The past 20 years have witnessed an astonishing increase in computational power and an incredible reduction in the cost of contemporary computer systems, but the public health infostructure in most countries has not changed significantly. This article discusses the potential benefits of applying patient-centered infostructure at the primary medical "points-of-care" services, based on networked integrated open-source technology and programming standards to develop tools to detect and reduce health inequalities. Such systems, which could be implemented from the local to the national level, would enable the expansion of evidence-based medicine, clearer identification of health inequalities, and more accurate cost-benefit analyses. In addition, the public health sector could link such databases to traditional Electronic Patient Record (EPR) systems at a greatly reduced cost by promoting the use of standards-based formats for data transfer and storage. Ultimately, the new health infostructure would help decrease health inequity. In fact, developing countries like Brazil, India, and South Africa are well-positioned to take advantage of the open-source movement and "leapfrog" countries burdened by legacy systems.
Nordeste e Norte, indicando ocorrência de formas mais graves da doença. Já para a febre amarela, há incoerência entre os aspectos clínicos da doença e o grande número de internações registradas, sugerindo erro sistemático na informação hospitalar. Para a leishmaniose, observa-se coerência entre os dados do SIH e CENEPI, seguindo o caráter cíclico descrito para a doença. De forma geral, o SIH demonstrou qualidade como fonte complementar de informações na vigilância da dengue hemorrágica e leishmaniose, e apresentou problemas no monitoramento da febre amarela, sugerindo ajustes ao sistema.
Rev. bras. saúde matern. infant., Recife, 2 (2): 91-103, maio -ago., 2002.
REVISÃO / REVIEWDiscussing community participation in health: an approach from the Brazilian experience Discutindo a participação comunitária na saúde: uma abordagem a partir da experiência brasileira
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
All the contents of this work, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 International license. Todo o conteúdo deste trabalho, exceto quando houver ressalva, é publicado sob a licença Creative Commons Atribição 4.0. Todo el contenido de esta obra, excepto donde se indique lo contrario, está bajo licencia de la licencia Creative Commons Reconocimento 4.0.
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