Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study.

التفاصيل البيبلوغرافية
العنوان:	Surgical capacity assessment in the state of Amazonas using the surgical assessment tool. Cross-sectional study.
المؤلفون:	Souza JE; - University of the State of Amazonas, Department of Surgery - Manaus - AM - Brasil., Ferreirai RV; - University of the State of Amazonas, Department of Surgery - Manaus - AM - Brasil., Saluja S; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Amundson J; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Citron I; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Truche P; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Roa L; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Zimmerman K; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Jenny HE; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Bowder AN; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos., Gomes PHDS; - University of the State of Amazonas, Department of Surgery - Manaus - AM - Brasil., Correia JO; - University of the State of Amazonas, Department of Surgery - Manaus - AM - Brasil., Meara J; - Harvard Medical School, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine - Boston - Massachusetts - Estados Unidos.; - Boston Children's Hospital, Department of Plastic and Oral Surgery - Boston - Massachusetts - Estados Unidos., Alonso N; - University of São Paulo, Department of Surgery - São Paulo - SP - Brasil.
المصدر:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2022 Sep 19; Vol. 49, pp. e20223368. Date of Electronic Publication: 2022 Sep 19 (Print Publication: 2022).
نوع المنشور:	Journal Article; Randomized Controlled Trial
اللغة:	English; Portuguese
بيانات الدورية:	Publisher: Colégio Brasileiro de Cirurgiões Country of Publication: Brazil NLM ID: 7809515 Publication Model: eCollection Cited Medium: Internet ISSN: 1809-4546 (Electronic) Linking ISSN: 01006991 NLM ISO Abbreviation: Rev Col Bras Cir Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Rio de Janeiro : Colégio Brasileiro de Cirurgiões, [1974?]-
مواضيع طبية MeSH:	Health Resources* , Surgical Procedures, Operative*, Brazil ; Cross-Sectional Studies ; Female ; Hospitals ; Humans ; Pregnancy ; Workforce
مستخلص:	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.
References:	World J Surg. 2015 Sep;39(9):2115-25. (PMID: 26239773) World J Surg. 2018 Aug;42(8):2303-2313. (PMID: 29368021) Arch Surg. 2002 Mar;137(3):352-8. (PMID: 11888466) Lancet. 2015 Mar 28;385(9974):1230-47. (PMID: 25458725) Global Health. 2020 Jan 2;16(1):1. (PMID: 31898532) BMJ Glob Health. 2017 Jul 13;2(2):e000269. (PMID: 29225930) PLoS Med. 2014 Sep 22;11(9):e1001692. (PMID: 25243676) Surgery. 2014 Mar;155(3):365-73. (PMID: 24439745) Trauma Surg Acute Care Open. 2016 Dec 21;1(1):e000058. (PMID: 29766075) Health Policy Plan. 2012 May;27(3):234-44. (PMID: 21441566) Lancet. 2015 Aug 8;386(9993):569-624. (PMID: 25924834) Lancet. 2011 May 21;377(9779):1778-97. (PMID: 21561655) Cien Saude Colet. 2013 Jan;18(1):273-80. (PMID: 23338517) Surgery. 2017 Jun;161(6):1710-1719. (PMID: 28259351)
تواريخ الأحداث:	Date Created: 20220922 Date Completed: 20220923 Latest Revision: 20231018
رمز التحديث:	20240628
مُعرف محوري في PubMed:	PMC10578809
DOI:	10.1590/0100-6991e-20223368-en
PMID:	36134849
قاعدة البيانات:	MEDLINE

Full Text Finder

الوصف
تدمد:	1809-4546
DOI:	10.1590/0100-6991e-20223368-en