Emergency care for victims of violence and accidents: differences in the epidemiological profile between the public and private health services. VIVA--Campinas, São Paulo, Brazil, 2009

• Published in: Ciência & saude coletiva Vol. 17; no. 9; pp. 2279 - 2290
• Main Authors: Belon, Ana Paula, da Silveira, Naoko Yanagizawa Jardim, Barros, Marilisa Berti de Azevedo, Baldo, Caroline, da Silva, Marta Maria Alves
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01.09.2012
• Subjects: Accidents - statistics & numerical data; Adult; Brazil - epidemiology; Emergency Medical Services - statistics & numerical data; Female; Humans; Male; Private Sector; Public Sector; Violence - statistics & numerical data; Young Adult; Brazil
• ISSN: 1678-4561
• DOI: 10.1590/S1413-81232012000900010

The scope of this study is to analyze the differences in the profile of emergency care for external causes between public and private emergency departments. With data come from VIVA-Campinas 2009, the association between the nature of healthcare and the characteristics of the victims was verified using the chi-square test. Using Poisson regression, proportion ratios of care in the public and private network were estimated. In the sample of 1094 victims, 67.8% were treated by public health. Traffic accidents, animal-related accidents, and assaults were 2 times higher in public units, whereas collisions with objects and sprains were 75% and 2.7 times higher in private units. Cranium-encephalic trauma/polytrauma and cuts/lacerations were 3.8 times and 61% more frequent in public care, while victims with no injuries, with dislocations/sprains or fractures being predominant in private care. Head and multiple organ injuries, road accident and work-related injuries, the use of public transport or mobile emergency care services/ambulances were predominant in public care. Revealing significant differences in care in public and private care can contribute to the organization of healthcare.