IJCS | Volume 31, Nº4, July / August 2018

DOI: 10.5935/2359-4802.20180043 339 ORIGINAL ARTICLE International Journal of Cardiovascular Sciences. 2018;31(4)339-358 Mailing Address: José Augusto Barreto-Filho Avenida Gonçalo Prado Rollemberg, 211, sala 202. Postal Code: 49010-410, Aracaju, SE - Brazil. E-mail: joseaugusto.se@gmail.com , jasbf@cardiol.br Disparities in Acute Myocardial Infarction Treatment Between Users of the Public and Private Healthcare System in Sergipe Jussiely Cunha Oliveira 1,2 , Laís Costa Souza Oliveira 1,3 , Jeferson Cunha Oliveira 3,4 , Ikaro Daniel de Carvalho Barreto 5 , Marcos Antonio Almeida-Santos 2,6 , Ticiane Clair Remacre Munareto Lima 1 , Larissa Andreline Maia Arcelino 1,7 , Luiz Flávio Andrade Prado 2,8 , Fábio Serra Silveira 8 , Thiago Augusto Nascimento 6,9 , Eduardo José Pereira Ferreira 6,8,10 , Rafael Vasconcelos Barreto 8 , Enilson Vieira Moraes 3 , José Teles de Mendonça 8,9,11 , Antonio Carlos Sobral Sousa 1,6,10,11 , José Augusto Barreto-Filho 1,6,10,11 , em nome do grupo de pesquisadores do Registro VICTIM Núcleo de Pós-Graduação em Ciências da Saúde da Universidade Federal de Sergipe (UFS) 1 , São Cristóvão, SE - Brazil Universidade Tiradentes (UNIT) 2 , Aracaju, SE - Brazil Hospital Primavera 3 , Aracaju, SE - Brazil Departamento de Farmácia da Universidade Federal de Sergipe (UFS) 4 , Lagarto, SE - Brazil Departamento de Estatística da Universidade Federal de Sergipe (UFS) 5 , Aracaju, SE - Brazil Centro de Ensino e Pesquisa da Fundação São Lucas 6 , Aracaju, SE - Brazil Faculdade Estácio de Sá 7 , Aracaju, SE - Brazil Fundação Beneficência Hospital de Cirurgia 8 , Aracaju, SE - Brazil Hospital do Coração 9 , Aracaju, SE - Brazil Departamento de Medicina da Universidade Federal de Sergipe (UFS) 10 , São Cristóvão, SE - Brazil Divisão de Cardiologia do Hospital Universitário da UFS 11 , São Cristóvão, SE - Brazil Manuscript received July 05, 2017, revised manuscript October 03, 2017, accepted October 15, 2017. Abstract 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 VICTIMRegistry 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.