RESUMO
OBJECTIVE: There is still a lack of health indicators for monitoring and evaluating health planning at the local level. In Portugal, local health plans (LHP) include a prioritized set of health priorities, which should be monitored and evaluated. This study is an example of a low-resource method to identify and reuse indicators for LHP monitoring and evaluation already collected for other purposes. DESIGN AND SAMPLE: A modified Delphi consensus method was applied, with three rounds of email rating questionnaires and a final meeting, between January 2018 and January 2019. The Delphi panel consisted of eight members from the Planning and Administration Group of the Espinho/Gaia Local Public Health Unit. MEASUREMENTS: Panelists were asked to assess the indicators' validity for monitoring diseases/determinants from a pre-selected list of potential binomials between 140 PHC indicators and 15 diseases/determinants. RESULTS: After four rounds, there was consensus in considering 141 binomials (34.0%) as appropriate, diabetes mellitus being the disease with more appropriate indicators. CONCLUSION: This study portrays the applicability of a commonly used, easy and low-resource method in a Portuguese Local Public Health Unit to select and reuse primary health care indicators for LHP monitoring and evaluation.
Assuntos
Planejamento em Saúde , Indicadores de Qualidade em Assistência à Saúde , Consenso , Técnica Delphi , Humanos , Inquéritos e QuestionáriosRESUMO
Tendo em vista o alto risco de contaminaçäo na preparaçäo das soluçöes de Nutriçäo Parenteral, os autores procuram neste trabalho mostrar uma técnica de preparo em sala adequada, com capela de fluxo laminar, enfatizando a encessidade de um só profissional neste manuseio. Este profissional de nível técnico, utilizará a técnica adequada, descrita neste trabalho, com a devida ordem de adiçäo dos componentes da soluçäo, evitando contaminaçäo e incompatibilidade físico-químicos