Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system
Objective: To evaluate the surgical rehabilitation of cleft lip and/or palate by the Brazilian public health system. Methods: Retrospective, analytical and comparative ecological study, with information on hospital procedures performed on individuals with cleft lip and/or palate in Centers authorize...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869422000799 |
| _version_ | 1811293247221268480 |
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| author | Denise Maria M. L. da Silveira Daniella Reis B. Martelli Verônica Oliveira Dias Mário Sérgio Costa da Silveira Ianná Luana Freitas Almeida Hercílio Martelli Júnior |
| author_facet | Denise Maria M. L. da Silveira Daniella Reis B. Martelli Verônica Oliveira Dias Mário Sérgio Costa da Silveira Ianná Luana Freitas Almeida Hercílio Martelli Júnior |
| author_sort | Denise Maria M. L. da Silveira |
| collection | DOAJ |
| description | Objective: To evaluate the surgical rehabilitation of cleft lip and/or palate by the Brazilian public health system. Methods: Retrospective, analytical and comparative ecological study, with information on hospital procedures performed on individuals with cleft lip and/or palate in Centers authorized by the Brazilian public health system, between the years 2008 and 2020. The information was collected in databases Ministry of Health data. Results: Between 2008 and 2020, there was an increase of 8 (36.4%) qualified Centers in Brazil, currently having 30 Centers in 100% of the geographic regions. The surgical procedures performed totaled 68,716; with multiple surgeries being the most frequent. Complete cleft lip and palate was the most frequent type in hospital admissions. The public financial resources invested in the surgical rehabilitation of cleft lip and palate in the qualified Lip and Palate Malformation Treatment Centers were US$ 39,693 million, making an average value per procedure of US$ 577.64. Conclusions: In Brazil, public health system performed and financed, over the years 2008 and 2020, an important volume of surgical procedures for cleft lip and/or palate, which presented a polarization in the Southeast region but with a slight tendency expansion to other regions of the country. The most performed surgical procedures were multiple surgeries and mostly for individuals with cleft lip and palate. The amounts paid showed a heretogeneous distribution in the national territory. Level of evidence: Level 5: Report containing program evaluation data. |
| first_indexed | 2024-04-13T04:57:39Z |
| format | Article |
| id | doaj.art-10d1b7d6df1643d2b09e7b314c3f41e7 |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-13T04:57:39Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-10d1b7d6df1643d2b09e7b314c3f41e72022-12-22T03:01:25ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S126S132Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health systemDenise Maria M. L. da Silveira0Daniella Reis B. Martelli1Verônica Oliveira Dias2Mário Sérgio Costa da Silveira3Ianná Luana Freitas Almeida4Hercílio Martelli Júnior5Universidade Estadual de Montes Claros (Unimontes), Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil; Secretaria de Saúde do Estado de Minas Gerais, Superintendência Regional de Saúde de Montes Claros, Montes Claros, MG, Brazil; Corresponding author.Universidade Estadual de Montes Claros (Unimontes), Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil; Universidade Estadual de Montes Claros (Unimontes), Curso de Odontologia, Montes Claros, MG, BrazilUniversidade Estadual de Montes Claros (Unimontes), Curso de Odontologia, Montes Claros, MG, BrazilInstituto Federal do Norte de Minas Gerais, Montes Claros, MG, BrazilUniversidade Estadual de Montes Claros (Unimontes), Faculdade de Medicina, Montes Claros, MG, BrazilUniversidade Estadual de Montes Claros (Unimontes), Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil; Universidade Estadual de Montes Claros (Unimontes), Curso de Odontologia, Montes Claros, MG, BrazilObjective: To evaluate the surgical rehabilitation of cleft lip and/or palate by the Brazilian public health system. Methods: Retrospective, analytical and comparative ecological study, with information on hospital procedures performed on individuals with cleft lip and/or palate in Centers authorized by the Brazilian public health system, between the years 2008 and 2020. The information was collected in databases Ministry of Health data. Results: Between 2008 and 2020, there was an increase of 8 (36.4%) qualified Centers in Brazil, currently having 30 Centers in 100% of the geographic regions. The surgical procedures performed totaled 68,716; with multiple surgeries being the most frequent. Complete cleft lip and palate was the most frequent type in hospital admissions. The public financial resources invested in the surgical rehabilitation of cleft lip and palate in the qualified Lip and Palate Malformation Treatment Centers were US$ 39,693 million, making an average value per procedure of US$ 577.64. Conclusions: In Brazil, public health system performed and financed, over the years 2008 and 2020, an important volume of surgical procedures for cleft lip and/or palate, which presented a polarization in the Southeast region but with a slight tendency expansion to other regions of the country. The most performed surgical procedures were multiple surgeries and mostly for individuals with cleft lip and palate. The amounts paid showed a heretogeneous distribution in the national territory. Level of evidence: Level 5: Report containing program evaluation data.http://www.sciencedirect.com/science/article/pii/S1808869422000799Mouth abnormalitiesCleft palateCleft lipHealthcare financing |
| spellingShingle | Denise Maria M. L. da Silveira Daniella Reis B. Martelli Verônica Oliveira Dias Mário Sérgio Costa da Silveira Ianná Luana Freitas Almeida Hercílio Martelli Júnior Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system Brazilian Journal of Otorhinolaryngology Mouth abnormalities Cleft palate Cleft lip Healthcare financing |
| title | Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system |
| title_full | Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system |
| title_fullStr | Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system |
| title_full_unstemmed | Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system |
| title_short | Surgical rehabilitation of cleft lip and/or palate: evaluation of the Brazilian public health system |
| title_sort | surgical rehabilitation of cleft lip and or palate evaluation of the brazilian public health system |
| topic | Mouth abnormalities Cleft palate Cleft lip Healthcare financing |
| url | http://www.sciencedirect.com/science/article/pii/S1808869422000799 |
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