Apresentação em Las Vegas sobre Medicina Hospitalar no Brasil

1. Guilherme Brauner Barcellos, MD, FHM
Hospitalist at Hospital Divina Providência
Las Vegas, 2014 Society of Hospital Medicine Meeting
International Hospital Medicine, Special Interest Forum

2. * Largest country in both South America and the Latin American
region;
* The world's fifth largest country, both by geographical area
and by population;
* Healthcare in Brazil is a Constitutional right. It is provided by
both private and government institutions;
* Public health care is provided to all Brazilian permanent
residents and foreigners in Brazilian territory through the
National Health Care System, known as SUS - universal and
free for everyone;
* It is still a country of disparities and some of them are
worsening…

3. * Disparities between private system and pubic system
* Disparities between private hospitals
* At the public system, some hospitals are islands of
excellence…

5. 200
4
200
7
200
8
201
0
201
1
201
2
GEAMH -
when
everything
started
First
meeting
in Brazil
about
HM
National
Meeting
PASHA First
meeting
in Brazil
about
Pediatri
c HM
Transition
Care
Conference

6. * Group of Studies and Update in Hospital Medicine
* 2005: First Website in Brazil about Hospitalists
* 2007: Brazilian Chapter of the SHM (inactivated in year 2012 to have a unique international section)

7. * Porto Alegre, Rio Grande do
Sul, Brasil
* Participation of Jamie
Newman, at that time editor of
The Hospitalist
*Mayo Clinic support

8. * Gramado, Rio Grande do Sul, Brasil
* Participation of Jamie Newman, Jeanne Huddleston (former
president of the SHM), Neil Winawer (Emory) end other Mayo
Clinic physicians
* Drove forward the first boom…

9. PASHA2010
* Florianópolis
* A multinational
initiative
* ~20 non Brazilian
speakers
* Drew the attention of the mainstream media -
article entitled “The hospitalists are coming” was
published in Folha de São Paulo, the largest
newspaper by daily circulation in Brazil.

13. * Porto Alegre
* Participation of Ricardo
Quinonez and Geeta
Singhal, Texas Children's
Hospital

14. * First meeting in Brazil on how to promote effective
transitions of care at hospital discharge as a
multispecialty initiative:
* Hospitalists representatives
* Brazilian Society of Medicine of Family and
Community (SBMFC)
* Brazilian Association for Emergency Medicine
(ABRAMEDE)
* Participation of Sunil Kripalani, Vanderbilt University

15. Electronic collection of almost all the presentations

16. More
developed
ones
Less developed
ones or, at least,
less well know
 quality (in average):
Access problems
Bad infrastructure
…
Better quality
Hospitalists

18. * Hospital Divina Providência
* Porto Alegre
* 165 beds
* Two full-time hospitalists
* Two part-time hospitalists
 10-hour coverage
 Monday to Friday
continuity by the same doctor
 Continuity by the
team of hospitalists = 100%
 To grow, will we need to
hire physicians only to solve
the weekend problem?
Lots of Challenges!!!

19. * 2014
*August: hospitalist conference together with the traditional
meeting “Safety” in Rio de Janeiro
*November: the first north-northeast hospitalist meeting in
Terezina, Piauí (to fill the gap!!!)
* 2015
*Meeting in Curitiba, Paraná
* Workshop “Best Practices in Managing a Hospital Medicine
Program”, for administrators and physicians leaders, with
NelsonFlores, Hospital Medicine Consultants

20. And you are invited to visit us!