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Bariatric Surgery Offer in Brazil: a Macroeconomic Analysis of the Health system's Inequalities.
Cazzo, Everton; Ramos, Almino Cardoso; Chaim, Elinton Adami.
Afiliação
  • Cazzo E; Department of Surgery; Faculty of Medical Sciences, State University of Campinas (UNICAMP), R. Alexander Fleming, s/n; Cidade Universitaria Zeferino Vaz, Campinas, SP, CEP 13085-000, Brazil. cazzo@unicamp.br.
  • Ramos AC; Department of Surgery; Faculty of Medical Sciences, State University of Campinas (UNICAMP), R. Alexander Fleming, s/n; Cidade Universitaria Zeferino Vaz, Campinas, SP, CEP 13085-000, Brazil.
  • Chaim EA; Department of Surgery; Faculty of Medical Sciences, State University of Campinas (UNICAMP), R. Alexander Fleming, s/n; Cidade Universitaria Zeferino Vaz, Campinas, SP, CEP 13085-000, Brazil.
Obes Surg ; 29(6): 1874-1880, 2019 06.
Article em En | MEDLINE | ID: mdl-30739302
BACKGROUND: Brazil currently holds the second place in the worldwide ranking of the largest number of bariatric surgical procedures performed. The offer of bariatric surgery in the public health system is not sufficient for its demand; it remains to be determined whether the recent economic downturn affected this offer. OBJECTIVE: To analyze the proportion of bariatric surgeries performed by the public system in Brazil and assess the influence of macroeconomic variables over time. METHODS: This is a nationwide analysis which correlated the estimated number of bariatric surgeries in Brazil in both public and private health-providing systems from 2003 through 2017 with the main macroeconomic variables of Brazil during the evaluated period (gross domestic product [GDP], inflation rate, and unemployment rate), and both overall and public healthcare expenditures. RESULTS: The proportion of surgeries performed in the public system varied from 7.1% in 2014 to 10.4% in 2004. There was a significant positive correlation between the public proportion of surgeries with the unemployment rate (R = 0.55666; P = 0.03868). There were significant negative correlations between the proportion of public surgeries with the public health expenditure per capita (R = - 0.88811; P = 0.00011) and with the public percentage of healthcare expenditure per capita (R = - 0.67133; P = 0.01683). CONCLUSION: There were direct correlations between the number of public bariatric procedures and the unemployment rate, as well as with the public healthcare expenditure per capita. Despite the increase in the number of public procedures, its proportion reveals an insufficiency of the current offer of bariatric surgery provided by the public system.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desemprego / Obesidade Mórbida / Disparidades nos Níveis de Saúde / Cirurgia Bariátrica Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
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: Desemprego / Obesidade Mórbida / Disparidades nos Níveis de Saúde / Cirurgia Bariátrica Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos