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Ciência & Saúde Coletiva

Print version ISSN 1413-8123

Abstract

BELON, Ana Paula et al. Emergency care for victims of violence and accidents: differences in the epidemiological profile between the public and private health services. VIVA - Campinas, São Paulo, Brazil, 2009. Ciênc. saúde coletiva [online]. 2012, vol.17, n.9, pp. 2279-2290. ISSN 1413-8123.  http://dx.doi.org/10.1590/S1413-81232012000900010.

The scope of this study is to analyze the differences in the profile of emergency care for external causes between public and private emergency departments. With data come from VIVA-Campinas 2009, the association between the nature of healthcare and the characteristics of the victims was verified using the chi-square test. Using Poisson regression, proportion ratios of care in the public and private network were estimated. In the sample of 1094 victims, 67.8% were treated by public health. Traffic accidents, animal-related accidents, and assaults were 2 times higher in public units, whereas collisions with objects and sprains were 75% and 2.7 times higher in private units. Cranium-encephalic trauma/polytrauma and cuts/lacerations were 3.8 times and 61% more frequent in public care, while victims with no injuries, with dislocations/sprains or fractures being predominant in private care. Head and multiple organ injuries, road accident and work-related injuries, the use of public transport or mobile emergency care services/ambulances were predominant in public care. Revealing significant differences in care in public and private care can contribute to the organization of healthcare.

Keywords : Emergency medical services; Accidents; Violence; Public sector; Private sector.

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