在巴西统一卫生系统 (SUS) 中,骨科瘤学中心在哪里?
Geraldo Mota Gonçalves1, Danilo Arruda de Souza1, Edgard Eduard Engel1
1Universidade de Sao Paulo (USP), Faculdade de Medicina de Ribeirao Preto, Ribeirao Preto, Sao Paulo, SP, Brazil.
Acta ortopedica brasileira
|November 12, 2025
概括
这项研究绘制了巴西骨科瘤中心 (OOCs) 的地图,发现它们的分布充足,但程序集中在大量的中心. 这凸显了在参考单位支持专门护理的政策的需要.
科学领域:
- 整形瘤学 整形瘤学
- 公共卫生系统 公共卫生系统
- 医疗保健管理的管理
背景情况:
- 骨科瘤中心 (OOC) 对于治疗复杂的骨瘤至关重要.
- 了解巴西统一卫生系统 (SUS) 中的OOC的分布和数量对于公平获得医疗保健至关重要.
研究的目的:
- 分析巴西的OOCs的地理分布,外科手术量和人口充分性.
- 评估SUS内部的骨科瘤手术的集中程度.
主要方法:
- 在2008-2019年期间,从住院授权 (AIHs) 评估了11,139项手术.
- 基于进行半皮切除术和骨瘤切除与重建以及至少三次半皮切除术的OOCs的识别.
- 分析按地区和患者来源的程序分布.
主要成果:
- 在巴西18个州确定了58个OOC,处理了79.5%的程序.
- 高容量中心 (HVCs) 进行了95%的手术;低容量中心 (LVCs) 进行了5%.
- 东北地区集中了39.1%的程序;南方人均OOC最高.
结论:
- 欧欧OC的地理分布相对充足,但程序的数量高度集中.
- 在HVC中的集中可能与更好的临床结果相关.
- 建议采取鼓励在参考单位中进行专业处理的政策.
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