Brazil Health Care System preparation against COVID-19

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Silva, Lincoln Luís

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de Carvalho Dutra, Amanda

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Iora, Pedro Henrique

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Ramajo, Guilherme Luiz Rodrigues

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Messias, Gabriel Antônio Fernandes

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Gualda, Iago Amado Peres

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Scheidt, Joao Felipe Hermann Costa

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Amaral, Pedro Vasconcelos Maia do

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Staton, Catherine

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Rocha, Thiago Augusto Hernandes

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Andrade, Luciano de

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Vissoci, João Ricardo Nickenig

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2021-01-07T19:40:27Z

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2021-01-07T19:40:27Z

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2020-05-13

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2021-01-07T19:40:24Z

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Background: The coronavirus disease outbreak from 2019 (COVID-19) is associated with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a highly contagious virus that claimed thousands of lives around the world and disrupted the health system in many countries. The assessment of emergency capacity in every country is a necessary part of the COVID-19 response efforts. Thus, it is extremely recommended to evaluate the health care system to prepare the country to tackle COVID-19 challenges. Methods and Findings: A retrospective and ecological study was performed with data retrieved from the public national healthcare database (DATASUS). Numbers of intensive care unit and infirmary beds, general or intensivists physicians, nurses, nursing technicians, and ventilators from each Regional Health Unity were extracted, and the beds per health professionals and ventilators per population rates were assessed. The accessibility to health services was also performed using a spatial overlay approach to verify regions that lack assistance. It was found that Brazil lacks equity, integrity, and may struggle to assist with high complexity for the COVID-19 patients in many regions of the country. Conclusions: Brazilian health system is insufficient to tackle the COVID-19 in some regions of the country where the coronavirus may be responsible for high rates of morbidity and mortality.

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https://hdl.handle.net/10161/22016

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Cold Spring Harbor Laboratory

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10.1101/2020.05.09.20096719

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Brazil Health Care System preparation against COVID-19

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Journal article

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Staton, Catherine|0000-0002-6468-2894

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School of Medicine

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Duke Global Health Institute

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Neurosurgery

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Surgery, Emergency Medicine

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Duke

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Clinical Science Departments

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Surgery

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