获得手术援助：挑战与前景。
Access to surgical assistance: challenges and perspectives.
作者信息
Tostes Maria Fernanda do Prado, Covre Eduardo Rocha, Fernandes Carlos Alexandre Molena
机构信息
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Universidade Estadual do Paraná, Paranavaí, PR, Brazil.
出版信息
Rev Lat Am Enfermagem. 2016;24:e2677. doi: 10.1590/1518-8345.0954.2677. Epub 2016 Mar 28.
OBJECTIVE
to characterize the access to surgical assistance in Brazil.
METHOD
documentary study, with a quantitative approach, developed from information of the Caixa Preta da Saúde [Health Black Box] database, of the Brazilian Medical Association.
RESULTS
in the one-year period 3773 cases related to health care in Brazil were recorded. There were 458 (12.3%) records on surgical assistance. Of these, most, 339 (74.1%), involved the lack of access in all regions of Brazil. The main access constraint was the prolonged waiting time for surgery. Other constraints were the excessive waiting for medical appointment with experts, doing examinations and cancellation of surgeries.
CONCLUSION
the access to surgical assistance, by users of the Brazilian health system, is not widely guaranteed, reinforcing the need for integrated governmental actions, organization of the health care network, management of health care and human resources to overcome the challenges imposed to achieve the Universal Access to Health and Universal Health Coverage.
目的
描述巴西外科手术援助的可及性情况。
方法
采用文献研究，定量研究方法，基于巴西医学协会“健康黑匣子”数据库的信息开展。
结果
在一年时间里，记录了巴西3773例与医疗保健相关的病例。其中有458例（12.3%）是关于外科手术援助的记录。在这些记录中，大多数，即339例（74.1%），涉及巴西所有地区都存在的可及性不足问题。主要的可及性限制因素是手术等待时间过长。其他限制因素包括等待专家预约看病、进行检查以及手术取消的时间过长。
结论
巴西医疗系统的使用者获得外科手术援助的机会并未得到广泛保障，这凸显了政府采取综合行动、组织医疗保健网络、管理医疗保健和人力资源以克服实现全民健康覆盖和普及医疗保健所面临挑战的必要性。
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