The challenges of low and middle-income countries in healthcare management after COVID-19
Article Sidebar
Main Article Content
Abstract
More than two years after WHO declared the novel coronavirus (COVID-19) outbreak a pandemic, a year after deploying the first COVID vaccine, and as we approach nearly 6.5 million infection-related deaths1, we wonder, as Brazilian front-line physicians, what are the lessons we should have learned. Accordingly, healthcare was the first of all systems affected by COVID-19, particularly in developing nations. Despite the additional costs of unemployment, supply chain disturbances, finance expenses to support businesses, and millions of children deprived of education, we still witness the abundance of daily clinical practices of low-value care, failed public health policies, and scientific researches of controversial relevance and not centered in the patient.
Article Details
Authors maintain copyright and grant the HSJ the right to first publication. From 2024, the publications wiil be licensed under Attribution 4.0 International 
, allowing their sharing, recognizing the authorship and initial publication in this journal.
Authors are authorized to assume additional contracts separately for the non-exclusive distribution of the version of the work published in this journal (e.g., publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are encouraged to publish and distribute their work online (e.g., in institutional repositories or on their personal page) at any point after the editorial process.
Also, the AUTHOR is informed and consents that the HSJ can incorporate his article into existing or future scientific databases and indexers, under the conditions defined by the latter at all times, which will involve, at least, the possibility that the holders of these databases can perform the following actions on the article.
References
Organization WH. WHO Coronavirus (COVID-19) Dashboard [Internet]. [cited 2022 Jul 27]. Available from: https://covid19.who.int
Garg SK. Antibiotic misuse during COVID-19 Pandemic: A Recipe for Disaster. Indian J Critical Care Medicine. 2021;25(6):617–9. https://doi.org/10.5005/jp-journals-10071-23862
Pramesh CS, Babu GR, Basu J, Bhushan I, Booth CM, Chinnaswamy G, et al. Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians. Nat Med. 2021;27(8):1324–7. https://doi.org/10.1038/s41591-021-01439-x
Estenssoro E, Alegría L, Murias G, Friedman G, Castro R, Vaeza NN, et al. Organizational Issues, Structure, and Processes of Care in 257 ICUs in Latin America. Crit Care Med. 2017;45(8):1325–36. https://doi.org/10.1097/ccm.0000000000002413
Ranzani OT, Bastos LSL, Gelli JGM, Marchesi JF, Baião F, Hamacher S, et al. Characterisation of the first 250 000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data. Lancet Respir Medicine. 2021;9(4):407–18. https://doi.org/10.1016/s2213-2600(20)30560-9
Martins F. Brasil tem 6.500 médicos intensivistas; 40 mil seriam necessários [Internet]. 2021 [cited 2022 Sep 1]. Available from: https://www.cnnbrasil.com.br/saude/brasil-tem-6500-medicos-intensivistas-40-mil-seriam-necessarios/
Furlan L, Caramelli B. The regrettable story of the “Covid Kit” and the “Early Treatment of Covid-19” in Brazil. Lancet Regional Health Am. 2021;4:100089. https://doi.org/10.1016/j.lana.2021.100089
Drew L. Did COVID vaccine mandates work? What the data say [Internet]. Nature. 2022 [cited 2022 Sep 1]. Available from: https://www.nature.com/articles/d41586-022-01827-4
Piers RD, Azoulay E, Ricou B, Ganz FD, Decruyenaere J, Max A, et al. Perceptions of Appropriateness of Care Among European and Israeli Intensive Care Unit Nurses and Physicians. JAMA. 2011;306(24):2694–703. https://doi.org/10.1001/jama.2011.1888
Health Department of Government of Australia. Clinician Researchers initiative [Internet]. 2022 [cited 2022 May 9]. Available from: https://www.health.gov.au/initiatives-and-programs/clinician-researchers-initiative