Transplant management in Brazil: a temporal analysis of financial investments and procedures.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0039en
Mercy da Costa Souza, Marcos Antonio Ferreira Júnior, Carolina Mariano Pompeo, Felipe Machado Mota, Elenir Rose Jardim Cury
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Abstract

Objective: To analyze public management actions regarding organ, cell, and tissue transplant procedures and their financial investments in Brazil.

Method: Mixed (time and place) ecological study, carried out based on data from the Hospital Information System of the Brazilian Public Health System (SUS) Information Technology Department and the National Transplant System, from 2001 to 2023. Temporal trend analyses, descriptive and inferential statistics were performed.

Results: Organ, cell, and tissue transplants are concentrated in the Southeast region of the country, with increased costs there. The Northeast and South regions of Brazil have the longest waiting list, with an increasing trend (R2 = 0.96), associated with a decreasing trend in the number of transplants (R2 = 0.97).

Conclusion: The difference in the total number of transplants and procedures performed among the Brazilian regions represents the need for organization and investments with strategies aimed at training professionals and raising awareness among the population.

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巴西的移植管理:财政投资和程序的时间分析。
目的:分析巴西有关器官、细胞和组织移植手术的公共管理行动及其财政投资:分析巴西有关器官、细胞和组织移植手术的公共管理行动及其财政投资:根据巴西公共卫生系统(SUS)信息技术部医院信息系统和国家移植系统提供的数据,从 2001 年至 2023 年开展混合(时间和地点)生态研究。研究进行了时间趋势分析、描述性和推论性统计:结果:器官、细胞和组织移植主要集中在巴西东南部地区,该地区的成本也有所增加。巴西东北部和南部地区的等待时间最长,呈上升趋势(R2 = 0.96),而移植数量呈下降趋势(R2 = 0.97):结论:巴西各地区移植总数和手术数量的差异表明,有必要通过旨在培训专业人员和提高民众意识的战略进行组织和投资。
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