0495/2012 - Atendimentos de emergência a vítimas de violências e acidentes: diferenças no perfil epidemiológico entre o setor público e o privado. VIVA – Campinas/SP, 2009. Violence and accidents in emergency departments: differences in the epidemiological profile between public and private health services. VIVA – Campinas, São Paulo, Brazil, 2009.
• Ana Paula Belon - Belon, A.P. - Edmonton, Outro País/Another Country - Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, São Paulo, Brasil. - <paulabelon@gmail.com>
Coautor(es):
• Marta Maria Alves da Silva - SILVA, MMA - Coordenação Geral de Vigilância de Doenças e Agravos Não Transmissíveis, Secretaria de Vigilância em Saúde, Ministério da Saúde. - <marta.silva@saude.gov.br>
• Caroline Baldo - Baldo, C. - Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, São Paulo, Brasil. - <carol_baldo9144@hotmail.com>
• Marilisa Berti de Azevedo Barros - Barros, M.B.A - Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, São Paulo, Brasil. - <marilisa@unicamp.br> ORCID: https://orcid.org/0000-0003-3974-195X
• Naoko Yanagizawa Jardim da Silveira - Silveira, N.Y.J. - Coordenadoria de Vigilância em Saúde, Secretaria de Saúde de Campinas, São Paulo, Brasil - <naoko.silveira@campinas.sp.gov.br>
Área Temática:
Não Categorizado
Resumo:
O objetivo deste estudo foi analisar as diferenças no perfil dos atendimentos de emergência por causas externas, entre as unidades de saúde públicas/conveniadas ao SUS e as privadas. Com dados do VIVA-Campinas 2009, foi verificada a associação entre natureza do serviço de saúde e características das vítimas, evento e atendimento usando teste qui-quadrado. A partir da regressão de Poisson, foram estimadas as razões entre a proporção de atendimentos da rede pública e da privada. O setor público respondeu por 67,8% dos atendimentos na amostra de 1094 vítimas. Acidentes de transportes, acidentes com animais e agressões foram 2 vezes mais frequentes nas unidades públicas; já choques contra objeto e entorses foram 75% e 2,7 vezes superiores nas privadas. Traumatismos crânio-encefálicos/politraumatismos e cortes/lacerações foram 3,8 vezes e 61% mais frequentes no setor público, enquanto ocorrências sem lesão física, com luxações/entorses ou fraturas predominaram no privado. Vítimas com lesões na cabeça e em múltiplos órgãos, ocorrências em vias públicas, eventos relacionados ao trabalho, uso de transportes coletivos e SAMU/resgate/ambulâncias prevaleceram na rede pública. O estudo, ao apontar significativas diferenças entre os eventos atendidos na rede pública e privada, pode contribuir na organização da assistência à saúde.
This study aims to analyze the differences in the characteristics of injury-related visits to public and private emergency departments (ED) in Campinas. The cross-sectional data come from VIVA 2009, a National Injury Surveillance System, which covered 15 ED in Campinas. The association between injury-related visits and type of healthcare system was verified by chi-square test. Using Poisson regression, proportion ratios of visits between public and private ED were estimated. Of 1094 victims, 67.8% were treated in public ED. Traffic accidents, animal-related accidents, and assaults were 2 times higher in public ED; collisions with objects and sprains were 75% and 2.7 times higher in private ED. Craniocerebral trauma/multiple trauma and cuts/lacerations were 3.8 times and 61% more frequent in public ED; while victims with no injuries, with dislocations/sprains or fractures were predominant in private ED. The following characteristics were proportionally larger in public ED: brain injuries, injuries in multiple body regions, injuries that occurred in the streets, work-related injuries. Patients transported by public transportation or mobile emergency care services/ambulances were predominant in public ED. This study showed significant differences in the characteristics of the emergency visits between public and private ED, which can contribute to the organization of health care.
Keywords:
Emergency medical services
Accidents
Violence
Public sector
Private sector
Cross-sectional studies
Violence and accidents in emergency departments: differences in the epidemiological profile between public and private health services. VIVA – Campinas, São Paulo, Brazil, 2009.
Resumo (abstract):
This study aims to analyze the differences in the characteristics of injury-related visits to public and private emergency departments (ED) in Campinas. The cross-sectional data come from VIVA 2009, a National Injury Surveillance System, which covered 15 ED in Campinas. The association between injury-related visits and type of healthcare system was verified by chi-square test. Using Poisson regression, proportion ratios of visits between public and private ED were estimated. Of 1094 victims, 67.8% were treated in public ED. Traffic accidents, animal-related accidents, and assaults were 2 times higher in public ED; collisions with objects and sprains were 75% and 2.7 times higher in private ED. Craniocerebral trauma/multiple trauma and cuts/lacerations were 3.8 times and 61% more frequent in public ED; while victims with no injuries, with dislocations/sprains or fractures were predominant in private ED. The following characteristics were proportionally larger in public ED: brain injuries, injuries in multiple body regions, injuries that occurred in the streets, work-related injuries. Patients transported by public transportation or mobile emergency care services/ambulances were predominant in public ED. This study showed significant differences in the characteristics of the emergency visits between public and private ED, which can contribute to the organization of health care.
Palavras-chave (keywords):
Emergency medical services
Accidents
Violence
Public sector
Private sector
Cross-sectional studies
Belon, A.P., SILVA, MMA, Baldo, C., Barros, M.B.A, Silveira, N.Y.J.. Atendimentos de emergência a vítimas de violências e acidentes: diferenças no perfil epidemiológico entre o setor público e o privado. VIVA – Campinas/SP, 2009.. Cien Saude Colet [periódico na internet] (2012/abr). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atendimentos-de-emergencia-a-vitimas-de-violencias-e-acidentes-diferencas-no-perfil-epidemiologico-entre-o-setor-publico-e-o-privado-viva-campinassp-2009/9916?id=9916&id=9916
