Belon Ana Paula, da Silveira Naoko Yanagizawa Jardim, Barros Marilisa Berti de Azevedo, Baldo Caroline, da Silva Marta Maria Alves
Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo 126, CCAS/Depto de Saúde Coletiva, Cid. Universitária Zeferino Vaz, 13083-887 Campinas SP.
Cien Saude Colet. 2012 Sep;17(9):2279-90. doi: 10.1590/s1413-81232012000900010.
The scope of this study is to analyze the differences in the profile of emergency care for external causes between public and private emergency departments. With data come from VIVA-Campinas 2009, the association between the nature of healthcare and the characteristics of the victims was verified using the chi-square test. Using Poisson regression, proportion ratios of care in the public and private network were estimated. In the sample of 1094 victims, 67.8% were treated by public health. Traffic accidents, animal-related accidents, and assaults were 2 times higher in public units, whereas collisions with objects and sprains were 75% and 2.7 times higher in private units. Cranium-encephalic trauma/polytrauma and cuts/lacerations were 3.8 times and 61% more frequent in public care, while victims with no injuries, with dislocations/sprains or fractures being predominant in private care. Head and multiple organ injuries, road accident and work-related injuries, the use of public transport or mobile emergency care services/ambulances were predominant in public care. Revealing significant differences in care in public and private care can contribute to the organization of healthcare.
本研究的范围是分析公立和私立急诊科在外因急救方面的差异。利用来自2009年坎皮纳斯市生命统计系统（VIVA-Campinas）的数据，通过卡方检验验证了医疗保健性质与受害者特征之间的关联。使用泊松回归估计公立和私立医疗网络中的护理比例。在1094名受害者的样本中，67.8%接受了公共卫生治疗。交通事故、与动物相关的事故和袭击在公共单位中的发生率高出2倍，而与物体碰撞和扭伤在私立单位中的发生率分别高出75%和2.7倍。颅脑创伤/多发伤以及切割伤/撕裂伤在公共护理中的发生率分别高出3.8倍和61%，而在私立护理中，无损伤、脱位/扭伤或骨折的受害者占主导。头部和多器官损伤、道路事故和与工作相关的损伤、使用公共交通工具或移动急救服务/救护车在公共护理中占主导。揭示公立和私立护理之间的显著差异有助于医疗保健的组织。
