Medical perception of stroke care conditions in Brazil

Author:

Gagliardi Vivian Dias Baptista1,Simis Marcel2,Cabeça Hideraldo Luiz Souza3,Gagliardi Rubens José4

Affiliation:

1. Irmandade da Santa Casa de São Paulo, Brasil; Universidade Federal de São Paulo, Brasil

2. Universidade de São Paulo, Brasil

3. Conselho Federal de Medicina, Brasil

4. Irmandade da Santa Casa de São Paulo, Brasil; Faculdade de Ciências Médicas, Brasil

Abstract

ABSTRACT Stroke is currently the second leading cause of death in Brazil. Neurologists’ reports on the absence of adequate resources for stroke care are frequent; however, there are no objective data on this perception. Objective To assess the perception of neurologists of stroke care conditions in Brazil. Methods Neurologists from all over Brazil were surveyed by means of an anonymous questionnaire about the main shortcomings in stroke care, focusing particularly on physical structure and infrastructure (diagnostic methods, patient transport, availability of beds, multi-professional team). Results The main shortcomings are indicated: the worst conditions, among all items surveyed, were found in the public sector. In the private sector, conditions were better. Conclusions Care conditions are worse in the public sector with regard to both infrastructure and human resources. Future public health policies for the prevention and treatment of stroke should be formulated, taking into consideration neurologists’ perceptions.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Reference13 articles.

1. Stroke prevention in poor countries: time for action;Bonita R;Stroke,2007

2. A reappraisal of stroke mortality trends in Brazil (1979-2009);Lotufo PA;Int J Stroke,2013

3. Centro Tecnológico de Informação e Informática do SUS,2015

4. Guidelines for acute ischemic stroke treatment. Part II: stroke treatment;Martins SC;Arq. Neuropsiquiatr,2012

5. Stroke awareness in Brazil: alarming results in a community-based study;Pontes Neto OM;Stroke,2008

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