Quality of tuberculosis information systems after record linkage

Abstract

Objective: to analyze the quality of a tuberculosis notification information system after record linkage and spatial and temporal distribution of tuberculosis in a Brazilian state. Method: an ecological study carried between 2006 and 2016 in Sergipe, Brazil. A deterministic linkage was performed with Notifiable Diseases Information System and Mortality Information System, recording 7,873 cases and 483 deaths. The temporal trend of tuberculosis incidence was calculated. Results: there was an increase among men (2.75%), > 60 years (6.29%), higher education (4.34%) and indigenous (4.76%). A total of 190 new cases (2.9%) was found. There was an increasing trend in tuberculosis incidence with a concentration of deaths in the metropolitan region. Conclusion: the quality of the information system showed fragility in identifying cases and deaths in Sergipe. Temporal distribution showed an increasing trend in tuberculosis incidence, and spatial distribution identified higher incidences in southeastern Brazil.

Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis

“…That is an alarming scenario and requires implementing specific strategies to achieve the goals proposed by the World Health Organization (WHO) to eradicate the disease. In this sense, the PHC nurse's record becomes essential to monitoring, planning, and evaluating the disease, providing subsidies to assess the ability of municipalities to perform actions in the management of TB (11)(12) .…”

Procedimentos para vinculação de dados da saúde: aplicações na vigilância em saúde

“…4 A técnica de linkage, de relativo baixo custo operacional, permite a recuperação de registros incompletos ou inconsistentes e, com isso, melhora a completitude e a confiabilidade das informações disponibilizadas pelos SIS. 5 Embora estudos anteriores evidenciem as vantagens do emprego de linkage para a análise da qualidade de diversos SIS, [6][7][8][9] há uma escassez de estudos metodológicos que apresentem os procedimentos necessários à realização dessa técnica. Assim, este manuscrito justifica-se pela importância de disseminar metodologias utilizadas na vigilância em saúde, na padronização metodológica de vinculação de dados e no fornecimento de modelos de análise possíveis de serem adaptados a diferentes realidades e áreas de conhecimento da saúde.…”

“…Although previous studies show the advantages of using linkage to analyze the quality of several HIS, 6 - 9 there is a scarcity of methodological studies that present the procedures necessary to perform this technique. This manuscript is therefore justified by the importance of disseminating methodologies used in health surveillance, in the methodological standardization of data linkage, and in providing analysis models that can be adapted to different realities and areas of knowledge regarding health.…”