPT193725","url":null,"abstract":"This study compared the possible impacts caused by the Samarco dam collapse (Minas Gerais State, Brazil) and municipalities with a similar profile to analyze the morbidity and mortality patterns due to chronic noncommunicable diseases in the affected municipalities. This ecological study was based on publicly available secondary data (SIA/SUS, SIH/SUS, and SIM) from 2008 to 2023. The analyses were carried out by disease chapters and groups (circulatory, diabetes, respiratory, neoplasms, and mental disorders) and population strata. Rates per 100,000 inhabitants, percentage differences, and relative risk were calculated with 95% confidence intervals. The \"post-collapse\" period (2016-2019) was compared to the \"before the collapse\" (2008-2015) and \"post-COVID-19\" (2020-2023) ones. An increase in the rates of outpatient care occurred in the affected municipalities in relation to the comparison municipalities, especially regarding diabetes (strata 1, 2, 3, and 5), respiratory diseases (strata 1, 3, 4, and 5), mental disorders (strata 4 and 5), and neoplasms (strata 1, 2, 3, and 4). In hospitalizations, slight increases due to respiratory problems occurred in stratum 4 and due to neoplasms in strata 3, 4, and 5. Regarding mortality, this study found an increase in the rates of mental disorders in strata 2 and 4. These findings suggest changes in care patterns in the affected municipalities with possible post-disaster overload and reinforce the importance of surveillance and integration between health, environmental, and risk management policies.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00193725"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721370","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

Health policies and reforms in Mexico (2000-2024): segmentation and challenges for universal rights. 墨西哥卫生政策和改革（2000-2024年）：普遍权利的分割和挑战。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN278225

Eduarda Ferreira Dos Anjos, Oliva López-Arellano, Elzo Pereira Pinto Junior, Cristiani Vieira Machado

{"title":"Health policies and reforms in Mexico (2000-2024): segmentation and challenges for universal rights.","authors":"Eduarda Ferreira Dos Anjos, Oliva López-Arellano, Elzo Pereira Pinto Junior, Cristiani Vieira Machado","doi":"10.1590/0102-311XEN278225","DOIUrl":"10.1590/0102-311XEN278225","url":null,"abstract":"The Mexican health system is historically segmented, being based on social insurance for formal workers and public health actions for the general population. This study characterizes health reforms in Mexico from 2000 to 2024 considering the trajectory of health policies, coverage, and use of the health system. This research involved a literature review, documentary analysis, secondary data and interviews with key informants. We observed moments of reform under the influence of various groups and government political orientations. From 2003 to 2018, the implementation of a Popular Health Insurance with limited supply of services for informal workers and the poor increased coverage but reiterated segmentation and inequalities. From 2018 to 2024, center-left governments extinguished popular insurance and adopted reform strategies that centralized actions in the Federal Government and integrated efforts between institutions and public services. The results also showed the growing use of private clinics adjacent to pharmacies. In the period, the adopted reforms failed to overcome the legacy of segmentation by clientele, organizational fragmentation, and inequalities in health. Despite the announcement in April 2026 of reforms toward universal health some challenges can still be noticed, namely: insufficient public funding, limitations in infrastructure and the health workforce in the states, resistance from states and social security institutions, federative and political-party conflicts, expansion of private services under scarce regulation, and territorial inequalities and inequalities between social groups.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42Suppl 1 Suppl 1","pages":"e00278225"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719976","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

Digital health promotion strategies to increase HIV testing uptake among key populations: a scoping review. 提高关键人群接受艾滋病毒检测的数字健康促进战略：范围审查

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN274825

Syamikar Baridwan Syamsir, T Widya Naralia, Hesti Rahayu, Eny Dewi Pamungkas, Raphita Diorarta, Agus Setiawan, Rian Adi Pamungkas, Zainuddin Zainuddin

{"title":"Digital health promotion strategies to increase HIV testing uptake among key populations: a scoping review.","authors":"Syamikar Baridwan Syamsir, T Widya Naralia, Hesti Rahayu, Eny Dewi Pamungkas, Raphita Diorarta, Agus Setiawan, Rian Adi Pamungkas, Zainuddin Zainuddin","doi":"10.1590/0102-311XEN274825","DOIUrl":"10.1590/0102-311XEN274825","url":null,"abstract":"HIV testing uptake among key populations remains suboptimal despite its central role in HIV prevention. Digital health promotion strategies have been increasingly implemented to address multilevel barriers to testing. However, current evidence is fragmented across platforms, populations, and settings. This scoping review aimed to map and synthesize current evidence on digital health promotion strategies designed to increase HIV testing uptake among key populations. This scoping review adopted Arksey & O'Malley's five-stage framework and reported the process following PRISMA-ScR. PubMed, Scopus, the Cochrane Library, and CINAHL were searched for studies published from January 2015 to April 2025. Eligible studies examined digital health promotion strategies focused on HIV testing uptake among key populations. Sixteen studies were included. We identified four thematic clusters of digital health promotion strategies. Overall, the identified approaches showed potential to increase testing uptake and reduce barriers; however, evidence remains heterogeneous and uneven across populations and settings. Digital strategies for HIV testing are complementary. Integrating mobile apps, social media outreach, digital messaging, and peer-driven networks may offer scalable, context-sensitive solutions for key populations. However, the limited representation of certain groups, particularly transgender women and people who inject drugs, highlights important gaps in the evidence base. Further studies with more robust design, wider geographic coverage, and longer follow-up are warranted.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00274825"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722192","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

Effects of short sleep and sleep deprivation on thyroid hormones and indices: a Bayesian multilevel analysis from the ELSA-Brasil cohort. 短睡眠和睡眠剥夺对甲状腺激素和指标的影响：来自ELSA-Brasil队列的贝叶斯多水平分析

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN203525

João Ferreira Silva Junior, Aline Araújo Nobre, Aline Silva-Costa, Isabela Martins Benseñor, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca

{"title":"Effects of short sleep and sleep deprivation on thyroid hormones and indices: a Bayesian multilevel analysis from the ELSA-Brasil cohort.","authors":"João Ferreira Silva Junior, Aline Araújo Nobre, Aline Silva-Costa, Isabela Martins Benseñor, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca","doi":"10.1590/0102-311XEN203525","DOIUrl":"10.1590/0102-311XEN203525","url":null,"abstract":"Short sleep duration and sleep deprivation are increasingly frequent in the population and associated with negative health outcomes. Few longitudinal studies have assessed the influence of sleep parameters on thyroid hormones and related indices. This study aimed to analyze the longitudinal association between short sleep duration and sleep deprivation and thyroid hormones and indices, stratified by sex. This prospective cohort analysis included 9,564 participants (4,649 men and 4,915 women) from the first (2012-2014) and second (2016-2018) follow-up waves of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Individuals using medications for thyroid dysfunction or drugs known to alter thyroid hormone levels were excluded. Data on short sleep duration, sleep deprivation, sociodemographic characteristics, and health-related behaviors were obtained from multidimensional questionnaires. Thyroid hormones were titrated in centrifuged serum samples collected after a 12-hour overnight fast using a third-generation immunoenzymatic assay. Crude and adjusted Bayesian multilevel models stratified by sex were used to estimate coefficients and 95% credibility intervals (95%CrI). In models adjusted for age, race/skin color, educational attainment, excessive alcohol consumption, smoking, level of physical activity, coffee consumption, and menopause (for women), both men and women with short sleep duration showed lower TSH values compared to those with normal sleep duration. Only women with short sleep duration showed lower TSHI and the values (coefficient.: -0.6019; 95%CrI: -0.9072; -0.2894) compared to women with normal sleep duration. Our findings emphasize the importance of adequate sleep duration and of avoiding sleep deprivation whenever possible to ensure homeostatic maintenance of thyroid hormones.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 ","pages":"e00203525"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720695","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

Public-private configuration in health systems and inequalities in Latin America: a scoping review. 拉丁美洲卫生系统中的公私部门配置和不平等现象：范围审查。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN260825

Eduarda Ferreira Dos Anjos, Adelyne Maria Mendes Pereira, Suelen Carlos de Oliveira, Maria Del Pilar Flores-Quispe, Elzo Pereira Pinto Junior, Cristiani Vieira Machado

{"title":"Public-private configuration in health systems and inequalities in Latin America: a scoping review.","authors":"Eduarda Ferreira Dos Anjos, Adelyne Maria Mendes Pereira, Suelen Carlos de Oliveira, Maria Del Pilar Flores-Quispe, Elzo Pereira Pinto Junior, Cristiani Vieira Machado","doi":"10.1590/0102-311XEN260825","DOIUrl":"10.1590/0102-311XEN260825","url":null,"abstract":"This study identifies and explores literature evidence on the effects of public-private partnerships in health systems on health inequities in Latin America. For this purpose, a scoping review was conducted following the Joanna Briggs Institute and PRISMA-ScR guidelines, employing the methodological steps of: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) data charting; and (5) collating, summarizing and reporting the results. Study analysis focused on the health systems of Argentina, Brazil, Chile, Colombia, Cuba, Ecuador, Mexico, Peru, and Uruguay, emphasizing financing, coverage, supply, and access. Initial bibliographic search identified 2,596 studies published on the topic between 2002 and 2024, of which 102 were included in this review. All analyzed studies reveal that the nature of public-private relations within Latin American health systems reinforces structural inequalities expressed in various dimensions which require context-appropriate policies, including sufficient financing, strengthening private sector regulation, and redistribution of resources and services that follow the geographical logic of social and health needs. In this context, overcoming the segmentation of coverage and access in favor of universalizing services and consolidating the right to health is essential.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42Suppl 1 Suppl 1","pages":"e00260825"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720093","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

Challenges faced by Latin America health systems. 拉丁美洲卫生系统面临的挑战。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN233225

Leonardo Castro

引用次数: 0

The COVID-19 pandemic and access to vaccines in Latin America and the Caribbean: strategies adopted by the WHO and PAHOPandemia de COVID-19 e acesso a vacinas na América Latina e Caribe: estratégias da OMS e da OPAS. 拉丁美洲和加勒比地区的COVID-19大流行和疫苗获取：世卫组织和COVID-19大流行病通过的战略：拉丁美洲和加勒比地区的获取疫苗战略：拉丁美洲和加勒比地区的获取疫苗战略。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-03 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN016225

Luana Bermudez, Cristiani Vieira Machado

{"title":"The COVID-19 pandemic and access to vaccines in Latin America and the Caribbean: strategies adopted by the WHO and PAHOPandemia de COVID-19 e acesso a vacinas na América Latina e Caribe: estratégias da OMS e da OPAS.","authors":"Luana Bermudez, Cristiani Vieira Machado","doi":"10.1590/0102-311XEN016225","DOIUrl":"10.1590/0102-311XEN016225","url":null,"abstract":"This study analyzes the strategies of the World Health Organization (WHO) and the Pan American Health Organization (PAHO) to promote access to COVID-19 vaccines in Latin America and the Caribbean, exploring the vaccines administered, vaccination coverage in the countries, and inequalities in vaccination in the region. The study method combines analysis of secondary data and of documents, and interviews with key informants. The results show advances and limitations of the WHO and PAHO initiatives to promote vaccine equity, adopt redistributive measures to reduce inequalities in access to vaccines, and achieve the established global coverage goals. This study identified structural and political-institutional factors that favored or hindered the action of these organizations in vaccine distribution and promotion of vaccination equity during the pandemic. The role of these multilateral organizations in global and regional health arrangements is critically discussed in terms of their legitimacy, institutional capacity, and technical competence. The conclusions highlight the importance of strengthening mechanisms of global solidarity and helping Latin American nations overcome structural problems, such as limited national production and scientific and technological dependence, which hampered vaccination processes and aggravated inequalities between countries during the health emergency.","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"42 suppl 1","pages":"e00016225"},"PeriodicalIF":2.1,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683615","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

Challenges for health systems in Latin America: far beyond emergencies. 拉丁美洲卫生系统面临的挑战：远远超出突发事件。

IF 2.1 4区医学

Cadernos de saude publica Pub Date : 2026-08-03 eCollection Date: 2026-01-01 DOI: 10.1590/0102-311XEN112826

Cristiani Vieira Machado, Mónica Uribe-Gómez, Alex Alarcón Hein

引用次数: 0