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Promoting Comprehensive Cleft Care into a Unified Heath System in Brazil: Challenges and Achievements

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Cleft Lip and Palate Treatment

Abstract

The Brazilian unified health care system (named Sistema Único de Saúde [SUS]) was established in 1988 in the Federal Constitution and determined that “health is a right of every citizen and a duty of the State” (Malik 1997). This complex social program was created based on the tripod of universal access to health care services, equality of access to health care, and comprehensiveness, meaning an integral continuity of health assistance (Tanaka et al. 2012; de Sousa and Mendonca 2014; Pontes et al. 2014).

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References

  • Araujo MA. Results-oriented management and accountability in the Brazilian Unified Health System. Rev Panam Salud Publica. 2010;27(3):230–6.

    Article  PubMed  Google Scholar 

  • Artmann E, Andrade MA, Rivera FJ. Challenges for the discussion of a complex institutional mission: the case of a health research institute. Cien Saude Colet. 2013;18(1):191–202.

    Article  PubMed  Google Scholar 

  • Carneiro FF, Franco Netto G, Corvalan C, de Freitas CM, Sales LB. Environmental health and inequalities: building indicators for sustainable development. Cien Saude Colet. 2012;17(6):1419–25.

    Article  PubMed  Google Scholar 

  • Cohn A. Reflections on Brazilian National Health Reform after 20 years of experience with the Unified National Health System. Cad Saude Publica. 2009;25(7):1614–9.

    Article  PubMed  Google Scholar 

  • Cortes SV. The Unified National Health System: decision-making forums and the political arena in health. Cad Saude Publica. 2009;25(7):1626–33.

    Article  PubMed  Google Scholar 

  • de Sousa MF, Mendonca AV. Primary Health Care in the Brazilian Unified Health System (SUS): a bequest and a legacy. Cien Saude Colet. 2014;19(2):330–1.

    Article  PubMed  Google Scholar 

  • Lodovici O. O crescimento da maxilla em criancas com fissura lábio palatina operada – Estudo pela cefalometria radiologica. Tese de Doutorado apresentada à Universidade de São Paulo; 1964.

    Google Scholar 

  • Malik AM. Quality improvement issues in Brazil. Jt Comm J Qual Improv. 1997;23(1):55–9.

    CAS  PubMed  Google Scholar 

  • Monteiro FA, Schama R, Martins AJ, Gloria-Soria A, Brown JE, Powell JR. Genetic diversity of Brazilian Aedes aegypti: patterns following an eradication program. PLoS Negl Trop Dis. 2014;8(9):e3167.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mulliken JB. The changing faces of children with cleft lip and palate. N Engl J Med. 2004;351(8):745–7.

    Article  CAS  PubMed  Google Scholar 

  • Patil SB, Kale SM, Khare N, Math M, Jaiswal S, Jain A. Changing patterns in demography of cleft lip-cleft palate deformities in a developing country: the Smile Train effect--what lies ahead? Plast Reconstr Surg. 2011;127(1):327–32.

    Article  CAS  PubMed  Google Scholar 

  • Pfeifer TM, Grayson BH, Cutting CB. Nasoalveolar molding and gingivoperiosteoplasty versus alveolar bone graft: an outcome analysis of costs in the treatment of unilateral cleft alveolus. Cleft Palate Craniofac J. 2002;39(1):26–9.

    Article  PubMed  Google Scholar 

  • Pontes AP, Oliveira DC, Gomes AM. The principles of the Brazilian Unified Health System, studied based on similitude analysis. Rev Lat Am Enfermagem. 2014;22(1):59–67.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ramos LR, Malta DC, Gomes GA, Bracco MM, Florindo AA, Mielke GI, et al. Prevalence of health promotion programs in primary health care units in Brazil. Rev Saude Publica. 2014;48(5):837–44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Raposo-Amaral CE, Raposo-Amaral CM, Raposo-Amaral CA, Chahal H, Bradley JP, Jarrahy R. Age at surgery significantly impacts the amount of orbital relapse following hypertelorbitism correction: a 30-year longitudinal study. Plast Reconstr Surg. 2011;127(4):1620–30.

    Article  CAS  PubMed  Google Scholar 

  • Raposo-Amaral CE, Warren SM. Highlights from the 11th international congress on cleft palate and related craniofacial anomalies. J Craniofac Surg. 2011;22(3):781.

    Article  PubMed  Google Scholar 

  • Reddy SG, Reddy LV, Reddy RR. Developing and standardizing a center to treat cleft and craniofacial anomalies in a developing country like India. J Craniofac Surg. 2009;20(Suppl 2):1664–7.

    Article  PubMed  Google Scholar 

  • Shaw WC, Semb G, Nelson P, Brattstrom V, Molsted K, Prahl-Andersen B, et al. The Eurocleft project 1996-2000: overview. J Craniomaxillofac Surg. 2001;29(3):131–40. discussion 41-2

    Article  CAS  PubMed  Google Scholar 

  • Spina V. A proposed modification for the classification of cleft lip and palate. Cleft Palate J. 1973;110:251.

    Google Scholar 

  • Spina V, Lodovici O. Conservative technique for treatment of unilateral cleft lip : reconstruction of the midline tubercle of the vermelion. Br J Plast Surg. 1960;13:110–7.

    Article  CAS  PubMed  Google Scholar 

  • Spina V, Psillakis JM, Lapa FS, Ferreira MC. Classificação de Fissuras lábio-palatinas. Sugestão de modificação. Rev Hosp Clin Fac Med SPaulo. 1972;27:5–6.

    CAS  Google Scholar 

  • Strauss RP. Cleft palate and craniofacial teams in the United States and Canada: a national survey of team organization and standards of care. The American Cleft Palate-Craniofacial Association (ACPA) Team Standards Committee. Cleft Palate Craniofac J. 1998;35(6):473–80.

    Article  CAS  PubMed  Google Scholar 

  • Tanaka OY, Tamaki E, Felisberto E. The challenges of evaluation in the Brazilian Unified Health System (SUS). Cien Saude Colet. 2012;17(4):818–9.

    Article  PubMed  Google Scholar 

  • Vincens N, Stafstrom M. Income inequality, economic growth and stroke mortality in Brazil: longitudinal and regional analysis 2002-2009. PLoS One. 2015;10(9):e0137332.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Cassio Eduardo Raposo-Amaral M.D., Ph.D. .

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Raposo-Amaral, C.E., Alonso, N. (2018). Promoting Comprehensive Cleft Care into a Unified Heath System in Brazil: Challenges and Achievements. In: Alonso, N., Raposo-Amaral, C. (eds) Cleft Lip and Palate Treatment. Springer, Cham. https://doi.org/10.1007/978-3-319-63290-2_2

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  • DOI: https://doi.org/10.1007/978-3-319-63290-2_2

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