Demanda e capacidade resolutiva do setor de retina e vitreo de um hospital terciario / Problem solving capacity and demand for vitreoretinal diseases in university health center

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The aims of the study were to evaluate either the characteristics of the demand and the performance of the tertiary care delivered to patients with vitreoretinal diseases in a defined urban population in the Southeast of Brazil. Data were collected from consecutive first time patients between June 1 2003 and July 31 2004 in the Department of Ophthalmology, State University of Campinas, São Paulo, Brazil. Problem-solving capacity rates as well as demand incidence were calculated for vitreoretinal surgery and photocoagulation. Data were entered into the Statistical Package for the Social Sciences (version 11.0). There were a total population of 3 389 294 in the cities of Campinas catchment area. Of the 7500 patients referred to the Department, 641 were deemed to analysis. Diagnoses analyzed were retinal detachment (26.0%), diabetic retinopathy (21.0%), and vitreous hemorrhage (7.7%). Median ages were 52, 59, 57.5, respectively. The problem-solving capacity rates showed that 38.1%, 33.0%, and 93.5% of those eligible for ophthalmic intervention (retinal detachment, vitreous hemorrhage and diabetic retinopathy) have obtained the treatment. The main reason for not performing the treatment was lack of available intervention time (87.1%). The overall demand incidence of retinal detachment was 9.2:100 000. Nontraumatic phakic detachments had the highest demand incidence of 7.1:100 000. 26,5% of all patients seeking treatment presented inoperable cases of retinal detachments. The age specific demand incidence increases with age. Nontraumatic phakic detachments were the most common type of detachment. The incidence of the traumatic types of detachment was higher in males than that in females. Sight threatening conditions are not thoroughly covered by the health system in this area. Some alternatives to reduce the problem are considered. It provides valuable information on planning high complexity eye services in the population likely to be served

ASSUNTO(S)

epidemiologia retinal detachment serviços de saude health service hemorragia vitrea paises em desenvolvimento developing contries epidemiology retinopatia diabetica descolamento de retina vitreous hemorrhage

ACESSO AO ARTIGO

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