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2.
Arch. Health Invest ; 7(10): 402-407, out. 2018. tab
Artigo em Português | BBO - Odontologia | ID: biblio-994522

RESUMO

Introdução: Os Sistemas de informação têm como finalidade promover a elaboração e facilitar a avaliação de políticas, planos e programas de saúde, uma vez que seus indicadores refletem a saúde da população. Objetivo: O presente estudo tem como objetivo caracterizar o modelo de atenção básica à saúde bucal na região Nordeste do Brasil, a partir de dados secundários da produção ambulatorial em saúde bucal, disponíveis no SIA-SUS. Material e método: Tratou-se de estudo descritivo e quantitativo, utilizando dados secundários a partir da produção ambulatorial da atenção básica em saúde bucal, disponíveis no Sistema de Informações Ambulatoriais do Sistema Único de Saúde (SIA-SUS). A coleta dos dados foi feita a partir do banco de dados do Departamento de Informática do SUS (DATASUS) e considerou o período de janeiro de 2015 a dezembro de 2017. Foram incluídos no estudo os dados sobre os procedimentos curativos e preventivos realizados em ambiente ambulatorial pelos cirurgiões-dentistas. Os dados foram apresentados por meio de estatística descritiva. Resultados: Obteve-se em 2015, o maior número total de procedimentos realizados (52.801.784). Do total de procedimentos curativos entre 2015-2017, tem-se maioria de procedimentos restauradores (22,7%) e minoria de procedimentos cirúrgicos (15,2%). Observa-se que, nos três anos estudados, a produção de procedimentos curativos superou a de procedimentos preventivos. Conclusão: O modelo básico de atenção à saúde bucal no Nordeste apresentou caráter curativo, com predominância dos procedimentos restauradores, seguidos pelos periodontais, ficando em menor número os procedimentos cirúrgicos(AU)


Introduction: Information systems aim to promote the elaboration and facilitate the evaluation of policies, health plans and programs, since their indicators reflect the health of the population. Objective: The objective of this study is to characterize the primary care model for oral health in the Northeast region of Brazil, based on secondary data on ambulatory oral health production available at SIA-SUS. Material and method: This was a descriptive and quantitative study, using secondary data from the outpatient production of primary care in oral health, available in the Outpatient Information System of the Unified Health System (SIA-SUS). Data collection was done from the database of the Department of Information Technology of the SUS (DATASUS) and considered the period from January 2015 to December 2017. Data were included in the study on curative and preventive procedures performed in an outpatient setting by dentists. The data were presented through descriptive statistics. Results: The highest number of procedures performed (52,801,784) was obtained in 2015. Of the total curative procedures between 2015-2017, a majority of restorative procedures (22.7%) and minority of surgical procedures (15.2%) were performed. It is observed that in the three years studied, the production of curative procedures surpassed that of preventive procedures. Conclusion: The the primary care model for oral health in the Northeast was curative, predominantly restorative procedures, followed by periodontal procedures, with fewer surgical procedures(AU)


Introducción: Los sistemas de información tienen como finalidad promover la elaboración y facilitar la evaluación de políticas, planes y programas de salud, ya que sus indicadores reflejan la salud de la población. Objetivo: El presente estudio tiene como objetivo caracterizar el modelo de atención básica a la salud bucal en la región Nordeste de Brasil, a partir de datos secundarios de la producción ambulatoria en salud bucal, disponibles en el SIA-SUS. Métodos: Se realizó un estudio descriptivo y cuantitativo, con datos secundarios obtenidos a partir del tratamiento ambulatorio de atención dental básica disponible en el Sistema de Información Ambulatoria del Sistema Único de Salud (SUS-SIA). La recolección de los datos fue hecha a partir del banco de datos del Departamento de Informática del SUS (DATASUS) y consideró el período de enero de 2015 a diciembre de 2017. Se incluyeron en el estudio los datos sobre los procedimientos curativos y preventivos realizados en ambiente ambulatorio por los cirujanos-dentistas. Los datos fueron presentados por medio de estadística descriptiva. Resultados: Obtuvo en 2015, el mayor número total de procedimientos realizados (52.801.784). Del total de procedimientos curativos entre 2015-2017, se tienen mayoría de procedimientos restauradores (22,7%) y minoría de procedimientos quirúrgicos (15,2%). reveló que, en los tres años estudiados, la producción de procedimientos curativos superó la de procedimientos preventivos. Conclusión: El modelo básico de atención a la salud bucal en el Nordeste presentó carácter curativo, con predominio de los procedimientos restauradores, seguidos por los periodontales, quedando en menor número los procedimientos quirúrgicos(AU)


Assuntos
Atenção Primária à Saúde , Saúde Bucal , Saúde Pública , Sistemas de Informação em Atendimento Ambulatorial
3.
J Am Med Inform Assoc ; 25(8): 1054-1063, 2018 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-29788287

RESUMO

Objective: The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers' satisfaction with the transmission of clinical information and patients' ratings of their care experience. Methods: We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR. Data on patient satisfaction were drawn from Press Ganey surveys issued by the healthcare network through a standard process. Using multivariable models, we determined how provider satisfaction with information transmission and patient satisfaction with their care experience changed as the EHR system allowed greater information flow between OB/GYN practices and the hospital. Results: Outpatient OB/GYN providers became more satisfied with their access to information from the inpatient perinatal triage unit once system capabilities included automatic data flow from triage back to the OB/GYN offices. Yet physicians were generally less satisfied with how the EHR affected their work processes than other clinical and non-clinical staff. Patient satisfaction dropped after initial EHR installation, and we find no evidence of increased satisfaction linked to system integration. Conclusions: Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.


Assuntos
Sistemas de Informação em Atendimento Ambulatorial , Atitude do Pessoal de Saúde , Atitude Frente aos Computadores , Sistemas de Informação Hospitalar , Sistemas Computadorizados de Registros Médicos , Satisfação do Paciente , Integração de Sistemas , Feminino , Pesquisas sobre Serviços de Saúde , Interoperabilidade da Informação em Saúde , Humanos , Obstetrícia , Unidade Hospitalar de Ginecologia e Obstetrícia , Perinatologia , Gravidez
4.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3358, 15/01/2018. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-966749

RESUMO

Objective: To analyze the correlations between the production of specialized dental procedures from 2008 to 2012 and factors related to the services and context of the Brazilian states. Material and Methods: A quantitative ecological-type study was developed, in which secondary data from Brazilian national databases were used. Procedures for outpatient production of specialized procedures throughout Brazil, from 2008 to 2012, were consolidated from the offering state, the state of the federation being the analysis unit. In order to collect data on coverage by oral health family teams in the Family Health Strategy, as well as the number of CEOs per state, the Strategic Support Management Room (SAGE) was accessed. The corresponding indicator mean proportion of specialized procedures in Brazil (Pmb) was used as dependent variable. Correlations were tested using Spearman's test. The software was Statistical Package for Social Sciences, v. 17.0, with a level of significance of 5%. Results: Pmb was 4.9% for the evaluated period. There was a negative correlation between indicator and the coverage of oral health teams in the family health strategy. Conclusion: The correlations analyzed were influenced by the organization and distribution of the professionals' workforce; revealing that the non-organization of the health care network may increase the performance of specialized procedures resulting from spontaneous demand due to the poor basic care coverage.


Assuntos
Atenção Primária à Saúde , Atenção Secundária à Saúde , Brasil , Saúde Bucal , Estratégia Saúde da Família , Interpretação Estatística de Dados , Sistemas de Informação em Atendimento Ambulatorial , Estudos Ecológicos , Serviços de Saúde
6.
Rio de Janeiro; s.n; 2016. 74 f p.
Tese em Português | LILACS | ID: biblio-905446

RESUMO

Nesta pesquisa foram investigados os processos pelos quais passam o documento de Registros Ações Ambulatoriais em Saúde (RAAS) em um Centro de Atenção Psicossocial (CAPS), a partir dos vestígios deixados pelos atores que compõem o cotidiano do serviço. Tendo como orientação metodológica os caminhos propostos pela Teoria Ator-Rede (TAR) de Bruno Latour, buscou-se observar as controvérsias em torno da RAAS enquanto ator não-humano. Para o entendimento da posição da RAAS na rede onde esta pesquisa se situa, é feito um resgate das diferentes formas de registros já utilizadas pelos CAPS e da própria história da Reforma Psiquiátrica Brasileira (RPB), com intuito também de traçar os panoramas de onde parte a pesquisa e a pesquisadora. Durante a investigação das ações da RAAS emergiu a importância de diversos documentos para o processo de trabalho da equipe, artefatos diretamente relacionados ao trabalho dos profissionais do CAPS. A construção deste sentido foi possível a partir da observação de um usuário do serviço, cuja performance também será relatada no trabalho. A partir das investigações feitas em campo foi possível observar a atuação da RAAS em diferentes frentes. Ela se mostrou como auxiliar na organização e manutenção de projetos terapêuticos e provocadora de tensões no processo de trabalhos, chegando a ser citada como gatilho de stress. Um formulário com espaço limitado para dados objetivos e padronizados, a RAAS era utilizada como comunicação de procedimentos entre níveis de gestão, mas essa sistematização servia também aos próprios trabalhadores. A função de comunicação, segundo a gestão local, pareceu ter um desempenho falho, no entanto, este uso é o principal argumento utilizado pela gestão nacional para a implementação da RAAS e dele se valem a Prefeitura Municipal de Campinas e o SSCF para o estabelecimento de pactos e metas de produção. O propósito desta pesquisa foi oferecer maior amplitude no alcance da visão da RPB


Assuntos
Humanos , Sistemas de Informação em Atendimento Ambulatorial , Serviços de Saúde Mental/organização & administração , Pesquisa Qualitativa , Sistema Único de Saúde
7.
An. sist. sanit. Navar ; 38(2): 235-245, mayo-ago. 2015. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-140725

RESUMO

Fundamento: Identificar los factores de la persona, el proceso y el contexto que influyen en el cumplimiento de las citas de consultas externas en la Agencia Sanitaria Costa del Sol, describiendo el perfil del paciente que no acude a su cita, los motivos del absentismo y realizando una estimación del coste económico. Método: Estudio observacional, multicéntrico de casos y controles, mediante encuesta a pacientes citados en consultas ambulatorias durante 2013 y 2014 y análisis de costes por consultas. Resultados: Participaron en el estudio 882 pacientes (294 casos y 588 controles). El olvido (29,6%; n=87) y el fallo en la comunicación (16%; n=47), fueron los principales motivos manifestados por los pacientes absentistas. Una menor demora en la cita y la edad avanzada se asociaban significativamente con menos ausencias, al igual que haber frecuentado más las consultas en el último año. El coste económico fue superior a 3 millones de euros para una tasa de inasistencia del 13,8%. Conclusiones: Los pacientes jóvenes que no frecuentan habitualmente las consultas constituyen el grupo de mayor riesgo de ausencia a las citas programadas en nuestra área sanitaria. Los principales motivos del absentismo son evitables y podrían beneficiarse de intervenciones como la mejora de los procedimientos de comunicación o sistemas de recordatorio de citas (AU)


Background: To identify factors related to the people, the process and the context that determine patient compliance with their appointments in the ambulatory outpatient services in the Costa del Sol Health Care Agency; and to obtain the profile of patients who fail to keep their appointments, the reasons for this failure and an estimation of its economic cost. Methods: Observational multicenter case-control study, through a survey carried out on patients with an appointment in the ambulatory outpatient services during 2013 and 2014, and analysis of the cost per appointment. Results: In total, 882 patients participated in the study (294 cases and 588 controls). The main reasons for missing an appointment were forgetting about it (29, 6%; n=87), and failure in communication (16%; n=47). A shorter time period before the appointment and older age were significantly associated with fewer absences, as well as the fact of having attended more consultations in the past year. The economic cost was more than 3 million euros for a non-attendance rate of 13.8%. Conclusions: Young patients who usually do not visit outpatient clinics are at greatest risk of absence from scheduled appointments in our health area. The main reasons for absenteeism are preventable and interventions such as improved communication procedures or appointment reminder systems could be beneficial (AU)


Assuntos
Feminino , Humanos , Masculino , /economia , Pacientes/estatística & dados numéricos , Pacientes Desistentes do Tratamento/estatística & dados numéricos , Assistência Ambulatorial/economia , Sistemas de Informação em Atendimento Ambulatorial/economia , Estudos de Casos e Controles , Pesquisas sobre Serviços de Saúde/economia , Pesquisas sobre Serviços de Saúde , Agendamento de Consultas
8.
J Diabetes Complications ; 29(6): 818-21, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26025699

RESUMO

BACKGROUND: Information technology has potential to improve health care delivery particularly among individuals with chronic diseases such as diabetes in low and middle-income countries (LMIC). Research on the usefulness of information technology to manage persons living with chronic diseases is scarce in LMIC. We sought to evaluate the effect of an electronic reminder system on cardiovascular risk factors (blood pressure, heart rate, and fasting plasma glucose) and adherence to clinical appointments among persons living with diabetes. RESEARCH DESIGN AND METHODS: A randomized controlled design was used to recruit 200 diabetic patients (intervention n=100, control n=100) from the National Diabetes Management Research Centre, Accra. All patients received usual diabetes care. The intervention group was given electronic reminders for their clinical appointments and their physicians were prompted with abnormal laboratory results for six months. RESULTS: Baseline characteristics were largely similar for both groups. At six months follow up, the mean reductions of all the cardiovascular risk factors in the intervention group were significantly greater than in the control group: -1.7 kg/m(2) versus -1.1 kg/m(2)(p=0.002) for BMI; -4.7 mmHg versus -2.8 mmHg (p=0.002) for SBP; -5.3 mmH versus -3.1 mmHg (p=0.001) for DBP; -1.7 bpm versus -0.1 bpm (p=0.001) for heart rate and -2.3 mmol/L versus -1.6 mmol/L (p=0.001) for fasting plasma glucose, respectively. Adherence to appointment schedules was also significantly higher in the intervention group compared with the control group (97.8% versus 89.4%, p=0.010). CONCLUSIONS: Locally developed electronic initiatives such as this resulted in improved cardiovascular risk factors and effective compliance to clinical practices and improved quality of care for persons living with diabetes.


Assuntos
Sistemas de Informação em Atendimento Ambulatorial , Agendamento de Consultas , Doenças Cardiovasculares/prevenção & controle , Países em Desenvolvimento/estatística & dados numéricos , Diabetes Mellitus/terapia , Cooperação do Paciente , Sistemas de Alerta , Adulto , Assistência à Saúde , Feminino , Gana , Humanos , Masculino , Pessoa de Meia-Idade , Pobreza , Gestão de Riscos/organização & administração , Adulto Jovem
9.
Am J Public Health ; 105(6): 1168-73, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25880936

RESUMO

OBJECTIVES: We determined whether statistical text mining (STM) can identify fall-related injuries in electronic health record (EHR) documents and the impact on STM models of training on documents from a single or multiple facilities. METHODS: We obtained fiscal year 2007 records for Veterans Health Administration (VHA) ambulatory care clinics in the southeastern United States and Puerto Rico, resulting in a total of 26 010 documents for 1652 veterans treated for fall-related injury and 1341 matched controls. We used the results of an STM model to predict fall-related injuries at the visit and patient levels and compared them with a reference standard based on chart review. RESULTS: STM models based on training data from a single facility resulted in accuracy of 87.5% and 87.1%, F-measure of 87.0% and 90.9%, sensitivity of 92.1% and 94.1%, and specificity of 83.6% and 77.8% at the visit and patient levels, respectively. Results from training data from multiple facilities were almost identical. CONCLUSIONS: STM has the potential to improve identification of fall-related injuries in the VHA, providing a model for wider application in the evolving national EHR system.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Sistemas de Informação em Atendimento Ambulatorial , Assistência Ambulatorial , Mineração de Dados , Adulto , Idoso , Idoso de 80 Anos ou mais , Registros Eletrônicos de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Porto Rico/epidemiologia , Sensibilidade e Especificidade , Estados Unidos/epidemiologia , United States Department of Veterans Affairs
10.
Br J Gen Pract ; 65(632): e133-40, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25733434

RESUMO

BACKGROUND: Although the number of blood tests ordered in primary care continues to increase, efficient systems for the communication of blood test results to patients are lacking. This is a concern in terms of both patient safety and patient satisfaction. AIM: To gain an understanding of patient perspectives on organisational and technological aspects of current and prospective systems for communicating laboratory test results in primary care, and the influences that impact patients' preferred methods for receiving results. DESIGN AND SETTING: Qualitative study using patient focus groups in four primary care practices in Birmingham, UK. METHOD: The primary care practices were purposively selected to ensure they varied in size, socioeconomic environment, and the default pathways they used to communicate test results. A total of 26 patients from the four practices who had had a recent blood test were recruited. Over a 6 month period in 2011, six, 1-hour focus groups were conducted at the four practices involved in the study. RESULTS: Patients expressed a preference for receiving results from the ordering GP or a clinically qualified member of staff. Suggestions for refining current systems included improved access to phlebotomy appointments, better management of patient telephone calls, and a clear, accessible protocol for the communication of results. CONCLUSION: Despite the testing and result communication process being a core activity in primary care, it was found that practices could improve their service in a number of areas. Patients described frequent delays and inconsistency in both the level of information and the method of communication, as well as dissatisfaction with non-clinical staff relaying results. Patient preferences for result communication based on their experience of current systems have produced practical suggestions to improve processes.


Assuntos
Sistemas de Informação em Atendimento Ambulatorial/organização & administração , Comunicação , Testes Diagnósticos de Rotina , Acesso dos Pacientes aos Registros/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Atenção Primária à Saúde , Atitude do Pessoal de Saúde , Correio Eletrônico , Feminino , Grupos Focais , Humanos , Masculino , Visita a Consultório Médico , Segurança do Paciente , Atenção Primária à Saúde/organização & administração , Estudos Prospectivos , Pesquisa Qualitativa , Telefone , Envio de Mensagens de Texto , Reino Unido/epidemiologia
11.
Br J Gen Pract ; 65(632): e141-51, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25733435

RESUMO

BACKGROUND: Online access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. AIM: To assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. DESIGN AND SETTING: A systematic review was conducted that focused on all studies about online record access and transactional services in primary care. METHOD: Data sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King's Fund, Nuffield Health, PsycINFO, OpenGrey (1999-2012). The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. RESULTS: A total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved self-care, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. CONCLUSION: While the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups. Professional concerns about privacy were unrealised and those about workload were only partly so.


Assuntos
Acesso à Informação , Sistemas de Informação em Atendimento Ambulatorial/organização & administração , Assistência à Saúde/organização & administração , Registros Eletrônicos de Saúde/organização & administração , Satisfação do Paciente/estatística & dados numéricos , Atenção Primária à Saúde , Comunicação , Humanos , Atenção Primária à Saúde/organização & administração
12.
Br J Clin Pharmacol ; 80(3): 415-24, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25753467

RESUMO

AIMS: Educating physicians in the procedural as well as cognitive skills of information technology (IT)-mediated medication management could be one of the missing links for the improvement of patient safety. We aimed to compose a framework of tasks that need to be addressed to optimize medication management in outpatient care. METHODS: Formal task analysis: decomposition of a complex task into a set of subtasks. First, we obtained a general description of the medication management process from exploratory interviews. Secondly, we interviewed experts in-depth to further define tasks and subtasks. SETTING: Outpatient care in different fields of medicine in six teaching and academic medical centres in the Netherlands and the United States. PARTICIPANTS: 20 experts. Tasks were divided up into procedural, cognitive and macrocognitive tasks and categorized into the three components of dynamic decision making. RESULTS: The medication management process consists of three components: (i) reviewing the medication situation; (ii) composing a treatment plan; and (iii) accomplishing and communicating a treatment and surveillance plan. Subtasks include multiple cognitive tasks such as composing a list of current medications and evaluating the reliability of sources, and procedural tasks such as documenting current medication. The identified macrocognitive tasks were: planning, integration of IT in workflow, managing uncertainties and responsibilities, and problem detection. CONCLUSIONS: All identified procedural, cognitive and macrocognitive skills should be included when designing education for IT-mediated medication management. The resulting framework supports the design of educational interventions to improve IT-mediated medication management in outpatient care.


Assuntos
Sistemas de Informação em Atendimento Ambulatorial/organização & administração , Assistência Ambulatorial/métodos , Informática Médica/educação , Sistemas de Medicação/organização & administração , Assistência Ambulatorial/organização & administração , Erros de Medicação/prevenção & controle , Países Baixos , Equipe de Assistência ao Paciente/organização & administração , Farmacêuticos/normas , Médicos/normas , Análise e Desempenho de Tarefas
15.
Sex Transm Dis ; 42(3): 153-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25668648

RESUMO

INTRODUCTION: We described trends for sexually transmitted infections (STI) among gay/bisexual men in British Columbia, Canada, using a sentinel site surveillance approach. METHODS: Using data from an electronic charting system, we included gay/bisexual men who visited high-volume STI clinics from 2000 to 2013. Diagnosis rates and incidence density were calculated for chlamydia, gonorrhea, syphilis, HIV, hepatitis C, genital herpes, and genital warts. Incidence density was estimated among repeat testers who converted from a negative to positive test result. We also conducted Poisson regression analysis to determine factors that were associated with increased incidence rates. RESULTS: A total of 47,170 visits were identified for gay/bisexual men during our time frame. The median age was 34 years (interquartile range, 27-43 years), and most clients were seen in Vancouver. Although trends for most STI were stable, diagnoses of gonorrhea and syphilis have risen steadily in recent years. Coinfection with HIV was associated with higher gonorrhea and syphilis rates in the Poisson regression model. In addition, visiting a Vancouver clinic and younger age were associated with increased incidence. CONCLUSIONS: Our clinic-based sentinel surveillance system found increasing trends for gonorrhea and syphilis among gay/bisexual men but not for other STI in British Columbia. Further investigation is required to explore the syndemic effects of syphilis, gonorrhea, and HIV. This new platform will be a valuable tool for ongoing monitoring of STI and targeting prevention efforts.


Assuntos
Sistemas de Informação em Atendimento Ambulatorial/estatística & dados numéricos , Bissexualidade , Homossexualidade Masculina , Sistemas Computadorizados de Registros Médicos/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/epidemiologia , Adulto , Sistemas de Informação em Atendimento Ambulatorial/tendências , Colúmbia Britânica/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Incidência , Masculino , Sistemas Computadorizados de Registros Médicos/tendências , Prevalência , Vigilância de Evento Sentinela , Doenças Sexualmente Transmissíveis/prevenção & controle
17.
Brasilia-DF; Ministério da Saúde; 2015. 167 p.
Monografia em Português | Coleciona SUS | ID: biblio-942389

RESUMO

Este livro é uma leitura direcionada a todos os gestores, pesquisadores e técnicos que trabalham ou possuem interesse em aprofundar seus conhecimentos na área de informática em saúde. Além disso, traz os elementos necessários para uma melhor compreensão do ambiente informacional instituído no SUS, ao mesmo tempo em que nos fornece subsídios para refletir sobre o papel destes sistemas no contexto atual em que estamos discutindo uma estratégia de Saúde Eletrônica (e- Saúde) para o país e construindo as bases do Registro Eletrônico de Saúde nacional


Assuntos
Sistemas de Informação em Atendimento Ambulatorial , Sistemas de Informação em Saúde , Sistemas de Informação Hospitalar , Sistema Único de Saúde
18.
Rev. bras. saúde matern. infant ; 14(4): 401-411, Oct-Dec/2014. tab, graf
Artigo em Português | LILACS | ID: lil-736230

RESUMO

Estimar e descrever a cobertura da triagem auditiva neonatal (TAN) para os usuários do Sistema Único de Saúde (SUS) no Brasil, entre 2008 e 2011. Métodos: estudo ecológico de séries temporais utilizando-se dados do Sistema de Informação Ambulatorial do SUS (SIA-SUS), Sistema de Informações sobre Nascidos Vivos (SINASC), Rede Interagencial de Informações para a Saúde (RIPSA) e Sistema de Informações de Beneficiários (SIB) da Agência Nacional de Saúde Suplementar (ANS). A cobertura foi estimada considerando-se os procedimentos para TAN autorizados pelo SUS e os nascidos vivos usuários do SUS, para cada ano e Unidade da Federação. Resultados: a cobertura nacional da TAN para usuários do SUS foi estimada em 7,1 por cento em 2008, e alcançou 21,8 por cento em 2011, com evidências de desigualdades inter e intrarregionais. Maiores coberturas foram observadas no Rio Grande do Sul (60,1 por cento) e no Paraná (59,4 por cento), enquanto Rondônia, Espírito Santo e Pernambuco apresentaram cobertura inferior a 5 por cento. Conclusões: no país, mais de dois terços dos neonatos usuários do SUS não foram submetidos à triagem auditiva, mesmo em 2011, ano seguinte à promulgação da lei nacional que estabeleceu a obrigatoriedade do procedimento. Embora o cenário seja de avanço, a meta é a cobertura universal...


To estimate and describe the coverage of newborn hearing screening (NHS) among users of the Brazilian National Health System (SUS) between 2008 and 2011. Methods: an ecological study of time series was conducted using data from the SUS’s Outpatients Information System (SIA-SUS), the Live Births Information System (SINASC), the Interagency Health Information Network (RIPSA) and the Beneficiaries Information System (SIB) of the National Supplementary Health Agency (ANS). Coverage was estimated based on the NHS procedures authorized by the SUS and the live newborns are users of SUS, for every year for each federal unit. Results: national NHS coverage among SUS users was estimated to have been 7.1 percent in 2008, and rose to 21.8 percent in 2011, with evidence disparities between and within regions. More extensive coverage was found in the states of Rio Grande do Sul (60.1 percent) and Paraná (59.4 percent), while, in the states of Rondônia, Espírito Santo and Pernambuco, coverage was less than 5 percent. Conclusions: in Brazil, more than two thirds of newborns who are users of the SUS did not undergo hearing screening, even in 2011, the following year the passing of a law making the procedure obligatory. Although there has been progress, the goal should be universal coverage...


Assuntos
Humanos , Recém-Nascido , Sistemas de Informação em Atendimento Ambulatorial , Brasil , Triagem Neonatal , Perda Auditiva/diagnóstico , Perda Auditiva/prevenção & controle , Sistema Único de Saúde , Sistemas de Informação Hospitalar , Saúde Suplementar
19.
Pharm. pract. (Granada, Internet) ; 12(4): 0-0, oct.-dic. 2014. tab
Artigo em Inglês | IBECS | ID: ibc-130544

RESUMO

Background: Acceptance of generic medicines by patients is an essential factor given that they are the end users of these medicines. In fact, adequate knowledge and positive perceptions are prerequisite to patients’ acceptance and use of generic medicines. Objective: To assess the current belief and views of patients about generic medicines in Malaysia. Method: This was a self-administered questionnairebased study. The study was conducted with patients visiting outpatient pharmacy department at a tertiary care hospital in Malaysia. The Malaysian version of Generic Medicines Scale (GMS) was used. The GMS consists of two subscales: efficacy and similarity of generic medicines to original brand medicines. The efficacy subscale consists of 10 items while the similarity subscale consists of 6 items. The responses to the items were framed as a fivepoint Likert scale (1=strongly disagree to 5=strongly agree). Results: A total of 202 out of 300 patients participated in the study, giving a response rate of 67.3%. In this study, only 49% of them (n=99) knew the term ‘generic medicine’. Moreover, only 53.5% of the respondents (n=108) believed that the efficacy of generic medicines was the same as original brand medicines. In terms of quality, only 44% of the respondents (n=89) disagreed that generic medicines were of a lower quality. About one third (n=65, 32.2%) believed that generic medicines were cheaper because they were less efficacious. In terms of side effects, 44.5% of the respondents (n=90) believed that generic medicines had the same side effect profile as original brand medicines. Conclusions: The study finding showed that almost half of the respondents had negative belief in generic medicines. Similarly, many patients were not aware of the similarities and differences between generic and original brand medicines. Therefore, there is a need to provide patients with adequate information about generic medicines (AU)


Antecedentes: La aceptación de los genéricos por los pacientes es un factor esencial dado que son los utilizadores finales de estos medicamentos. De hecho, el conocimiento adecuado y las percepciones positivas son requisitos para la aceptación y el uso de genéricos por los pacientes. Objetivo: Evaluar las creencias y la visión actuales de los pacientes sobre medicamentos genéricos en Malasia. Método: Este fue un estudio basado en un cuestionario auto-administrado. El estudio se realizó con pacientes que visitaron un departamento de farmacia ambulatoria de un hospital terciario en Malasia. Se usó la versión malaya del Generic Medicines Scale (GMS). El GMS consiste en dos escalas: eficacia y semejanza del genérico con el original de marca. La sub-escala de eficacia consiste en 10 ítems, mientras que la de semejanza consiste en 6 ítems. Las respuestas de los ítems se estipularon en una escala de Likert de 5 puntos: (1=desacuerdo fuerte a 5=acuerdo fuerte). Resultados: Un total de 202 de los 300 pacientes participaron en el estudio, lo que da una tasa de respuesta del 67,3%. En este estudio, solo el 49% de ellos (n=99) conocían el término ‘medicamento genérico’. Sólo el 53,5% de los respondentes (n=108) creían que la eficacia de los genéricos era la misma que la de los originales de marca. En términos de calidad, solo el 44% de los respondentes (n=89) estaba en desacuerdo que los genéricos eran de menor calidad. Cerca de un tercio (n=65, 32,2%) creía que los genéricos eran más baratos porque eran menos eficaces. En términos de efectos adversos, el 44,5% de los respondentes (n=90) creía que los genéricos tenían el mismo perfil de efectos adversos que los medicamentos de marca. Conclusiones: Los hallazgos del estudio demostraron que casi la mitad de los respondentes tenían creencias negativas sobre los genéricos. Del mismo modo, muchos pacientes no conocían las semejanzas y similitudes de los genéricos y los de marca. Por tanto, se necesita proporcionar a los pacientes información adecuada sobre medicamentos genéricos (AU)


Assuntos
Humanos , Masculino , Feminino , Medicamentos Genéricos/classificação , Medicamentos Genéricos/farmacologia , Medicamentos Genéricos/uso terapêutico , Política de Medicamentos Genéricos , Conhecimentos, Atitudes e Prática em Saúde , Educação de Pacientes como Assunto/métodos , Medicamentos Genéricos/organização & administração , Preparações Farmacêuticas/organização & administração , Sistemas de Informação em Atendimento Ambulatorial/normas , Inquéritos e Questionários
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