Barriers by public versus private sector
Barrier (%) | Total | Public | Private | P value |
Lack of anesthesia care | 24 | 25 | 21 | 0.32 |
Lack of equipment | 60 | 62 | 56 | 0.35 |
Lack of access to operating rooms | 29 | 30 | 26 | 0.43 |
Lack of essential medications | 21 | 25 | 9 | <0.01 |
Lack of infrastructure (such as electricity, water, vacuum) | 11 | 11 | 11 | 0.93 |
Lack of postoperative hospital beds | 46 | 52 | 32 | <0.01 |
Difficulty obtaining reimbursement | 57 | 61 | 47 | 0.03 |
Lack of more specialized training | 28 | 28 | 25 | 0.47 |
Lack of reference systems for patient transfer | 26 | 25 | 27 | 0.8 |
Poor patient access (geographical distance, low socioeconomic status) | 40 | 43 | 31 | 0.04 |
No barriers | 11 | 10 | 14 | 0.18 |
Comparison of barriers reported by pediatric surgeons who work primarily in the public sector (SUS system) versus the private sector. Number is estimated based on sample weight, and percentages are based on weighted proportions. P values calculated using adjacent Wald χ2 tests.
SUS, Sistema Único de Saúde.