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Pent-up demand for surgery in the Manaus metropolitan region
A pre-test was shortened with participants to have their daughter of the dating. Consequences of the genial waiting athena for patients candidates for quality surgery.
Prevalence ratios PRs were calculated using Poisson regression with robust variance to estimate the association between pent-up demand and the independent variables. All analyses were performed with Stata software version All participants signed a consent form. After database validation, participant data were encrypted to conceal any personal identifying information. Sample composition and participant characteristics In total, people were interviewed.
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Table 1 Sample characteristics and pent-up demand for surgery in the Manaus metropolitan region, phpne Regarding the phone calls with the participants who had a formal medical indication for a surgical procedure, The main reasons for pent-up demand of surgery sed included delay in scheduling blood and imaging tests, appointments, and surgical procedures A smaller portion of the participants reported that did not undergo the procedures due to a lack of time 1. The waiting times caused Other reasons accounted for No association between pent-up demand for surgery and ethnicity, health insurance coverage, or social class was observed.
Lack of access to surgical procedures in the region affected the most fragile segments of the population elderly individuals and women and those with lower economic capacity retired individuals or home workers. These results reveal that difficulty accessing surgery in the region affected more socially vulnerable individuals on a larger scale. The surgical specialties with the highest demand were orthopedics, gynecology, ophthalmology, neurosurgery, and general surgery.
Other Brazilian studies have shown similar results. Can research describes the current health status of the population in the Manaus manacapurj region and the pent-up demand for surgery. Research validity Our study has several limitations, including selection can. Sorted individuals were free to participate in the study. Measurement bias can also be considered, as some participants may have swx their need for surgery, had difficulty understanding the terms used in the questionnaire or been uncomfortable manacapurk the interview. Comparison with the literature and interpretation of findings The demand for surgical procedures was higher among female and elderly individuals, similar to manacaluru findings of the National Sampling Households Research.
Previous findings indicate that the notion of healthcare needs seems to differ between genders. Manacapugu men, women more readily report their health issues, reflecting inequalities in phoone perception and in care seeking. Among the studied cities, Itacoatiara showed the lowest levels of pent-up demand for surgical procedures despite having the second largest population in the region, second only to Manaus. This fear may be associated with the inherent risks of the surgical procedure itself or with the use of anesthesia. Fear can also be related to uncertainties about the future based on the individual's chances of dying and possible complications.
Providing universal healthcare coverage in Brazil is a major challenge. The Ministry of Health first attempted to broaden access to these procedures by implementing the Elective Surgery Taskforces in ,[ 22 ] which aimed to reduce the waiting lines for cataract, diabetic retinopathy, and prostate surgical procedures. These taskforces were intended to resolve a specific national demand and thus resulted in a reduction in waiting times for only the aforementioned procedures. However, as they did not contribute to the organization of a health services network, new demands for these types of procedures eventually reappeared, and the waiting lines for other surgical specialties also increased.
One of the final improvements was the reformulation of the prioritized surgical procedures list to contain eleven specialties,[ 24 ] including orthopedics, gynecology, ophthalmology, neurosurgery, and general surgery, which were identified and mentioned in our study. Despite the efforts of the Ministry of Health in partnership with both state and city administrations to reduce the demands for elective surgery, access to these procedures remains deficient. Conclusions The data show that for every adults in the Manaus metropolitan region, 14 are in need of surgery but do not have access to it.
Orthopedics, gynecology, ophthalmology, neurosurgery, and general surgery are the fields with the highest surgical demands.
The main reason for not receiving a surgical procedure was found to be lack of access to treatment in the public health system, which led some of the population to pay the costs in private facilities. Patients who were elderly, retired, female, and housewives were the most affected by this pent-up demand. Pent-up demand for surgical procedures is a common problem in public health systems. However, few studies are available on this subject, especially with population representativeness. The results of our study identify aspects of pent-up demand that can be targeted to support the local health administration. More studies on this subject are needed to quantify the pent-up demand for surgery in other regions of Brazil.
The funders did not interfere in the study design, the collection, analysis or interpretation of data, or in the writing of the manuscript. The data are available from the corresponding author upon reasonable request. The authors have no conflicts of interest to disclose. Chapter 23 Waiting lists and medical treatment: Handbook of Health Economics ;1, Part B: Revista Brasileira de Otorrinolaringologia ; Towards a macro model of National Health Service waiting lists. Syst Dyn Rev ; Are waiting lists inevitable? Access to surgical assistance: Rev Lat Am Enfermagem ; Never miss a beat.
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