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Implementing laparoscopy in Brazil's National Public Health System: the bariatric surgeons' point of view.
Sussenbach, Samanta; Silva, Everton N; Pufal, Milene Amarante; Rossoni, Carina; Casagrande, Daniela Schaan; Padoin, Alexandre Vontobel; Mottin, Cláudio Corá.
Afiliação
  • Sussenbach S; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Silva EN; Faculdade de Ceilândia, Universidade de Brasília, Brasília, DF.
  • Pufal MA; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Rossoni C; Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Casagrande DS; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Padoin AV; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Mottin CC; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Arq Bras Cir Dig ; 27 Suppl 1: 39-42, 2014.
Article em En, Pt | MEDLINE | ID: mdl-25409964
BACKGROUND: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure via laparotomy. AIM: 1) Estimate whether bariatric surgeons would support the idea of incorporating laparoscopic surgery in the BNPHS; 2) If there would be an increase in the total number of surgeries performed; 3) As well as how BNPHS would redistribute both procedures. METHODS: A panel of bariatric surgeons was built. Two rounds to answer the structured Delphi questionnaire were performed. RESULTS: From the 45 bariatric surgeons recruited, 30 (66.7%) participated in the first round. For the second (the last) round, from the 30 surgeons who answered the first round, 22 (48.9%) answered the questionnaire. Considering the possibility that BNPHS incorporated laparoscopic surgery, 95% of surgeons were interested in performing it. Therefore, in case laparoscopic surgery was incorporated by the BNPHS there would be an average increase of 25% in the number of surgeries and they would be distributed as follows: 62.5% via laparoscopy and 37.5% via laparotomy. CONCLUSION: 1) There was a preference by laparoscopy; 2) would increase the number of operations compared to the current model in which only the laparotomy is available to users of the public system; and 3) the distribution in relation to the type of procedure would be 62.5% and 37.5% for laparoscopy laparotomy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Laparoscopia / Atenção à Saúde / Cirurgia Bariátrica / Cirurgiões Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Laparoscopia / Atenção à Saúde / Cirurgia Bariátrica / Cirurgiões Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil