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Arthroscopy ; 37(4): 1310-1313, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33812529


Comparative psychometric performance of Patient-Reported Outcome Measurement Information System (PROMIS) instruments to legacy patient-reported outcomes for shoulder disorders is relevant and timely, as numerous stakeholders are engaged in the process of capturing, comparing, and evaluating performance results at the individual and population health levels. Depending on the stakeholder type, patient-reported outcomes could be used for clinical research, reimbursement, point-of-care, or benchmarking for patient comparison with a matched population cohort or comparative surgeon scorecard. Identifying and using the appropriate patient-reported outcome measure may be dependent on the purpose for measurement and stakeholder engagement and, as such, could be considered fool's gold, a mirage, or an oasis. At this time, PROMIS instruments are not a suitable replacement for legacy patient-reported outcomes when orthopaedic surgeons are looking to perform level I and level II clinical studies to develop future clinical practice guidelines grounded in strong evidence.

Medición de Resultados Informados por el Paciente , Hombro , Estudios de Cohortes , Humanos , Sistemas de Información
Rev Bras Epidemiol ; 24: e210011, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33825773


OBJECTIVE: To develop a linkage algorithm to match anonymous death records of cancer of the larynx (ICD-10 C32X), retrieved from the Mortality Information System (SIM) and the Hospital Information System of the Brazilian Unified National Health System (SIH-SUS) in Brazil. METHODOLOGY: Death records containing ICD-10 C32X codes were retrieved from SIM and SIH-SUS, limited to individuals aged 30 years and over, between 2002 and 2012, in the state of São Paulo. The databases were linked using a unique key identifier developed with sociodemographic data shared by both systems. Linkage performance was ascertained by applying the same procedure to similar non-anonymous databases. True pairs were those having the same identification variables. RESULTS: A total of 14,311 eligible death records were found. Most records, 10,674 (74.6%), were exclusive to SIM. Only 1,853 (12.9%) deaths were registered in both systems, representing true pairs. A total of 1,784 (12.5%) cases of laryngeal cancer in the SIH-SUS database were tracked in SIM with different causes of death. The linkage failed to match 167 (9.4%) records due to inconsistencies in the key identifier. CONCLUSION: The authors found that linking anonymous data from mortality and hospital records is a feasible measure to track missing records and may improve cancer statistics.

Almacenamiento y Recuperación de la Información , Neoplasias Laríngeas , Adulto , Algoritmos , Brasil/epidemiología , Bases de Datos Factuales , Certificado de Defunción , Estudios de Factibilidad , Sistemas de Información en Hospital , Humanos , Almacenamiento y Recuperación de la Información/métodos , Sistemas de Información , Neoplasias Laríngeas/mortalidad
Prev Chronic Dis ; 18: E19, 2021 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-33661727


INTRODUCTION: Communication networks among professionals can be pathways for accelerating the diffusion of innovations if some local health departments (LHDs) drive the spread of knowledge. Such a network could prove valuable during public health emergencies such as the novel coronavirus disease 2019 (COVID-19) pandemic. Our objective was to determine whether LHDs in the United States were tied together in an informal network to share information and advice about innovative community health practices, programs, and policies. METHODS: In January and February 2020, we conducted an online survey of 2,303 senior LHD leaders to ask several questions about their sources of advice. We asked respondents to rank up to 3 other LHDs whose practices informed their work on new public health programs, evidence-based practices, and policies intended to improve community health. We used a social network analysis program to assess answers. RESULTS: A total of 329 LHDs responded. An emergent network appeared to operate nationally among 740 LHDs. Eleven LHDs were repeatedly nominated by peers as sources of advice or examples (ie, opinion leaders), and 24 acted as relational bridges to hold these emergent networks together (ie, boundary spanners). Although 2 LHDs played both roles, most LHDs we surveyed performed neither of these roles. CONCLUSION: Opinion leading and boundary spanning health departments can be accessed to increase the likelihood of affecting the rate of interest in and adoption of innovations. Decision makers involved in disseminating new public health practices, programs, or policies may find our results useful both for emergencies and for practice-as-usual.

Práctica Clínica Basada en la Evidencia/normas , Sistemas de Información en Salud , Difusión de la Información/métodos , Sistemas de Información/organización & administración , /epidemiología , Comunicación , Difusión de Innovaciones , Sistemas de Información en Salud/organización & administración , Sistemas de Información en Salud/tendencias , Conocimientos, Actitudes y Práctica en Salud , Humanos , Bases del Conocimiento , Mejoramiento de la Calidad , Estados Unidos/epidemiología
Arthroscopy ; 37(3): 972-975, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33673975


Despite its widespread use and low complication rates, arthroscopic meniscectomy has not been uniformly successful in all patients, especially in those with concurrent osteoarthritis. The Patient-Reported Outcomes Measurement Information System (PROMIS) is an initiative funded by the National Institutes of Health to develop and validate patient-reported outcomes for clinical research and practice. PROMIS has shown the ability to enhance and standardize measurement of a variety of health domains affecting musculoskeletal function and in discriminating between various orthopaedic procedures through the use of computer adaptive testing. Preoperative PROMIS scores are valid predictors of postoperative minimal clinically important difference in patients undergoing arthroscopic meniscectomy based on preoperative decreased physical function and increased pain interference. PROMIS score cutoffs may be used by arthroscopic surgeons to counsel patients considering arthroscopic meniscectomy.

Artroscopía , Meniscectomía , Humanos , Sistemas de Información , Medición de Resultados Informados por el Paciente , Atención Dirigida al Paciente , Estados Unidos
Washington, D.C.; PAHO; 2021-03-23. (PAHO/EIH/IS/21-0006).
en Inglés | PAHO-IRIS | ID: phr-53364


The Information Systems for Health (IS4H) Conference, From the evolution of Information Systems for Health to the Digital Transformation of the Health Sector, aimed to create a dialogue of reflection with the countries of the Region of the Americas on their experiences regarding their information systems and digital health during the last four years, especially during the COVID-19 pandemic. Discussions at the preparatory sessions focused on the strategic goals of the IS4H Plan of Action. The approximately 150 participants recognized the importance or working together with a common goal and under the eight principles presented by the Pan American Health Organization (PAHO) for the digital transformation of the health sector: (i) achieve universal connectivity in the health sector; (ii) co-create digital public health goods for a more equitable world; (iii) accelerate progress toward inclusive digital health; (iv) implement open, sustainable, interoperable digital information and health systems; (v) mainstream human rights across all areas of digital transformation in health; (vi) participate in global cooperation on artificial intelligence and any emerging technology; (vii) establish mechanisms for the confidentiality and security of information in the digital public health setting; and (viii) design a renewed public health architecture for the age of digital interdependence. This report summarizes the discussions, agreements, and main conclusions of the conference, at which PAHO launched a call to action to position the health sector in the vanguard of digital transformation in public health in the Region.

Sistemas de Información , Infecciones por Coronavirus , Coronavirus , Infecciones por Coronavirus , Sistemas de Información en Salud , Sector de Atención de Salud , Sistemas de Salud , Betacoronavirus , Pandemias , Américas , Salud Pública
Zhonghua Yu Fang Yi Xue Za Zhi ; 55(3): 331-334, 2021 Mar 06.
Artículo en Chino | MEDLINE | ID: mdl-33730823


Birth cohort participants information system is a software system with multiple functions including recode basic information, automatic administration, paper-less questionnaire survey, clinical data integration, data visualization. The efficiency and quality of cohort data were improved dramatically by using this system. In this technical specification we described the basic functional requirement and detail steps of the development process of this information system.

Sistemas de Información , Programas Informáticos , Estudios de Cohortes , Humanos , Encuestas y Cuestionarios
Artículo en Inglés | PAHO-IRIS | ID: phr-53289


[ABSTRACT]. Objective. To determine the distribution of cesarean sections performed in teaching hospitals participating in the Project for Improvement and Innovation in the Care and Teaching of Obstetrics and Neonatology (Apice ON) using the Robson Classification. Methods. Cross-sectional descriptive study on cesarean sections performed at Apice ON hospitals according to the Robson Classification, using secondary data from the 2017 Live Births Information System on the year prior to project implementation, hence a baseline study. Hospitals are described according to their geographic distribution and cesarean section rates, using absolute and relative frequencies. Results. The proportions of newborns by Robson groups were similar to those proposed by the World Health Organization, except for Group 5 (with previous cesarean section) and Group 10 (preterm), with regional differences. The teaching hospitals’ average cesarean section rates ranged from 24.8% to 75.1%, exceeding by far the recommended values, even in Robson groups considered low risk for cesarean section (Groups 1 to 4). Conclusions. Brazilian teaching hospitals displayed cesarean section rates higher than those recommended by the World Health Organization for all groups; a worrisome fact, as by teaching they induce attitudes in future professional practices. These results highlight the importance of a reliable information system. Monitoring and evaluation of cesarean sections using the Robson Classification can be an important tool to guide management and propose actions to reduce rates. Countries with high cesarean section rates might explore this hypothesis in their teaching hospitals in order to define policies for the reduction of their rates.

[RESUMEN]. Objetivo. Utilizar la clasificación de Robson para determinar la distribución de las cesáreas realizadas en los hospitales universitarios que participan en el proyecto para la mejora y la innovación en la atención y la enseñanza de la obstetricia y la neonatología (Apice ON). Métodos. Se empleó la clasificación de Robson para realizar un estudio descriptivo transversal sobre las cesáreas realizadas en los hospitales del proyecto Apice ON. Se utilizaron datos secundarios procedentes del Sistema de Información de Nacidos Vivos del 2017 correspondientes al año anterior a la ejecución del proyecto, a modo de estudio de referencia. Los hospitales se clasifican según su distribución geográfica y sus tasas de realización de cesáreas, usando frecuencias absolutas y relativas. Resultados. Las proporciones de recién nacidos por grupos de Robson fueron similares a las propuestas por la Organización Mundial de la Salud, a excepción de los grupos 5 (con cesárea anterior) y 10 (prematuro), con diferencias regionales. Las tasas de cesárea promedio de los hospitales universitarios variaron entre el 24,8% y el 75,1%. Estos valores superan con creces los valores recomendados, incluso para grupos de Robson considerados de bajo riesgo de cesárea (grupos 1 a 4). Conclusiones. Los hospitales universitarios de Brasil mostraron tasas de realización de cesáreas superiores a lo recomendado por la Organización Mundial de la Salud para todos los grupos. Este hecho es preocupante, ya que estos centros pueden incentivar ciertas actitudes en la práctica de los profesionales que forman. Estos resultados ponen de relieve la importancia de un sistema de información fiable. El seguimiento y la evaluación de la realización de cesáreas mediante la clasificación de Robson puede ser una herramienta útil para guiar la gestión y proponer medidas dirigidas a reducir las tasas. Esta hipótesis puede ser de interés para aquellos países con tasas elevadas de cesárea, cuyos hospitales universitarios podrían emplear este enfoque para definir políticas de reducción de sus tasas.

[RESUMO]. Objetivo. Determinar a distribuição dos partos cesárea realizados em hospitais de ensino integrantes do Projeto de Aprimoramento e Inovação no Cuidado e Ensino em Obstetrícia e Neonatologia (Apice ON) de acordo com a Classificação de Robson. Métodos. Estudo descritivo transversal de partos cesárea realizados em hospitais integrantes do Projeto Apice ON de acordo com a Classificação de Robson com base em dados secundários do Sistema de Informação sobre Nascidos Vivos (SINASC) de 2017 no ano anterior à implantação do projeto. Trata-se, portanto, de um estudo da linha de base. A análise foi realizada segundo a distribuição geográfica e as taxas de partos cesáreas dos hospitais, com o uso de frequências absolutas e relativas. Resultados. Os percentuais de recém-nascidos pelos grupos da Classificação de Robson foram similares aos propostos pela Organização Mundial da Saúde (OMS), exceto para os grupos 5 (parto cesárea anterior) e 10 (parto prematuro), com variação regional. A taxa média de partos cesárea nos hospitais de ensino oscilou entre 24,8% e 75,1%, um patamar que está bem acima dos níveis recomendados, inclusive nos grupos de baixo risco para cesárea (grupos 1 a 4). Conclusões. Os hospitais de ensino no Brasil têm taxas de partos cesárea maiores que as recomendadas pela OMS para todos os grupos. É um fato preocupante porque o aprendizado é um indutor das práticas profissionais futuras. Os resultados deste estudo apontam para a importância de sistemas de informação confiáveis. O monitoramento e avaliação das cesáreas de acordo com a Classificação de Robson constituem um instrumento útil para orientar a conduta e propor ações para reduzir das taxas. Os países com altos índices de cesáreas deveriam considerar este modelo nos seus hospitais de ensino visando definir políticas para a redução das taxas.

Cesárea , Sistemas de Información , Hospitales de Enseñanza , Brasil , Cesárea , Sistemas de Información , Hospitales de Enseñanza , Brasil , Sistemas de Información , Hospitales de Enseñanza
Nursing (Säo Paulo) ; 24(273): 5243-5254, fev.2021.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1148497


Objetivo: analisar a distribuição dos óbitos por tuberculose pulmonar no estado do Amazonas. Método: trata-se de um estudo ecológico com dados secundários do Sistema de Informação de Mortalidade, durante o período de 2007 a 2017. O software QGIs foi utilizado para elaborar um mapa digital e o software RStudio para as análises estatísticas. Na análise dos dados foi aplicado a regressão linear múltipla, o índice de Moran Global e o teste multiplicador de Lagrange. Resultados: identificou-se 1.267 casos de óbitos por tuberculose pulmonar no estado do Amazonas. A maioria dos óbitos ocorreram no sexo masculino (64,64%); solteiros (47,43%); com faixa etária ≥ 60 anos (51,14%); raça/cor parda (71,11%). Verificou-se que não existe autocorrelação espacial através do índice de Moran Global (0.0094). Conclusão: A distribuição espacial dos óbitos ocorreu de forma heterogênea nas diferentes regiões do estado Amazonas, apresentando elevadas taxas de mortalidade durante o período de 2007 a 2017.(AU)

Objective: to analyze the distribution of deaths from pulmonary tuberculosis in the state of Amazonas. Method: it is an ecological study with secondary data from the Mortality Information System, during the period from 2007 to 2017. The QGIs software was used to create a digital map and the RStudio software for statistical analysis. In the data analysis, multiple linear regression, the Moran Global index and the Lagrange multiplier test were applied. Results: 1,267 cases of deaths from pulmonary tuberculosis were identified in the state of Amazonas. Most deaths occurred in males (64.64%); singles (47.43%); aged ≥ 60 years (51.14%); race / brown color (71.11%). It was found that there is no spatial autocorrelation using the Moran Global index (0.0094). Conclusion: The spatial distribution of deaths occurred heterogeneously in different regions of the state of Amazonas, with high mortality rates during the period from 2007 to 2017.(AU)

Objetivo: analizar la distribución de muertes por tuberculosis pulmonar en el estado de Amazonas. Método: se trata de un estudio ecológico con datos secundarios del Sistema de Información de Mortalidad, durante el período de 2007 a 2017. Se utilizó el software QGIs para crear un mapa digital y el software RStudio para análisis estadístico. En el análisis de datos se aplicó regresión lineal múltiple, el índice Moran Global y la prueba del multiplicador de Lagrange. Resultados: se identificaron 1.267 casos de defunciones por tuberculosis pulmonar en el estado de Amazonas. La mayoría de las muertes ocurrieron en hombres (64,64%); solteros (47,43%); edad ≥ 60 años (51,14%); raza / color marrón (71,11%). Se encontró que no existe autocorrelación espacial usando el índice Moran Global (0.0094). Conclusión: La distribución espacial de las defunciones ocurrió de manera heterogénea en diferentes regiones del estado de Amazonas, con altas tasas de mortalidad durante el período 2007 a 2017.(AU)

Humanos , Enfermería en Salud Pública , Tuberculosis Pulmonar , Análisis Estadístico , Mortalidad , Análisis Espacial , Factores Socioeconómicos , Tuberculosis , Sistemas de Información/estadística & datos numéricos , Características de la Residencia
Rev. argent. salud publica ; 13: 1-8, 5/02/2021.
Artículo en Español | LILACS, BINACIS, ARGMSAL | ID: biblio-1150898


INTRODUCCIÓN: Escasos estudios han relacionado a nivel nacional la inequidad geográfica de acceso a la salud por intermedio de las consultas médicas ambulatorias (CMA) en el sector oficial. El objetivo de la presente investigación fue describir, evaluar y medir la situación del acceso a la salud referente a las CMA en Argentina en 2017. MÉTODOS: Se realizó un estudio descriptivo de corte transversal. La unidad analizada fue la CMA en Argentina en 2017. Se calcularon las tasas de CMA a nivel nacional, provincial y para la población potencialmente usuaria que concurre a establecimientos oficiales (PPUsEO). RESULTADOS: Las mayores tasas de CMA de PPUsEO por habitante se dieron en Tierra del Fuego (9,1), La Pampa (10,0), Buenos Aires (10,2) y Ciudad Autónoma de Buenos Aires (13,6), todas en el cuarto cuartil (Q4); las que presentaron menores tasas, situadas en el primer cuartil (Q1), fueron Santiago del Estero (2,3), Córdoba (2,7), Santa Fe (3,0), Corrientes (3,4), Catamarca (3,5) y Formosa (3,7). DISCUSIÓN: La mayor inequidad geográfica de acceso a la salud respecto de las CMA de PPUsEO en el sector oficial se dio en el centro norte del país, con tasas que oscilaron entre 2,3 y 13,6. En lo que se refiere al crecimiento de la atención en las consultas no médicas de los últimos años, la variación entre 2010 y 2017 mostró un incrementó de 966,8%, en contraposición con las CMA, que aumentaron apenas el 7,4% en el mismo periodo

Factores Socioeconómicos , Consultorios Médicos , Sistemas de Información , Salud
Zhongguo Yi Liao Qi Xie Za Zhi ; 45(1): 17-21, 2021 Feb 08.
Artículo en Chino | MEDLINE | ID: mdl-33522170


OBJECTIVE: To improve the production and inspection efficiency of medical device manufacturers, improve the quality system management level of manufacturers, and ensure the safety and effectiveness of medical devices. METHODS: Sort out the business process of the medical device manufacturer, connect the database of production and ERP system to inspection system, and build the operation software for the quality control department. RESULTS: The system has covered all the products of the manufacturer, and has realized the informatization and visualization of the inspection process. CONCLUSIONS: The research and application of the system can improve the quality management traceability system of medical device manufacturers, and improve the efficiency and accuracy of medical device quality inspection.

Sistemas de Información , Programas Informáticos , Comercio , Control de Calidad
Lima; Perú. Ministerio de Salud; 20210100. 30 p. tab.
Monografía en Español | MINSAPERÚ | ID: biblio-1146082


El documento detalla una trama estandarizada de datos para los procesos de prescripción y dispensación de medicamentos que permitan la interoperabilidad de los sistemas de información y articulación con los procesos de atención de salud y de gestión en las Instituciones Prestadoras de Servicios Salud (IPRESS).

Organización y Administración , Sistemas de Información , Preparaciones Farmacéuticas , Registros , Atención a la Salud , Interoperabilidad de la Información en Salud , Instituciones de Salud
Rev Esp Salud Publica ; 952021 Jan 21.
Artículo en Español | MEDLINE | ID: mdl-33473100


In March 2020, the World Health Organization declared the 2019 coronavirus disease (COVID-19) outbreak a pandemic, with the coronavirus disease spreading worryingly fast. In this context, information systems, digital health (electronic health, mobile health), the Internet of things, play a key role, since they can contribute to fight against COVID-19 by introducing smarter solutions to achieve a rapid control in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes the disease. However, these technologies need a solid regulatory framework that contributes to their implementation and integration in health systems, and to improve the national response in public health. In this context, coordination between administrations and the standardization and interoperability of information are necessary. Now is the time to establish the legal and knowledge bases so that everything that has been learned and advanced is integrated into health systems, promoting safe and evidence-based use.

/prevención & control , Sistemas de Información/organización & administración , Telemedicina/organización & administración , Humanos , España/epidemiología
Farm. hosp ; 44(6): 288-296, nov.-dic. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-197697


OBJETIVO: Dar a conocer los resultados referentes a características generales, recursos humanos, materiales y sistemas de información de la encuesta nacional de la Sociedad Española de Farmacia Hospitalaria (SEFH) 2019 sobre la situación de los Servicios de Farmacia Hospitalaria españoles. MÉTODO: Se envió un cuestionario on line a los responsables de los 368 Servicios de Farmacia Hospitalaria españoles registrados en el directorio de socios de la SEFH. El cuestionario incluía 77 preguntas agrupadas en ocho dimensiones. La información se recogió entre marzo y septiembre de 2019. RESULTADOS: La tasa global de respuesta fue del 54,3%. El 69% de los hospitales eran de titularidad pública y el tamaño más representado de 101-250 camas. El 9% permanecía abierto durante las 24 horas y el 57,5% no disponía de ninguna modalidad de atención continuada. La dispensación a pacientes externos durante la tarde se realizaba en el 41,9% de los centros. El 52,7% de los Servicios de Farmacia estaban acreditados por una norma de calidad. La media de farmacéuticos especialistas por Servicio de Farmacia fue 5,34 (desviación estándar [DE]: 6,22). El 47% de los farmacéuticos trabajaban al menos media jornada en las unidades clínicas. En cuanto a los sistemas automatizados rotativos de almacenamiento y dispensación, de media los Servicios de Farmacia disponían de 0,3 (DE: 0,7) y 0,9 (DE: 1,4) según fueran de tipo horizontal o vertical, respectivamente. El 16,1% de las camas hospitalarias estaban asistidas por sistemas automatizados de dispensación, llegando al 33,5% en hospitales con > 1.000 camas. El 3% de los Servicios de Farmacia Hospitalaria disponía de un sistema robotizado para la preparación de quimioterapia y el 24,8% de un sistema de trazabilidad y seguridad. Las bombas de infusión inteligentes se utilizaban en el 21,4% de los centros. La prescripción electrónica estaba implantada en el 98,8% de los hospitales para pacientes ingresados y en el 62% para pacientes ambulantes. CONCLUSIONES: En los Servicios de Farmacia Hospitalaria españoles existe una infradotación de farmacéuticos especialistas, a pesar de haberse duplicado su incorporación a las unidades clínicas. Destaca un crecimiento en la automatización de las actividades logísticas de dispensación, pero existe un importante margen de mejora en sistemas robotizados y de trazabilidad de las preparaciones. Conocer estos resultados puede resultar de gran utilidad para establecer planes de actuación

OBJECTIVE: To publicize the results regarding the general characteristics, human resources, materials and information systems of Spanish hospital pharmacy departments arising from SEFH's 2019 Survey on the Situation of Spanish Hospital Pharmacy Departments. METHOD: An online questionnaire was sent to the heads of the 368 hospital pharmacy departments affiliated to SEFH. The questionnaire included 77 questions grouped into 8 dimensions. The information was collected between March and September 2019. RESULTS: The overall response rate was 54.3%. Sixty-nine percent of hospitals were public and the most commonly reported hospital size was 101-250 beds. Nine percent of responding hospitals remained open round the clock and 57.5% did not offer a continued care service. A total of 41.9% of hospitals dispensed medications to outpatients in the afternoon and 52.7% of hospital pharmacy departments were accredited to some quality standard. The mean number of specialist pharmacists per pharmacy Department was 5.34 (SD: 6.22); 47% of pharmacists spent at least half their working day in a clinical unit. Hospital pharmacy departments had a mean of 0.3 (SD: 0.7) or 0:9 (SD: 1.4) automated storage and dispensing carousels, depending on whether they were horizontal or vertical, respectively. A total of 16.1% of beds were assisted by automated dispensing systems, a figure that reached 33.5% in hospitals with more than 1,000 beds. Three percent of hospital pharmacy departments had a robotized system for compounding chemotherapy medications and 24.8% had a traceability and safety system. Smart infusion pumps were used by 21.4% of hospitals. Electronic prescriptions were implemented in 98.8% of hospitals for inpatients and in 62% for outpatients. CONCLUSIONS: Spanish hospital pharmacy departments face a shortage of specialist pharmacists, although incorporation of such professionals to clinical units has doubled in the last few years. There has been an increase in the level of automation of the logistic processes involved in medication dispensing, but there is still significant room for improvement in the area of robotized dispensing and compounding traceability systems. This data could play an invaluable role in the design of future action plans

Humanos , Servicio de Farmacia en Hospital , Encuestas y Cuestionarios/normas , Sistemas de Información/organización & administración , Sistemas de Información/normas , Sociedades Médicas/normas , Robótica , Prescripción Electrónica , Medicamentos del Componente Especializado de los Servicios Farmacéuticos , Medicamentos con Supervisión Farmacéutica/normas
Lima; Perú. Ministerio de Salud; 20201200. 25 p. tab.
Monografía en Español | MINSAPERÚ | ID: biblio-1145560


El documento contiene los formatos para los indicadores de brechas de infraestructura y equipamiento del Sector Salud.

Sistemas de Información , Equipos y Suministros , Infraestructura , Instituciones de Salud , Administración Hospitalaria
Stud Health Technol Inform ; 275: 202-206, 2020 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-33227769


Metadata is often used for different tasks in the field of medical informatics: semantic description of data, quality validation, data integration, or information retrieval. Metadata definitions are captured and curated in time-consuming tasks and stored in metadata repositories that manage and preserve the metadata. Due to technical and legal restrictions, metadata is rarely as easily accessible and interoperable as it is necessary for modern information systems. In a previous study, a uniform interface based on the widely used ISO/IEC 11179 and the Facebook data retrieval language GraphQL was introduced as a solution to these technical obstacles. In the meantime, the ISO standard 21526 has been published, a recent version designed with a strong focus on health informatics. While it is conceptually oriented on the metamodel in ISO 11179, a number of extensions but also restructurings have been introduced. In this study, the authors investigated the difference between ISO 11179 and ISO 21526 and extended the unified metadata query interface to be future-proof and in particular, to support the semantic extensions of ISO 21526.

Almacenamiento y Recuperación de la Información , Metadatos , Sistemas de Información , Semántica
Stud Health Technol Inform ; 275: 207-211, 2020 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-33227770


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.

Sistemas de Información en Salud , Servicios de Salud del Trabajador , Humanos , Gestión de la Información , Sistemas de Información , Intención
Nat Commun ; 11(1): 5697, 2020 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-33173061


Studies of nanoscale superconducting structures have revealed various physical phenomena and led to the development of a wide range of applications. Most of these studies concentrated on one- and two-dimensional structures due to the lack of approaches for creation of fully engineered three-dimensional (3D) nanostructures. Here, we present a 'bottom-up' method to create 3D superconducting nanostructures with prescribed multiscale organization using DNA-based self-assembly methods. We assemble 3D DNA superlattices from octahedral DNA frames with incorporated nanoparticles, through connecting frames at their vertices, which result in cubic superlattices with a 48 nm unit cell. The superconductive superlattice is formed by converting a DNA superlattice first into highly-structured 3D silica scaffold, to turn it from a soft and liquid-environment dependent macromolecular construction into a solid structure, following by its coating with superconducting niobium (Nb). Through low-temperature electrical characterization we demonstrate that this process creates 3D arrays of Josephson junctions. This approach may be utilized in development of a variety of applications such as 3D Superconducting Quantum interference Devices (SQUIDs) for measurement of the magnetic field vector, highly sensitive Superconducting Quantum Interference Filters (SQIFs), and parametric amplifiers for quantum information systems.

ADN/química , Nanoestructuras/química , Superconductividad , Sistemas de Información , Campos Magnéticos , Nanopartículas del Metal/química , Niobio , Teoría Cuántica , Dióxido de Silicio
Bull World Health Organ ; 98(11): 801-808, 2020 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-33177777


Four decades after the Declaration of Alma-Ata, its vision of health for all and strategy of primary health care are still an inspiration to many people. In this article we evaluate the current status of primary health care in the era of the Declaration of Astana, the sustainable development goals, universal health coverage and the coronavirus disease 2019 pandemic. We consider how best to guide greater application of the primary health care strategy, reflecting on tensions that remain between the political vision of primary health care and its implementation in countries. We also consider what is required to support countries to realize the aspirations of primary health care, arguing that national needs and action must dominate over global preoccupations. Changing contexts and realities need to be accommodated. A clear distinction is needed between primary health care as an inspirational vision and set of values for health development, and primary health care as policy and implementation space. To achieve this vision, political action is required. Stakeholders beyond the health sector will often need to lead, which is challenging because the concept of primary health care is poorly understood by other sectors. Efforts on primary health care as policy and implementation space might focus explicitly on primary care and the frontline of service delivery with clear links and support to complementary work on social determinants and building healthy societies. Such efforts can be partial but important implementation solutions to contribute to the much bigger political vision of primary health care.

Infecciones por Coronavirus/epidemiología , Salud Global , Política de Salud , Neumonía Viral/epidemiología , Atención Primaria de Salud/organización & administración , Atención de Salud Universal , Betacoronavirus , Sector de Atención de Salud/organización & administración , Prioridades en Salud/organización & administración , Humanos , Sistemas de Información , Pandemias , Derechos del Paciente/normas , Política , Desarrollo Sostenible
Artículo en Español | PAHO-IRIS | ID: phr-52558


[RESUMEN]. El vocabulario Descriptores en Ciencias de la Salud (DeCS) establece un lenguaje único y común que permite la organización y facilita la búsqueda y recuperación de la literatura técnica y científica en salud disponible en las fuentes de información de la Biblioteca Virtual en Salud. El DeCS, creado por el Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud (BIREME), un centro especializado de la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS), es la traducción y la extensión del vocabulario Medical Subject Headings (MeSH), mantenido por la National Library of Medicine de los Estados Unidos. BIREME, en coordinación con expertos de América Latina y el Caribe, ha incluido en el DeCS los temas de equidad, género, etnicidad y derechos humanos —temas transversales en el marco programático de la cooperación técnica de la OPS/OMS— para garantizar una mejor recuperación y uso de la información y evidencia científica relacionadas a estos temas. El objetivo de este artículo es describir el método de revisión terminológica del DeCS e informar los resultados obtenidos y los impactos de la ampliación terminológica en el área de equidad, que comprendió la inclusión de 35 nuevos descriptores.

[ABSTRACT]. The Health Sciences Descriptors (DeCS) vocabulary establishes a unique and common language that allows the organization and facilitates the search and retrieval of technical and scientific literature on health available in the information sources of the Virtual Health Library. The DeCS, created by the Latin American and Caribbean Center on Health Sciences Information (BIREME), a specialized center of the Pan American Health Organization/World Health Organization (PAHO/WHO), is the translation and extension of the Medical Subject Headings (MeSH) vocabulary, maintained by the United States National Library of Medicine. BIREME, in coordination with experts from Latin America and the Caribbean, has included in the DeCS the topics of equity, gender, ethnicity and human rights—cross-cutting themes in the programmatic framework of PAHO/WHO technical cooperation—to ensure better retrieval and use of scientific information and evidence related to these topics. The objective of this article is to describe the methodology used during the terminology review of the DeCS and to report the results obtained and the impacts of the terminology expansion in the field of equity, which included the inclusion of 35 new descriptors.

Equidad , Sistemas de Información , Medical Subject Headings , Práctica Clínica Basada en la Evidencia , Acceso a la Información , Equidad , Sistemas de Información , Práctica Clínica Basada en la Evidencia , Acceso a la Información