Advances in rheumatology practice in Brazil

被引:7
作者
Castro Rocha, Francisco Airton [1 ]
Vasques Dantas Landim, Joaquim Ivo [1 ]
da Rocha, Leila Nascimento [1 ]
机构
[1] Univ Fed Ceara, Lab Invest Osteoartropatias, Dept Internal Med Liga Reumatol & Doencas Autoimu, Inst Biomed,Fac Med, Rua Cel Nunes Melo 1315,1 Andar, BR-60430270 Fortaleza, CE, Brazil
关键词
Arthritis; Disease burden; Rheumatology; Epidemiology; MUSCULOSKELETAL DISORDERS; GLOBAL BURDEN; ARTHRITIS; RECOMMENDATIONS; DISEASE; MANAGEMENT; PREVALENCE; GUIDELINES; ANTIBODIES; FRACTURES;
D O I
10.1007/s00296-018-4211-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite resilient inequities, Brazil has seen progressive improvement in health care in the last 25years. Infectious diseases rendered place to chronic non-communicable diseases as a major cause of death. Existence of traditional schools of medicine and training services in rheumatology helped form a reasonable number of specialists, though irregular distribution due to the economic issues favoring their clustering in major cities. The Brazilian Society of Rheumatology provides continued medical education, helps training rheumatologists, family physicians and other health professionals and has worked to publish national recommendations for the diagnosis and treatment of major rheumatic diseases. Access to medications and health care facilities is provided for most patients, free of direct charge, including biologics. Specialized services for autoimmune and rare diseases, including pediatric rheumatology and autoinflammatory diseases, have improved, particularly in developed centers of the southern best developed parts of the country. A major unmet need is the lack of access to non-pharmacological treatment modalities. In this article, we will summarize some of the strengths and points that need improvement to enhance access to the rheumatological health care in Brazil.
引用
收藏
页码:1125 / 1134
页数:10
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