{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:30:55Z","timestamp":1765758655789,"version":"3.41.2"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p> Objective: to characterize surgical hospitalizations, length of stay, cost and mortality, according to the legal nature (public and private) of the hospital institution linked to the Unified Health System (Sistema \u00danico de Sa\u00fade, SUS). Method: a descriptive study, of the survey type, with retrospective data collection (2008 to 2017) and a quantitative approach. The dependent variables surgical hospitalizations in Brazil, costs, length of stay and mortality and the independent variables regime\/legal nature (public and private) were obtained from the Informatics Department of the Unified Health System. The Mann-Whitney test was used for analysis.  Results: the average number of hospitalizations through the Unified Health System was 4,214,083 hospitalizations\/year, 53.5% occurred in private hired hospitals and 46.5% in public hospitals (p=0.001). The financial transfer was greater for the private sector (60.6%) against 39.4% for the public (p=0.001). The average stay was 4.5 days in the public hospital and 3.1 days in its private counterpart (p&lt;0.001). Mortality was higher in the public (1.8%) than in the private hospital (1.4%) (p&lt;0.001).  Conclusion: there was predominance of surgical hospitalizations through the Unified Health System in private hospitals with greater financial transfer to this sector, to the detriment of the public. The diverse evidence produced contributes to the debate and actions to avoid budgetary asphyxiation in the public sector in favor of the private sector.<\/jats:p>","DOI":"10.1590\/1518-8345.4901.3467","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T12:04:15Z","timestamp":1630325055000},"source":"Crossref","is-referenced-by-count":8,"title":["Public-private relationship in surgical hospitalizations through the Unified Health System"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0288-5215","authenticated-orcid":false,"given":"Liane Alves de","family":"S\u00e1","sequence":"first","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil; Universidade Estadual do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7338-121X","authenticated-orcid":false,"given":"Eduardo Rocha","family":"Covre","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1731-763X","authenticated-orcid":false,"given":"Willian Augusto de","family":"Melo","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2055-0558","authenticated-orcid":false,"given":"Rog\u00e9rio Miranda","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8737-0431","authenticated-orcid":false,"given":"Maria Fernanda do Prado","family":"Tostes","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"9993","key":"ref1","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0140-6736(15)60160-X","article-title":"Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development.","volume":"386","author":"Meara JG","year":"2015","journal-title":"Lancet. 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[Internet]","author":"Xu K","key":"ref4"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"e000226","DOI":"10.1136\/bmjgh-2016-000226","article-title":"Assessing the Brazilian surgical system with six surgical indicators: a descriptive and modelling study.","volume":"2","author":"Massenburg BB","year":"2017","journal-title":"BMJ Glob Health. [Internet]"},{"issue":"1","key":"ref6","first-page":"e1979","article-title":"Trend of hospitalizations and mortality from surgical causes in Brazil, 2008 to 2016.","volume":"46","author":"Covre ER","year":"2019","journal-title":"Rev Col Bras Cir. [Internet]"},{"journal-title":"Di\u00e1rio Oficial da Uni\u00e3o, Bras\u00edlia, DF","article-title":"Portaria n\u00ba 1.034, de 05 de maio de 2010. Disp\u00f5e sobre a participa\u00e7\u00e3o complementar das institui\u00e7\u00f5es privadas com ou sem fins lucrativos de assist\u00eancia \u00e0 sa\u00fade no \u00e2mbito do Sistema \u00danico de Sa\u00fade","year":"2010","key":"ref7"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1590\/0034-761220170179x","article-title":"Publicprivate relation in the Brazilian policy of tertiary care for cardiovascular conditions.","volume":"53","author":"Oliveira PR","year":"2019","journal-title":"Rev Adm P\u00fablica. [Internet]"},{"year":"2018","series-title":"DATASUS. [Homepage]","key":"ref9"},{"issue":"6","key":"ref10","first-page":"175162","article-title":"SUS: supply, access to and use of health services over the last 30 years.","volume":"23","author":"Viacava F","year":"2018","journal-title":"Ci\u00eanc Sa\u00fade Coletiva. 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[Internet]"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":[],"deposited":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T12:04:31Z","timestamp":1630325071000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692021000100367&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":26,"alternative-id":["S0104-11692021000100367"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.4901.3467","relation":{},"ISSN":["1518-8345"],"issn-type":[{"type":"electronic","value":"1518-8345"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e3467"}}