مقاله انگلیسی رایگان در مورد توزیع منابع و تمایز در سیستم بهداشت و درمان برزیل – اسپرینگر ۲۰۱۸

مقاله انگلیسی رایگان در مورد توزیع منابع و تمایز در سیستم بهداشت و درمان برزیل – اسپرینگر ۲۰۱۸

 

مشخصات مقاله
ترجمه عنوان مقاله توزیع منابع و تمایز در سیستم بهداشت و درمان برزیل: دیدگاهی از خدمات پیوند اعضا بدن
عنوان انگلیسی مقاله Resource allocations and disparities in the Brazilian health care system: insights from organ transplantation services
انتشار مقاله سال ۲۰۱۸
تعداد صفحات مقاله انگلیسی ۷ صفحه
هزینه دانلود مقاله انگلیسی رایگان میباشد.
پایگاه داده نشریه اسپرینگر
مقاله بیس این مقاله بیس میباشد
نمایه (index) scopus – master journals – JCR – MedLine – DOAJ – PubMed Central – Master ISC
نوع مقاله ISI
فرمت مقاله انگلیسی  PDF
ایمپکت فاکتور(IF)
۱٫۸۴۳ در سال ۲۰۱۷
شاخص H_index ۸۳ در سال ۲۰۱۸
شاخص SJR ۱٫۱۵۱ در سال ۲۰۱۸
رشته های مرتبط پزشکی
گرایش های مرتبط ایمنی شناسی
نوع ارائه مقاله
ژورنال
مجله / کنفرانس تحقیقات خدمات بهداشتی – BMC Health Services Research
دانشگاه Department of International Development – King’s College London – UK
کلمات کلیدی برزیل، مراقبت های سلامتی، سیاست های بهداشتی، تامین مالی مراقبت های بهداشتی، پیوند اعضاء بدن، حقوق سلامتی
کلمات کلیدی انگلیسی Brazil, Health care, Health policy, Health care financing, Organ transplantats, Health equity
شناسه دیجیتال – doi
https://doi.org/10.1186/s12913-018-2851-1
کد محصول E10307
وضعیت ترجمه مقاله  ترجمه آماده این مقاله موجود نمیباشد. میتوانید از طریق دکمه پایین سفارش دهید.
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فهرست مطالب مقاله:
Abstract
Background
Explaining Brazil’s inequalities in organ transplant services
Conclusion
Endnotes
References

 

بخشی از متن مقاله:
Abstract

Background: To date, few studies have assessed how Brazil’s universal healthcare system’s (SUS, Sistema Único de Saúde) systemic, infrastructural, and geographical challenges affect individuals’ abilities to access organ transplantation services and receive quality treatment. Discussion: In this article we evaluated the existing literature to examine the impact that SUS has had on an increasingly important healthcare sector: organ transplantation services. We assess how equity challenges within the transplantation system can be explained by wider problems within SUS. Findings suggest stark disparities in access to transplantation services both within and across Brazil’s regions. We found that these regional differences are partially due to logistical challenges, especially in loosely populated areas but are also a consequence of disparities in resource allocations within SUS and under-capacitated health care facilities affecting transplantation services. Summary: We suggest that Brazil needs to improve its health outcome measurement system for organ transplantations and epidemiological surveillance, to gain more comprehensive and comparable data. Finally, we recommend policy strategies to reduce barriers to access to transplantation services by increasing transplantation service coverage in some areas and investing in emerging technologies.

Background

Addressing healthcare disparities in emerging nations is a new area of scholarly research. Among the BRICS nations, Brazil has stood out as a government that, while in principle is committed to establishing an effective universal health care system, in practice has not been fully dedicated to achieving this objective. Inadequate funding, poor health care infrastructure, insufficient human resources, and geographic distance have negatively affected patient access to adequate health care services through the government’s decentralized universal health care system, namely SUS (Sistema Único de Saúde). To date, however, few have analysed the impact that SUS has had on an increasingly important healthcare sector: organ transplantation services. As the number of noncommunicable diseases (NCDs) with potentially damaging effects on organs increases, such as diabetes, hypertension, and cancer, demands for transplantation services will inevitably rise. Yet, studies have paid insufficient attention to how SUS’ systemic, infrastructural, and geographical challenges affect individuals’ abilities to access transplantation services and receive quality treatment. We aim to fill in this lacuna in the literature by illustrating how regional differences in SUS human resources, medical infrastructure, waiting periods for medical attention and neurological exams lead to disparities in transplantation processes and provisions between the states. More specifically, Brazil’s wealthier southern states have seen better resources and infrastructure, in turn facilitating access and treatment in transplantation services; the converse holds for most poorer northeastern states.1 We also desire to highlight that geographical factors matter: that is, patients in poorer rural areas confront transportation difficulties in obtaining access to transplantation services, which is less the case in urban areas. Scope: We focus on the Brazilian public healthcare system in its wider national context (e.g. overall infrastructure). When conducting research for this article, the authors obtained referenced articles from personal databases of journal articles and reports, found mainly from on-line library systems and search engines, such as PubMed and Google.

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