Fradinho Nuno Correia Louro, Correia Pedro Miguel Alves Ribeiro
Advanced Health Management Program, Catolica Lisbon Business School, Portuguese Catholic University (UCP), Lisbon, Portugal.
Licentiate's Degree in Medicine by the Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Porto, Portugal.
Rev Assoc Med Bras (1992). 2019 Mar;65(3):410-418. doi: 10.1590/1806-9282.65.3.410. Epub 2019 Apr 11.
There is a worldwide increase in the number of invasive aesthetic procedures, and there is a general apprehension in medical societies towards the assurance of patient safety, that is dependent on the quality and certification of providers, of the materials and substances used, and where they take place.It is the main objective of this study to determine the perception of the gravity of non-authorized substances for clinical use in invasive aesthetic procedures among Portuguese plastic surgeons and its variation by the clinical sector of practice.
We proceeded to an inquiry by using a questionnaire, measured in a Linkert scale, and the collected data were statistically treated with a non-parametric Kruskal-Wallis test.
We obtained a 41,4% answer rate and a global perception that this is a serious problem - a median of 8,00 and mean of 7,45 points on a 1 to 10 scale. 70% of the plastic surgeons that answered the questionnaire work both in the private and public sector, 19% exclusively in the public sector and 11% only in private practice. The perception of the problem was most serious among those that work exclusively in the private sector (statistically significant difference).
The causes of the observed difference may reside in various reasons: the higher number of patients submitted to invasive aesthetic procedures exclusively in private practice; the higher perception of regulatory deficits in the private sector; scarce specific health politics for procedures outside the traditional boundaries of medicine; the difficulty for independent regulatory agencies to adopt effective measures.
全球范围内侵入性美容手术的数量在增加，医学协会普遍担心患者安全的保障，这取决于提供者的资质和认证、所用材料和物质以及手术实施地点。本研究的主要目的是确定葡萄牙整形外科医生对侵入性美容手术中临床使用未经授权物质严重性的认知及其在不同临床实践领域的差异。
我们通过使用李克特量表的问卷进行调查，并对收集的数据进行非参数Kruskal-Wallis检验。
我们获得了41.4%的回复率，总体认为这是一个严重问题——在1到10分的量表上中位数为8.00，平均分为7.45分。回答问卷的整形外科医生中，70%在私立和公立部门都工作，19%仅在公立部门工作，11%仅从事私人执业。在仅从事私人执业的医生中，对该问题的认知最为严重（有统计学显著差异）。
观察到的差异原因可能有多种：仅在私人执业中接受侵入性美容手术的患者数量较多；对私立部门监管不足的认知较高；传统医学范围之外的手术缺乏具体的卫生政策；独立监管机构难以采取有效措施。
