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Evaluating Neurosurgical Care Perception Across Mexico: Insights from a Nationwide Survey.
Pichardo-Rojas, Pavel S; Palacios-Cruz, Mariali; Calderón-Magdaleno, Luisa F; Coria-Medrano, Adrian; Flores-López, Shadia I; Garcia-Mijangos, Paulina C; Esquenazi, Yoshua.
Afiliação
  • Pichardo-Rojas PS; The Vivian L. Smith Department of Neurosurgery, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas. Electronic address: Pavel.S.PichardoRojas@uth.tmc.edu.
  • Palacios-Cruz M; Facultad de medicina, Universidad Veracruzana, Veracruz, Mexico.
  • Calderón-Magdaleno LF; Facultad de ciencias, Universidad Nacional Autónoma de México, Ciudad de México, Mexico.
  • Coria-Medrano A; Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, Mexico.
  • Flores-López SI; Centro de Investigación en Ciencias de la Salud (CICSA), Facultad en Ciencias de la Salud, Universidad Anáhuac México, Estado de México, Mexico.
  • Garcia-Mijangos PC; Facultad de Ciencias de la Salud, Universidad Autónoma de Baja California, Baja California, Mexico; Facultad de Medicina, Universidad Católica Boliviana San Pablo, Santa Cruz de la Sierra, Bolivia.
  • Esquenazi Y; The Vivian L. Smith Department of Neurosurgery, The University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas.
World Neurosurg ; 188: e41-e52, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38735568
ABSTRACT

BACKGROUND:

Most of the scientific and healthcare resources in Mexico are limited to the large major cities. However, many communities with complex socioeconomic and cultural backgrounds have limited access to neurosurgical care. A cross-sectional study aiming to evaluate the population's perception regarding neurosurgical care was conducted.

METHODS:

A nationwide online survey, conducted starting February 2023, assessed public perception of neurosurgical care. Data analysis was performed based on sociodemographic characteristics such as age, socioeconomic status, religion, and education. Pearson's chi-square and odds ratio were employed for statistical comparisons of categorical variables.

RESULTS:

A total of 508 participants consented to the survey. Younger participants and higher education levels correlated with greater perceived knowledge about neurosurgery (P = <0.001) and higher confidence in neurosurgical healthcare personnel (P = 0.021 and P = 0.022, respectively). Lower educational levels were prone to perceive neurosurgical care as less safe and effective (P = 0.002) and preferred to seek initial alternative/traditional treatments for neurosurgical issues (P = 0.012). A higher income level was associated with a preference for private healthcare over public services P = <0.001). Odds ratio analysis corroborated these findings. Healthcare personnel emerged as the most common source of information for neurosurgical diseases (71.4%).

CONCLUSIONS:

Our findings suggest that sociodemographic factors such as age, education, and income correlate with the population's self-perceived knowledge, trust and beliefs about safety and effectiveness regarding neurosurgical care in Mexico. These findings can be instrumental for developing healthcare policies that address the needs of Mexico's patient population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos