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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Community Care Administration of Spinal Deformities in the Brazilian Public Health System

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Author(s):
Bressan-Neto, Mario [1] ; Pereira da Silva Herrero, Carlos Fernando [1] ; Pacola, Lilian Maria [1] ; Nunes, Altacilio Aparecido [2] ; Aparecido Defino, Helton Luiz [1]
Total Authors: 5
Affiliation:
[1] Univ Sao Paulo, Fac Med Ribeirao Preto, Dept Biomecan Med & Reabilitacao Aparelho Locomot, Ribeirao Preto, SP - Brazil
[2] Univ Sao Paulo, Fac Med Ribeirao Preto, Dept Med Social, Ribeirao Preto, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: Clinics; v. 72, n. 8, p. 485-490, AUG 2017.
Web of Science Citations: 0
Abstract

OBJECTIVE: Underfunding of the surgical treatment of complex spinal deformities has been an important reason for the steadily growing waiting lists in publicly funded healthcare systems. The aim of this study is to characterize the management of the treatment of spinal deformities in the public healthcare system. METHODS: A cross-sectional study of 60 patients with complex pediatric spinal deformities waiting for treatment in December 2013 was performed. The evaluated parameters were place of origin, waiting time until first assessment at a specialized spine care center, waiting time for the surgical treatment, and need for implants not reimbursed by the healthcare system. RESULTS: Ninety-one percent of the patients lived in São Paulo State (33% from Ribeirão Preto - DRS XIII). Patients waited for 0.5 to 48.0 months for referral, and the waiting times for surgery ranged from 2 to 117 months. Forty-five percent of the patients required implants for the surgical procedure that were not available. CONCLUSION: The current management of patients with spinal deformities in the public healthcare system does not provide adequate treatment for these patients in our region. They experience long waiting periods for referral and prolonged waiting times to receive surgical treatment; additionally, many of the necessary procedures are not reimbursed by the public healthcare system. (AU)

FAPESP's process: 14/50101-0 - Undefunding Surgical treatment of spinal deformities: Clinical epidemiological and economical analysis
Grantee:Helton Luiz Aparecido Defino
Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)