巴西坎皮纳斯市一家大学医院的心脏外科手术准入管理对巴西统一卫生系统的影响：2013 - 2019年前后分析
Impact of management of access to cardiac surgery in the Brazilian Unified Health System at a university hospital in Campinas: pre-post analysis, 2013-2019.
作者信息
Antunes Silvia Thomas, Lima Viviana Aparecida de, Santos Ivan Lira Dos, Miguel Rafaela Amadio, Ribeiro Gustavo Calado de Aguiar, Mendes Elisa Teixeira
机构信息
Pontifícia Universidade Católica de Campinas, Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde, Campinas, SP, Brazil.
Pontifícia Universidade Católica de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.
出版信息
Epidemiol Serv Saude. 2025 Aug 4;34:e20240222. doi: 10.1590/S2237-96222025v34e20240222.en. eCollection 2025.
OBJECTIVE
To compare the pre- and post-implementation periods of a program to manage access to cardiac surgery for users of the SUS (Brazilian Unified Health System) in terms of surgical waiting time.
METHODS
This is an observational and retrospective study, which analyzed three years before and four years after the implementation of this program. Variables such as length of hospital stay, waiting time in the surgical queue and infection rate of users who underwent elective cardiovascular surgery in the SUS were evaluated.
RESULTS
There was a significant reduction in waiting times in the queue of 97.50 days in the pre-intervention period (95% confidence interval - 95%CI 79.00; 120.30) and 52.50 days (95%CI 44.40; 63.20) in the post-intervention period. There was a trend towards a reduction in the average hospital stay and an increase in the number of surgeries performed.
CONCLUSION
The implementation of the management program reduced the waiting time for cardiac surgery in the SUS (Brazilian Unified Health System).
目的
就手术等待时间而言，比较一项针对巴西统一卫生系统（SUS）使用者的心脏手术准入管理项目实施前后的情况。
方法
这是一项观察性回顾研究，分析了该项目实施前三年和实施后四年的情况。对诸如住院时间、手术排队等待时间以及在SUS接受择期心血管手术的使用者的感染率等变量进行了评估。
结果
干预前期队列等待时间显著减少，从97.50天（95%置信区间 - 95%CI 79.00；120.30）降至干预后期的52.50天（95%CI 44.40；63.20）。平均住院时间有缩短趋势，手术量有所增加。
结论
该管理项目的实施减少了SUS（巴西统一卫生系统）中心脏手术的等待时间。
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