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1.
Rev. enferm. UFPE on line ; 15(1): [1-12], jan. 2021. ilus, tab, graf
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145757

RESUMEN

Objetivo: analisar a taxa de mortalidade infantil no Brasil, por regiões. Método: trata-se de um estudo quantitativo, descritivo, retrospectivo, epidemiológico, transversal. Compôs-se a amostra por todos os nascidos vivos e óbitos de crianças menores de um ano registrados no SINASC e SIM, respectivamente. Obtiveram-se os dados por meio da plataforma digital DATASUS. Resultados: registraram-se 128.332 óbitos infantis na região Nordeste durante esse período, tendo como seus principais fatores a idade materna menor de 14 anos, mães sem escolaridade, gestações com duração de 22 a 27 semanas, crianças nascidas de parto vaginal, sexo masculino, cor/raça indígena, peso ao nascer menor que 999 gramas e baixa atenção à mulher na gestação. Conclusão: concluiuse que grande parte dos óbitos infantis no Nordeste está ligada a causas maternas, evidenciando-se falha na assistência de saúde. Podem-se alterar esses números por meio de uma assistência prénatal adequada, planejamento familiar e qualificação da promoção de saúde.(AU)


Objective: to analyze the infant mortality rate in Brazil, by regions. Method: it is a quantitative, descriptive, retrospective, epidemiological, cross-sectional study. The sample was composed by all live births and deaths of children under one year of age registered in SINASC and YES, respectively. The data were obtained through the DATASUS digital platform. Results: there were 128,332 infant deaths in the Northeast region during this period, the main factors being maternal age under 14, mothers without schooling, pregnancies lasting from 22 to 27 weeks, children born vaginally, male, indigenous color/race, weight at birth less than 999 grams and low attention to women in pregnancy. Conclusion: It was concluded that a large part of the childhood deaths in the Northeast are linked to maternal causes, showing a failure in health care. These numbers can be changed through adequate prenatal care, family planning and health promotion qualification.(AU)


Objetivo: analizar la tasa de mortalidad infantil en Brasil, por región. Método: se trata de un estudio cuantitativo, descriptivo, retrospectivo, epidemiológico, transversal. La muestra estuvo compuesta por todos los nacidos vivos y defunciones de niños menores de un año registrados en SINASC y SIM, respectivamente. Los datos se obtuvieron utilizando la plataforma digital DATASUS. Resultados: se registraron 128,332 muertes infantiles en la región Noreste durante este período, siendo los principales factores la edad materna menor de 14 años, madres sin educación, embarazos de 22 a 27 semanas, niños nacidos por parto vaginal, varones, color / raza indígena, peso al nacer menor a 999 gramos y poca atención a la mujer durante el embarazo. Conclusión: se concluyó que gran parte de las muertes infantiles en el Noreste está relacionada a causas maternas, evidenciando una falla en la atención de salud. Estos números pueden modificarse mediante una atención prenatal adecuada, planificación familiar y calificación de la promoción de la salud.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Brasil , Mortalidad Infantil , Registros de Mortalidad , Salud Pública , Factores de Riesgo , Sistemas de Información en Salud , Estudios Epidemiológicos , Epidemiología Descriptiva , Estudios Transversales , Estudios Retrospectivos
2.
Rev. enferm. UFPE on line ; 15(1): [1-11], jan. 2021.
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145780

RESUMEN

Objetivo: compreender como as tecnologias da informação e comunicação influenciam o processo de tomada de decisão de enfermeiros gestores em um hospital universitário. Método: trata-se de um estudo qualitativo, descritivo, realizado com nove enfermeiros gestores das unidades assistenciais de um hospital de ensino, por meio de entrevista semiestruturada. Submeteram-se os dados à Análise de Conteúdo Temática. Resultados: informa-se que emergiram duas categorias, "Descrevendo o uso do AGHU" e "Sugestões de melhorias para o uso do AGHU", e os gestores demonstraram possuir pouca qualificação no uso de Sistemas de Informação, apresentaram dificuldades quanto à implantação do sistema utilizado e acesso à internet. Conclusão: conclui-se que o sistema AGHU, da forma como se encontra estruturado, não está sendo utilizado de maneira coesa, tendo repercussão negativa na qualidade dos serviços prestados à gestão de saúde.(AU)


Objective: to understand how information and communication technologies influence the decision making process of nurse managers in a university hospital. Method: this is a qualitative, descriptive study, carried out with nine nurses managing the assistance units of a teaching hospital, through a semi-structured interview. The data was submitted to the Thematic Content Analysis. Results: it is informed that two categories have emerged, "Describing the use of UHMA" and "Suggestions for improvements for the use of UHMA", and the managers demonstrated to have little qualification in the use of Information Systems, presented difficulties regarding the implementation of the system used and access to the internet. Conclusion: it is concluded that the UHMA system, as it is structured, is not being used in a cohesive manner, having a negative impact on the quality of the services provided to health management.


Objetivo: comprender cómo las tecnologías de la información y la comunicación influyen en la toma de decisiones de los enfermeros gestores en un hospital universitario. Método: se trata de un estudio cualitativo, descriptivo, realizado con nueve enfermeros gestores de las unidades asistenciales de un hospital universitario, mediante entrevistas semiestructuradas. Los datos se enviaron a Análisis de Contenido Temático. Resultados: se informa que surgieron dos categorías, "Describiendo el uso de AGHU" y "Sugerencias de mejora en el uso de AGHU", y los gerentes demostraron tener poca calificación en el uso de Sistemas de Información, presentaron dificultades en la implementación del sistema usado y acceso a internet. Conclusión: se concluye que el sistema AGHU, tal como está estructurado, no se está utilizando de manera cohesionada, lo que repercute negativamente en la calidad de los servicios prestados a la gestión sanitaria.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Toma de Decisiones en la Organización , Sistemas de Información en Hospital , Supervisión de Enfermería , Tecnología de la Información , Sistemas de Información en Salud , Toma de Decisiones Clínicas , Administración Hospitalaria , Hospitales Universitarios , Epidemiología Descriptiva , Investigación Cualitativa
3.
Rev. enferm. UFPE on line ; 15(1): [1-19], jan. 2021. ilus, mapas, tab
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145784

RESUMEN

Objetivo: analisar a situação do tratamento inadequado da Sífilis Congênita (SC). Método: trata-se de um estudo misto, descritivo, com dados coletados no Sistema de Informação de Agravos de Notificação, no período de 2014 a 2017. Realizaram-se, adicionalmente, entrevistas semiestruturadas com os profissionais de saúde da Atenção Básica (AB), sendo os dados quantitativos estudados pela estatística descritiva, e os qualitativos, por meio da Análise de Conteúdo. Resultados: identificaram-se 61 recém-nascidos que receberam tratamento inadequado para SC. Entrevistaram-se enfermeiros da AB do município de Macapá atuantes nas áreas de abrangência das residências das crianças. Aponta-se que as análises das entrevistas permitiram a criação de três categorias: o saber do enfermeiro sobre a doença; a experiência do enfermeiro para a detecção de casos de SC na sua área de atuação; e as estratégias do enfermeiro para a busca de crianças com história de sífilis. Conclusão: evidenciou-se a fragilidade no tratamento da SC em Macapá com um alto índice de tratamento inadequado. Avalia-se que os perfis sociodemográficos e clínico das mães e crianças potencializam as vulnerabilidades individual, programática e social.(AU)


Objective: to analyze the situation of inadequate treatment of Congenital Syphilis (CS). Method: it is a mixed, descriptive study with data collected in the System of Information on Disease Notification (SINAN), within the period from 2014 to 2017. In addition, semi-structured interviews were carried out with health professionals from Basic Care (BC), with the quantitative data studied through descriptive statistics, and the qualitative data by means of Content Analysis. Results: 61 newborns who received inadequate treatment for CS were identified. Nurses from the BC of Macapá who work in the areas of the children's residences were interviewed. It is pointed out that the analysis of the interviews allowed the creation of three categories: the nurse's knowledge on the disease; the nurse's experience for the detection of cases of CS in his/her area of operation; and the nurse's strategies for the search of children with history of syphilis. Conclusion: the fragility in the treatment of CS in Macapá was evidenced with a high rate of inadequate treatment. The sociodemographic and clinical profiles of mothers and children are estimated to have enhanced individual, programmatic and social vulnerabilities.(AU)


Objetivo: analizar la situación de tratamiento inadecuado de la Sífilis Congénita (CS). Método: se trata de un estudio descriptivo mixto, con datos recogidos en el Sistema de Información de Enfermedades de Notificación, en el período de 2014 a 2017. Además, se realizaron entrevistas semiestructuradas con profesionales de la salud de atención primaria (AB) , datos cuantitativos que se estudian mediante estadística descriptiva, y datos cualitativos, a través del análisis de contenido. Resultados: se identificaron 61 recién nacidos que recibieron tratamiento inadecuado por CE. Se entrevistó a enfermeras de AB en la ciudad de Macapá que trabajan en las áreas cubiertas por los hogares de los niños. Se señala que el análisis de las entrevistas permitió la creación de tres categorías: el conocimiento de la enfermera sobre la enfermedad; la experiencia del enfermero en la detección de casos de CS en su área de especialización; y las estrategias de la enfermera para encontrar niños con antecedentes de sífilis. Conclusión: se evidenció debilidad en el tratamiento del CS en Macapá con una alta tasa de tratamiento inadecuado. Se evalúa que los perfiles sociodemográficos y clínicos de madres e hijos potencian las vulnerabilidades individuales, programáticas y sociales.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Sífilis Congénita , Sífilis Congénita/tratamiento farmacológico , Sífilis Congénita/transmisión , Sífilis Congénita/epidemiología , Perfil de Salud , Niño , Salud Materno-Infantil , Transmisión Vertical de Enfermedad Infecciosa , Atención de Enfermería , Epidemiología Descriptiva , Enfermería Maternoinfantil , Sistemas de Información en Salud
6.
N Z Med J ; 133(1527): 116-122, 2020 12 18.
Artículo en Inglés | MEDLINE | ID: mdl-33332334

RESUMEN

Across New Zealand, a huge programme of work is being initiated to improve the health information systems of our sector. The goals of this plan are to address major risks and issues such as cybersecurity and our inability to securely share health data across organisations for clinical care. To fulfil the promise of planned health IT initiatives, we must involve clinicians of all disciplines to help lead, design and implement projects. However, there is currently little pragmatic training available for clinicians to learn how to do so. In 2019, Waitemata District Health Board and the National Institute for Health Innovation developed and delivered a 'hands-on' Clinical Digital Academy training programme for multidisciplinary clinicians. This paper describes the programme, the initial cohort's evaluation feedback and recommendations for the future.


Asunto(s)
Sistemas de Información en Salud , Personal de Salud/educación , Liderazgo , Informática Médica/educación , Técnicos Medios en Salud/educación , Humanos , Nueva Zelanda , Enfermeras y Enfermeros , Médicos , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , Autoeficacia
7.
BMC Med Inform Decis Mak ; 20(1): 339, 2020 12 17.
Artículo en Inglés | MEDLINE | ID: mdl-33334340

RESUMEN

BACKGROUND: Routine Health Information Systems (RHIS) of low-income countries function below the globally expected standard, characterised by the production and use of poor-quality data, or the non-use of good quality data for informed decision making. This has negatively influenced the health service delivery and uptake. This study focuses on identifying the factors associated with the performance of RHIS of the health facilities (HF) in Yaoundé, so as to guide targeted RHIS strengthening. METHODS: A HF-based cross-sectional study in the 6 health districts (HDs) of Yaoundé was conducted. HFs were chosen using stratified sampling with probability proportional to size per HD. Data were collected, entered into Microsoft Excel 2013 and analysed with IBM- SPSS version 25. Consistency of the questionnaire was measured using Cronbach's alpha coefficient. Pearson's chi-square (and Fisher exact where relevant) tests were used to establish relationships between qualitative variables. Associations were further quantified using unadjusted Odd ratio (OR) for univariable analysis and adjusted odds ratio (aOR) for multivariable analysis with 95% confidence interval (CI). A p-value of less than 0.05 was considered statistically significant. RESULTS: Of 111 selected HFs; 16 (14.4%) were public and 95 (85.6%) private. Respondents aged 24-60 years with an average of 38.3 ± 9.3 years; 58 (52.3%) males and 53(47.7%) females. Cronbach's alpha was 0.96 (95%CI: 0.95-0.98, p < 0.001), proving that the questionnaire was reliable in measuring RHIS performances. At univariable level, the following factors were positively associated with good performances: supportive supervision (OR = 3.03 (1.1, 8.3); p = 0.02), receiving feedback from hierarchy (OR = 3.6 (0.99, 13.2); p = 0.05), having received training on health information (OR = 5.0 (1.6, 16.0); p = 0.003), and presence of a performance evaluation plan (OR = 3.3 (1.4, 8.2), p = 0.007). At multivariable level, the only significantly associated factor was having received training on health information (aOR = 3.3 (1.01, 11.1), p = 0.04). CONCLUSION: Training of health staff in the RHIS favors RHIS good performance. Hence, emphasis should be laid on training and empowering staff, frequent and regular RHIS supervision, and frequent and regular feedback, for an efficient RHIS strengthening in Yaoundé.


Asunto(s)
Exactitud de los Datos , Instituciones de Salud/normas , Sistemas de Información en Salud , Adulto , Camerún , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
8.
JAMA Netw Open ; 3(12): e2029419, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33331918

RESUMEN

Importance: Little is known about the breadth of health care networks or the degree to which different insurers' networks overlap. Objective: To quantify network breadth and exclusivity (ie, overlap) among primary care physician (PCP), cardiology, and general acute care hospital networks for employer-based (large group and small group), individually purchased (marketplace), Medicare Advantage (MA), and Medicaid managed care (MMC) plans. Design, Setting, and Participants: This cross-sectional study included 1192 networks from Vericred. The analytic unit was the network-zip code-clinician type-market, which captured attributes of networks from the perspective of a hypothetical patient seeking access to in-network clinicians or hospitals within a 60-minute drive. Exposures: Enrollment in a private insurance plan. Main Outcomes and Measures: Percentage of in-network physicians and/or hospitals within a 60-minute drive from a hypothetical patient in a given zip code (breadth). Number of physicians and/or hospitals within each network that overlapped with other insurers' networks, expressed as a percentage of the total possible number of shared connections (exclusivity). Descriptive statistics (mean, quantiles) were produced overall and by network breadth category, as follows: extra-small (<10%), small (10%-25%), medium (25%-40%), large (40%-60%), and extra-large (>60%). Networks were analyzed by insurance type, state, and insurance, physician, and/or hospital market concentration level, as measured by the Hirschman-Herfindahl index. Results: Across all US zip code-network observations, 415 549 of 511 143 large-group PCP networks (81%) were large or extra-large compared with 138 485 of 202 702 MA (68%), 191 918 of 318 082 small-group (60%), 60 425 of 149 841 marketplace (40%), and 21 781 of 66 370 MMC (40%) networks. Large-group employer networks had broader coverage than all other network plans (mean [SD] PCP breadth: large-group employer-based plans, 57.3% [20.1]; small-group employer-based plans, 45.7% [21.4]; marketplace, 36,4% [21.2]; MMC, 32.3% [19.3]; MA, 47.4% [18.3]). MMC networks were the least exclusive (a mean [SD] overlap of 61.3% [10.5] for PCPs, 66.5% [9.8] for cardiology, and 60.2% [12.3] for hospitals). Networks were narrowest (mean [SD] breadth 42.4% [16.9]) and most exclusive (mean [SD] overlap 47.7% [23.0]) in California and broadest (79.9% [16.6]) and least exclusive (71.1% [14.6]) in Nebraska. Rising levels of insurer and market concentration were associated with broader and less exclusive networks. Markets with concentrated primary care and insurance markets had the broadest (median [interquartile range {IQR}], 75.0% [60.0%-83.1%]) and least exclusive (median [IQR], 63.7% [52.4%-73.7%]) primary care networks among large-group commercial plans, while markets with least concentration had the narrowest (median [IQR], 54.6% [46.8%-67.6%]) and most exclusive (median [IQR], 49.4% [41.9%-56.9%]) networks. Conclusions and Relevance: In this study, narrower health care networks had a relatively large degree of overlap with other networks in the same geographic area, while broader networks were associated with physician, hospital, and insurance market concentration. These results suggest that many patients could switch to a lower-cost, narrow network plan without losing in-network access to their PCP, although future research is needed to assess the implications for care quality and clinical integration across in-network health care professionals and facilities in narrow network plans.


Asunto(s)
Redes Comunitarias , Prestación Integrada de Atención de Salud/organización & administración , Sector de Atención de Salud/organización & administración , Instituciones Privadas de Salud/normas , Seguro de Salud/organización & administración , Redes Comunitarias/estadística & datos numéricos , Redes Comunitarias/provisión & distribución , Estudios Transversales , Sistemas de Información en Salud , Humanos , Atención Primaria de Salud/organización & administración , Garantía de la Calidad de Atención de Salud , Estados Unidos
9.
Artículo en Inglés | MEDLINE | ID: mdl-33317150

RESUMEN

In Russia, initiatives for healthy ageing have been growing over the last two decades; however, none use an evidence-based (EB) approach. It is proposed that Kazan, a city with a population of over a million in the European part of Russia, has good chances of moving towards age-friendliness and contributing to raising awareness about healthy ageing through Cochrane evidence. One of the eight essential features of age-friendly cities by the World Health Organisation (WHO) directly points to health services. This exploratory study assesses the health information needs of the ageing population of Kazan and the challenges people face in improving their health and longevity. Survey data were used from 134 participants, patients, caregivers and healthcare providers of the Interregional Clinical Diagnostic Centre (ICDC), aged from 30 to over 80 years, and potential associations of the studied parameters with age, gender, quality of life and other characteristics were analysed. Older people (60+) were less positive about their quality of life, took medicines more often on a daily basis (10/16 compared to 29/117 of people under 60), encountered problems with ageing (9/16 compared to 21/117 of people under 60) and rated their quality of life as unsatisfactory (4/14 compared to 9/107 of people under 60). Awareness of EB approaches and Cochrane was higher within health professions (evidence-based medicine: 42/86 vs. 13/48; Cochrane: 32/86 vs. 2/48), and health information needs did not differ between age or gender groups or people with a satisfactory and unsatisfactory quality of life. The minority (10%-13/134) were aware of ageism without age or gender differences. The low awareness calls for the need of Cochrane intervention both for consumers and those in the health profession to raise awareness to contribute to Kazan moving towards an age-friendly city.


Asunto(s)
Actitud , Sistemas de Información en Salud , Percepción , Calidad de Vida , Adulto , Anciano , Anciano de 80 o más Años , Ciudades/estadística & datos numéricos , Femenino , Sistemas de Información en Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Federación de Rusia
10.
Nursing (Säo Paulo) ; 23(271): 5055-5066, dez.2020.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1147039

RESUMEN

Objetivo: Descrever o perfil epidemiológico da violência sexual em crianças e adolescentes residentes do município de São Paulo. Métodos: Trata-se de um estudo descritivo. Foram utilizados dados secundários, oriundos do Sistema de Informação de Agravos de Notificação no período de janeiro de 2015 a dezembro de 2017. Resultados: Para o período foram notificados 2.884 casos de violência sexual envolvendo crianças e adolescentes. Houve evolução do número de casos notificados entre os anos (2015­401; 2016­1049 e 2017 - 1434). A faixa etária com a maior estimativa de risco para violência sexual foi de 5 a 9 anos. A prevalência dos casos ocorreu no sexo feminino (81,1%) e na raça negra (47,2%). Em relação aos agressores prevaleceu os amigos/conhecidos (20,9%) e os pais (16,8%). Conclusão: Evidenciou-se o agravo temporal e evolutivo da violência sexual à saúde de crianças e adolescentes e observou-se desigualdades no ciclo de vida, gênero e raça.(AU)


Objective: To describe the epidemiological profile of sexual violence in children and adolescents living in the city of São Paulo. Methods: This is a descriptive study. Secondary data from the Notifiable Diseases Information System from January 2015 to December 2017 were used. Results: 2,884 cases of sexual violence involving children and adolescents were reported for the period. There was an evolution in the number of reported cases between the years (2015­401; 2016­1049 and 2017 - 1434). The age group with the highest risk estimate for sexual violence was 5 to 9 years. The prevalence of cases occurred in females (81.1%) and blacks (47.2%). Regarding the aggressors, friends / acquaintances (20.9%) and parents (16.8%) prevailed. Conclusion: The temporal and evolutionary aggravation of sexual violence to the health of children and adolescents was evidenced and inequalities were observed in the life cycle, gender and race.(AU)


Objetivo: Describir el perfil epidemiológico de la violencia sexual en niños y adolescentes residentes en la ciudad de São Paulo. Métodos: Se trata de un estudio descriptivo. Se utilizaron datos secundarios del Sistema de Información de Enfermedades Notificables de enero de 2015 a diciembre de 2017. Resultados: En el período se reportaron 2.884 casos de violencia sexual en niños y adolescentes. Hubo una evolución en el número de casos notificados entre los años (2015­401; 2016­1049 y 2017­1434). El grupo de edad con el mayor riesgo estimado de violencia sexual fue de 5 a 9 años. La prevalencia de casos ocurrió en mujeres (81,1%) y negros (47,2%). En cuanto a los agresores, predominaron los amigos / conocidos (20,9%) y los padres (16,8%). Conclusión: se evidenció el agravamiento temporal y evolutivo de la violencia sexual a la salud de niños y adolescentes y se observaron desigualdades en el ciclo de vida, género y raza.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Abuso Sexual Infantil , Salud del Niño , Epidemiología , Factores de Riesgo , Salud del Adolescente , Factores Socioeconómicos , Maltrato a los Niños , Sistemas de Información en Salud
11.
RECIIS (Online) ; 14(4): 970-982, out.-dez. 2020. ilus, tab
Artículo en Portugués | LILACS | ID: biblio-1145573

RESUMEN

O objetivo deste estudo foi analisar a utilização dos Sistemas de Informação em Saúde para a construção da sala de situação na Atenção Primária à Saúde. Trata-se de uma revisão integrativa realizada por meio de busca de artigos na íntegra, nas bases de dados BDENF, Lilacs, Medline, SciELO, PubMed e Cochrane. Foram analisados sete artigos, os quais foram apresentados em três categorias. Os sistemas de informação apoiam a sala de situação na coleta, no processamento e na divulgação de resultados, na análise e na comparação de indicadores, no planejamento, na gestão e na avaliação em saúde. Por fim, percebeu-se que os sistemas de informação contribuem para a construção da sala de situação subsidiando a atuação da gestão local na formação de indicadores de saúde e na implementação de ações.


The aim of this study was to analyze the use of Health Information Systems in the construction of the situation room in Primary Health Care. This is an integrative review performed by searching full articles in the BDENF, Lilacs, Medline, SciELO, PubMed and Cochrane databases. Seven articles were analyzed and presented in three categories. Information systems support the situation room in the collection, processing and dissemination of results, in the analysis and comparison of indicators, and in the health planning, management and evaluation. In the end, we realized that information systems contribute to the construction of the situation room, supporting local management actions in the establishment of health indicators and the implementation of actions.


El objetivo de este estudio fue analizar el uso de los Sistemas de Información de Salud en la construcción de la sala de situación en Atención Primaria de Salud. Esta es una revisión integradora realizada mediante la búsqueda de artículos completos en las bases de datos BDENF, Lilacs, Medline, SciELO, PubMed y Cochrane. Siete artículos fueron analizados y presentados en tres categorías. Los sistemas de información apoyan la sala de situación en la recolección, lo procesamiento y la difusión de resultados, en la análisis y la comparación de indicadores, y en la planificación, gestión y evaluación de la salud. Finalmente, se dio cuenta de que los sistemas de información contribuyen a la construcción de la sala de situación, apoyando las acciones de gestión local en lo establecimiento de indicadores de salud y la implementación de acciones.


Asunto(s)
Humanos , Atención Primaria de Salud , Evaluación en Salud , Diagnóstico de la Situación de Salud , Gestión en Salud , Sistemas de Información en Salud , Control Social Formal , Sistema Único de Salud , Indicadores de Salud , Personal de Salud , Gestión de la Información en Salud
12.
Stud Health Technol Inform ; 275: 207-211, 2020 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-33227770

RESUMEN

Information management and the usability of health information systems (HIS) are important for the development of HIS in occupational health services. User participation in the HIS development process has been shown to contribute to the success of an HIS. The purpose of this study was to analyze how user participation in HIS development affected evaluation of the success of HIS. The success was assessed on the basis of the DeLone and McLean Information Systems (IS) Success Model. The study was conducted within occupational health services and the data (n=210) was analyzed with quantitative methods. The results showed that users participating in the HIS development process assessed the success of the HIS as better than those that had not taken part in the development. This difference could be seen in all seven dimensions of the DeLone and McLean IS success model but was statistically significant only for System Quality and Intention to Use. The results also showed that the users that had participated in the HIS development process also used the HIS more often and more extensively than those that had not participated in the development. The results indicate that user participation in the development process positively influences their assessment of the HIS and increases their active use of the IS. However, more research is needed to determine the long-term effects of using participatory design in HIS development.


Asunto(s)
Sistemas de Información en Salud , Servicios de Salud del Trabajador , Humanos , Gestión de la Información , Sistemas de Información , Intención
14.
PLoS One ; 15(10): e0239683, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33031406

RESUMEN

BACKGROUND: A routine health information system is one of the essential components of a health system. Interventions to improve routine health information system data quality and use for decision-making in low- and middle-income countries differ in design, methods, and scope. There have been limited efforts to synthesise the knowledge across the currently available intervention studies. Thus, this scoping review synthesised published results from interventions that aimed at improving data quality and use in routine health information systems in low- and middle-income countries. METHOD: We included articles on intervention studies that aimed to improve data quality and use within routine health information systems in low- and middle-income countries, published in English from January 2008 to February 2020. We searched the literature in the databases Medline/PubMed, Web of Science, Embase, and Global Health. After a meticulous screening, we identified 20 articles on data quality and 16 on data use. We prepared and presented the results as a narrative. RESULTS: Most of the studies were from Sub-Saharan Africa and designed as case studies. Interventions enhancing the quality of data targeted health facilities and staff within districts, and district health managers for improved data use. Combinations of technology enhancement along with capacity building activities, and data quality assessment and feedback system were found useful in improving data quality. Interventions facilitating data availability combined with technology enhancement increased the use of data for planning. CONCLUSION: The studies in this scoping review showed that a combination of interventions, addressing both behavioural and technical factors, improved data quality and use. Interventions addressing organisational factors were non-existent, but these factors were reported to pose challenges to the implementation and performance of reported interventions.


Asunto(s)
Sistemas de Información en Salud/economía , Sistemas de Información en Salud/normas , Mejoramiento de la Calidad/tendencias , África del Sur del Sahara , Manejo de Datos , Países en Desarrollo/economía , Instituciones de Salud/normas , Instituciones de Salud/tendencias , Sistemas de Información en Salud/estadística & datos numéricos , Humanos , Renta , Mejoramiento de la Calidad/economía
16.
BMJ Open ; 10(9): e041370, 2020 09 28.
Artículo en Inglés | MEDLINE | ID: mdl-32988953

RESUMEN

OBJECTIVES: To use Population Health Management (PHM) methods to identify and characterise individuals at high-risk of severe COVID-19 for which shielding is required, for the purposes of managing ongoing health needs and mitigating potential shielding-induced harm. DESIGN: Individuals at 'high risk' of COVID-19 were identified using the published national 'Shielded Patient List' criteria. Individual-level information, including current chronic conditions, historical healthcare utilisation and demographic and socioeconomic status, was used for descriptive analyses of this group using PHM methods. Segmentation used k-prototypes cluster analysis. SETTING: A major healthcare system in the South West of England, for which linked primary, secondary, community and mental health data are available in a system-wide dataset. The study was performed at a time considered to be relatively early in the COVID-19 pandemic in the UK. PARTICIPANTS: 1 013 940 individuals from 78 contributing general practices. RESULTS: Compared with the groups considered at 'low' and 'moderate' risk (ie, eligible for the annual influenza vaccination), individuals at high risk were older (median age: 68 years (IQR: 55-77 years), cf 30 years (18-44 years) and 63 years (38-73 years), respectively), with more primary care/community contacts in the previous year (median contacts: 5 (2-10), cf 0 (0-2) and 2 (0-5)) and had a higher burden of comorbidity (median Charlson Score: 4 (3-6), cf 0 (0-0) and 2 (1-4)). Geospatial analyses revealed that 3.3% of rural and semi-rural residents were in the high-risk group compared with 2.91% of urban and inner-city residents (p<0.001). Segmentation uncovered six distinct clusters comprising the high-risk population, with key differentiation based on age and the presence of cancer, respiratory, and mental health conditions. CONCLUSIONS: PHM methods are useful in characterising the needs of individuals requiring shielding. Segmentation of the high-risk population identified groups with distinct characteristics that may benefit from a more tailored response from health and care providers and policy-makers.


Asunto(s)
Infecciones por Coronavirus , Sistemas de Información en Salud/estadística & datos numéricos , Pandemias , Neumonía Viral , Gestión de la Salud Poblacional , Medición de Riesgo/métodos , Gestión de Riesgos , Anciano , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Estudios Transversales , Demografía , Inglaterra/epidemiología , Femenino , Medicina General/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Necesidades , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Factores de Riesgo , Gestión de Riesgos/métodos , Gestión de Riesgos/organización & administración , Índice de Severidad de la Enfermedad
17.
Orv Hetil ; 161(36): 1498-1505, 2020 09.
Artículo en Húngaro | MEDLINE | ID: mdl-32886624

RESUMEN

In recent years, due to the value of health data and the specificities of health processes, data breaches have become increasingly important. In addition to the general data protection rules of the European Union, aspects of general information security, including technology and human behaviour, have been reassessed. In this article, we present the importance of blackmail (ransomware) virus attacks in the health sector. According to international data, especially in the US, one of the most important methods of institutional attacks will be the extortion attack in the coming years, and this is expected to increase in importance, especially in health care where sensitive and valuable data are truly life-giving. Because of the encryption of data and the blocking of core processes, blackmail viruses can also have a significant impact on the effectiveness of therapy and healthcare. In addition to presenting the current international situation, the article also outlines the most important steps that can be taken by those involved in daily patient's care to ensure continuity of patient care. Orv Hetil. 2020; 161(36): 1498-1505.


Asunto(s)
Seguridad Computacional , Crimen , Sistemas de Información en Salud , Humanos
19.
Washington; Organización Panamericana de la Salud; sept. 11, 2020.
No convencional en Inglés, Español, Portugués | LILACS | ID: biblio-1119287

RESUMEN

Com milhões de pessoas em todo o mundo em quarentena ou em isolamento físico, as fronteiras fechadas e as restrições a viagens, as tecnologias da informação (TI) ganharam espaço como os principais meios de comunicação e interação. Saúde digital e os respectivos conceitos vêm à tona sempre que se aborda a resposta dos sistemas de saúde à pandemia. Apesar de serem conhecidos há muito tempo, a situação atual alçou estes conceitos ao primeiro plano de todas as discussões e da tomada de decisão sobre resposta à pandemia.


Con millones de personas en todo el mundo en cuarentena o aislamiento físico, con los cierres de fronteras y con las restricciones a los viajes, las tecnologías de la información se han convertido en el principal medio de interacción y comunicación. De pronto, la salud digital y los conceptos afines han aparecido en todas las conversaciones relativas a la respuesta de los sistemas de salud contra la pandemia. Y a pesar de ser conceptos de larga data, la situación actual los ha puesto en el primer plano de todos los debates y las decisiones acerca de la respuesta a la pandemia.


As millions of people around the world are quarantined or in physical isolation, with border closings and restrictions in travel, Information Technologies (IT) have become the main means of interaction and communication. Suddenly, Digital Health and related concepts have begun to appear in every conversation related to the Health Systems' response to the pandemic. And despite being longstanding concepts, the current situation has elevated them to the forefront of all discussions and decision-making about the pandemic response.


Asunto(s)
Aislamiento Social , Cuarentena , Telemedicina , Gestión de la Información en Salud , Sistemas de Información en Salud/organización & administración , Administración de las Tecnologías de la Información , Neumonía Viral/epidemiología , Infecciones por Coronavirus/epidemiología , Comunicación , Pandemias/prevención & control , Betacoronavirus
20.
RECIIS (Online) ; 14(3): 656-680, jul.-set. 2020. graf, tab
Artículo en Portugués | LILACS | ID: biblio-1121855

RESUMEN

A pesquisa apresentada neste artigo realizou um balanço quantitativo da taxa de mortalidade materna no Brasil ao longo das últimas duas décadas (2000-2019), sob o recorte de cor/raça com o objetivo de enfatizar a importância da divulgação de informações como demarcadores de mensuração de desigualdades raciais na mortalidade materna de mulheres negras no período gestacional, durante o parto e puerpério. A metodologia compreende a desagregação por cor/raça de dados do Sistema Único de Saúde (MS/DataSUS) derivados do Sistema de Informação de Mortalidade (SIM), a fim de coletar dados referentes a óbitos maternos, e do Sistema de Nascidos Vivos (Sinasc) para os dados relacionados aos nascimentos informados em território nacional. Os resultados obtidos apontam uma tendência de índices de mortalidade materna entre mulheres de cor/raça preta substancialmente maiores do que os que se referem às de cor/raça branca, revelando a falta de informações e políticas que minimizem a condição de vulnerabilidade de alguns grupos étnico-raciais no sistema de atenção à saúde materna.


This article presents a quantitative research examining the color/race-related maternal mortality rate in Brazil over the last two decades (2000-2019), aiming to emphasize the importance of the disclosure of information as indicators of racial inequalities in the black women' maternal mortality in the gestational period, during the childbirth and puerperium. The methodology uses the disaggregation by color/race of data from the Sistema Único de Saúde (DataSUS - Unified Health System) derived from the SIM - Sistema de Informação de Mortalidade (Mortality Information System), in order to collect data related to maternal deaths and from the Sinasc - Sistema de Nascidos Vivos (Live Births System), for the data related to births registered in the national territory. The results obtained point to a trend towards the maternal mortality rates being substantially higher among Black race/color women than among White race/color women, revealing the lack of information and policies that minimize the vulnerability of some ethnic-racial groups in the maternal health care system.


Este artículo presenta una investigación cuantitativa acerca de la tasa de mortalidad materna en Brasil a lo largo de las dos últimas décadas (2000-2019), del punto de vista de color/raza con el objetivo de enfatizar la importancia de la divulgación de informaciones como indicadores de las desigualdades raciales en la mortalidad materna de las mujeres negras en la fase de gestación, en el momento del parto y en el período de puerperio. La metodología utiliza la desagregación por color/raza de los datos del Sistema Único de Saúde (DataSUS - Sistema Unificado de Salud) derivados del SIM - Sistema de Informação de Mortalidade (Sistema de Información sobre Mortalidad), con el fin de recopilar datos relacionados con las muertes maternas, y del Sinasc - Sistema de Nascidos Vivos (Sistema de Nacidos Vivos) para los datos relacionados con los nacimientos documentados en el territorio nacional. Los resultados obtenidos apuntan una tendencia de las tasas de mortalidad materna entre las mujeres de color/raza negra sustancialmente superior a de las mujeres de color/raza blanca, revelando la falta de información y políticas que minimicen la condición de vulnerabilidad de ciertos grupos étnico-raciales en el sistema de atención de salud materna.


Asunto(s)
Humanos , Muerte Materna , Sistemas de Información en Salud , Salud Materna , Análisis de Datos , Brasil , Grupos de Población Continentales , Nacimiento Vivo , Racismo
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