Disparities in Acute Myocardial Infarction Treatment Between Users of the Public and Private Healthcare System in Sergipe
Jussiely Cunha Oliveira
Laís Costa Souza Oliveira
Jeferson Cunha Oliveira
Ikaro Daniel de Carvalho Barreto
Marcos Antonio Almeida-Santos
Ticiane Clair Remacre Munareto Lima
Larissa Andreline Maia Arcelino
Luiz Flávio Andrade Prado
Fábio Serra Silveira
Thiago Augusto Nascimento
Eduardo José Pereira Ferreira
Rafael Vasconcelos Barreto
Enilson Vieira Moraes
José Teles de Mendonça
Antonio Carlos Sobral Sousa
José Augusto Barreto-Filho, em nome do grupo de pesquisadores do Registro VICTIM
Background: The Brazilian Unified Health System (SUS) was created to ensure universal, integral and equitable access to quality healthcare to Brazilians. However, studies scrutinizing the quality of the healthcare provided by the SUS are scarce. This is especially critical for patients with ST-elevation myocardial infarction (STEMI), who depend on healthcare system responsiveness and timely reperfusion to achieve better outcomes.
Objective: To describe the methodology of the VICTIM Registry aimed at characterizing and comparing the access to effective therapies and the outcomes of patients with STEMI, who use the SUS and the private healthcare system at hospitals capable of performing angioplasty in Sergipe. In addition, that registry aimed at identifying and measuring possible disparities in the quality of the care provided.
Methods and Results: The VICTIM Registry is an observational study, launched in December 2014, being still in the data collection phase, to investigate: the epidemiology of STEMI in Sergipe, the temporal and geographic courses of the patients up to their admission to one of the hospitals capable of performing angioplasty, the reperfusion therapy rates, the quality of the healthcare provided during the event, and the 30-day mortality. It compares the results obtained in the SUS with those of the private healthcare system.
Conclusions: The VICTIM Registry is an interinstitutional effort to identify opportunities for healthcare improvement for SUS and private healthcare system patients with STEMI. It is expected to provide healthcare managers with information to support new, more efficient and equitable healthcare policies. (Int J Cardiovasc Sci. 2018;31(4)339-358)
Keywords: Myocardial Infarction; Healthcare Disparities; Unified Health System; Private Health Care Coverage.