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Type: Artigo de periódico
Title: Brazilian Doctors' Perspective On The Second Opinion Strategy Before A C-section.
Author: Osis, Maria José Duarte
Cecatti, José Guilherme
de Pádua, Karla Simônia
Faúndes, Anibal
Abstract: To describe the opinion of doctors who participated in the Latin American Study on Cesarean section in Brazil regarding the second opinion strategy when faced with the decision of performing a C-section. Seventy-two doctors from the hospitals where the study took place (where the second opinion was routinely sought) and 70 from the control group answered a pre-tested self-administered structured questionnaire. Descriptive tables were prepared based on the frequency of relevant variables on opinion of physicians regarding: effectiveness of the application of the second opinion strategy; on whether they would recommend implementation of this strategy and reasons for not recommending it in private institutions; feasibility of the strategy implementation and reasons for not considering this implementation feasible in private institutions. Half of the doctors from the intervention hospitals (50%) and about two thirds of those in the control group (65%) evaluated the second opinion as being or having the potential of being effective/very effective in their institutions. The great majority of those interviewed from both intervention and control hospitals considered this strategy feasible in public (87% and 95% respectively) but not in private hospitals (64% and 70% respectively), mainly because in the latter the doctors would not accept interference from a colleague in their decision-making process. Although the second opinion strategy was perceived as effective in reducing C-section rates, doctors did not regard it feasible outside the public health system in Brazil.
Subject: Adult
Attitude Of Health Personnel
Cesarean Section
Hospitals, Public
Latin America
Referral And Consultation
Citation: Revista De Saúde Pública. v. 40, n. 2, p. 233-9, 2006-Apr.
Rights: aberto
Identifier DOI: /S0034-89102006000200008
Date Issue: 2006
Appears in Collections:Unicamp - Artigos e Outros Documentos

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