The challenges of low and middle-income countries in healthcare management after COVID-19
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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.
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References
2. 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
3. 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
4. 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
5. 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
6. 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/
7. 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
8. 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
9. 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
10. 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