Monlleó Isabella Lopes, Gil-da-Silva-Lopes Vera Lúcia
Faculdade de Medicina, Fundação Universitária de Ciências da Saúde de Alagoas, Maceió, Alagoas, Brazil.
Cad Saude Publica. 2006 May;22(5):913-22. doi: 10.1590/s0102-311x2006000500004. Epub 2006 Apr 28.
The first initiative for treating craniofacial anomalies under the Brazilian Unified Health System was in 1993. An important step was the creation of the Reference Network for Craniofacial Treatment. There are now 29 services listed in this Network. The current study aimed to describe and assess the general characteristics of healthcare in this Network. Data were collected by a questionnaire, sent to the centers. Response rate was 86.2%. The results showed an increase in services in Southeast Brazil, in universities, and in relation to cleft lip and palate; public financing was prevalent; team composition was largely in accordance with North American standards; routine care occurred in 90%; and 70% used clinical protocols. The Network's name does not appear to entirely reflect its scope. The results show the need to review the Network's definition, aims, and achievements and the standards for inclusion of craniofacial centers.
巴西统一卫生系统下治疗颅面畸形的首个举措始于1993年。重要的一步是创建了颅面治疗参考网络。该网络目前列出了29个服务机构。本研究旨在描述和评估该网络医疗服务的总体特征。通过向各中心发送问卷收集数据。回复率为86.2%。结果显示，巴西东南部、大学以及唇腭裂相关的服务有所增加；公共资金占主导地位；团队构成在很大程度上符合北美标准；90%提供常规护理；70%采用临床方案。该网络的名称似乎并未完全反映其范围。结果表明有必要审查该网络的定义、目标、成就以及颅面中心的纳入标准。
