Repercussions of the COVID-19 pandemic on preventive health services in Brazil.
Repercussions of the COVID-19 pandemic on preventive health services in Brazil.
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DOI：
10.1016/j.ypmed.2021.106914
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发表时间：
2022-03
影响因子：
5.1
通讯作者：
Nielsen-Saines K
中科院分区：
文献类型：
--
作者：
de Oliveira MM;Fuller TL;Gabaglia CR;Cambou MC;Brasil P;de Vasconcelos ZFM;Nielsen-Saines K
非传染性疾病的负担日益加重和公共资金有限是拉丁美洲卫生保健系统面临的主要挑战。尽管COVID-19严重影响了巴西的医疗保健系统，但进一步描述对公共卫生工作造成的干扰程度至关重要，以应对和管理这种流行病的长期影响。因此，我们量化了2020年巴西统一卫生系统（Sistema Ünico de Saúde/SUS）对预防和治疗服务的需求，以评估COVID-19在这种情况下的潜在影响。我们使用SUS数据库，将2020年提供的预防和治疗服务与2017年至2019年提供的相同服务进行比较。我们还评估了与前几年相比，大流行期间呼吸道感染（RI）诊断的频率。与2017-19年相比，2020年非紧急医疗预约减少了1.4倍（p = 0.0017），牙科咨询减少了2.8倍（p = 0.05），免疫覆盖率增加了1.5倍（p = 0.0005）。2020年到SUS门诊部就诊的RI人数是前几年的4.2倍（p = 0.0014），2020年7月的诊断高峰为280，898人。COVID-19疫情似乎导致SUS向巴西人口提供的预防及治疗服务大幅减少。我们的研究结果可能有助于决策者制定政策，在大流行之后增加门诊服务的可用性。采取应对措施至关重要，以避免疫苗可预防的疾病和非传染性慢性健康状况引起的并发症死灰复燃。
The increasing burden of non-communicable diseases and limited public financing are major challenges facing health care systems in Latin America. Although COVID-19 severely impacted the Brazilian health care system, it is crucial to further characterize the degree of disruption caused to public health efforts, in order to address and manage long term effects of this pandemic. We therefore quantified the demand for preventive and treatment services from the Brazilian Unified Health System (Sistema Único de Saúde/SUS) in 2020 to evaluate potential repercussions of COVID-19 in this setting. Using the SUS database, we compared preventative and treatment services rendered in 2020 to the same services rendered from 2017 to 19. We also evaluated the frequency of respiratory infection (RI) diagnoses during the pandemic, relative to the preceding years. Compared to 2017–19, in 2020 non-urgent medical appointments decreased 1.4-fold (p = 0.0017), dental consultations 2.8-fold (p = 0.05), and immunization coverage 1.5 fold (p = 0.0005). The number of RI visits to SUS ambulatory care units in 2020 was 4.2 times higher than in preceding years (p = 0.0014), with a peak of 280,898 diagnoses in July 2020. The COVID-19 pandemic appears to have led to a dramatic decline in preventative and treatment services provided by SUS to the Brazilian population. Our findings may aid decision-makers in formulating policies to increase the availability of outpatient services in the aftermath of the pandemic. Counter measures will be critical to avoid a resurgence in vaccine-preventable diseases and complications stemming from non-communicable, chronic health conditions.
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影响因子：
4.2
作者：
Reis，Tulio;Lansingh，Van;Furtado，J. O. A. M.
通讯作者：
Furtado，J. O. A. M.
影响因子：
56.9
作者：
Castro, Marcia C.;Kim, Sun;Singer, Burton H.
通讯作者：
Singer, Burton H.
影响因子：
3.7
作者：
Jeet G;Thakur JS;Prinja S;Singh M
通讯作者：
Singh M
影响因子：
3.7
作者：
Ribeiro HV;Sunahara AS;Sutton J;Perc M;Hanley QS
通讯作者：
Hanley QS
影响因子：
3.7
作者：
de Andrade CLT;Pereira CCA;Martins M;Lima SML;Portela MC
通讯作者：
Portela MC