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Table 5 Health systems dimension aspects related to dengue mortality according to content analysis

From: Why are people with dengue dying? A scoping review of determinants for dengue mortality

Health systems dimension Consideration as determinant for dengue mortality References
SDH Concepta Observations
Access to health care Yes • Lack of access or presence of barriers to health care and/or supplementary services were often [3032, 39, 40, 61, 65, 69, 77]
• described in dengue mortality.
Health coverage NC • Although health coverage might facilitate the access and health care attention received, it was not specifically described as determinant. [92, 94]
Opportunity for receiving attention Yes • Limitation in referrals, shock corrections, delayed attention, or early hospital discharge were the most described aspects related to opportunity for attention. [3032, 40, 65, 69, 88, 93, 102]
Quality of attention received Yes • Related as well to health staff knowledge, both technical and scientific quality of attention were described as direct determinants in the cases with wrong praxis. [32, 40, 65, 69, 77, 93, 102]
Length of hospital stay NC • This item was reported by describing the duration of a hospital stay, but without reporting any association with fatal outcomes. [11, 29, 30, 32, 39, 40, 65, 69, 80, 103]
Health staff knowledge Yes • Expressed as appropriate management of the disease, thereby decreasing the chance of developing severe forms and dengue mortality. [32, 51, 65, 91, 93, 102]
Surveillance No • Described as a tool for cases analysis and documentation of outbreaks but not as a determinant. [32, 51, 69, 91, 92, 94]
  1. aConcept according to what has been described in the literature. YES Considered to be a determinant NO Not considered to be a determinant, NC Non conclusive information