Métodos para avaliar a completitude dos dados dos sistemas de informação em saúde do Brasil: uma revisão sistemática

Correia, Lourani Oliveira dos Santos; Padilha, Bruna Merten; Vasconcelos, Sandra Mary Lima

doi:10.1590/1413-812320141911.02822013

Cited by 64 publications

(66 citation statements)

References 26 publications

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“…Contudo, a qualidade e a precisão das informações disponibilizadas podem estar comprometidas à medida que se observam variáveis com preenchimento inadequado ou mesmo sem informações 20 . Autores afirmam que a falta de informações de qualidade está relacionada, sobretudo, ao paciente de forma individual, uma vez que prejudica as tomadas de decisão da equipe gestora do hospital referentes à alocação de recursos para os atendimentos e consequentemente à eficácia do tratamento ofertado 21 .…”

Section: Discussionunclassified

“…Apesar da evidente importância dos sistemas de informação, o gerenciamento da qualidade das informações produzidas ainda não é realizado de forma organizada e sistemática no Brasil 20 . Em sua recente revisão, Correia et al 20 observaram que as iniciativas são pontuais e mais frequentes em algumas regiões do país, sendo que 90% dos estudos têm como enfoque confiabilidade, validade, cobertura e completude das informações.…”

Section: Discussionunclassified

“…Em sua recente revisão, Correia et al 20 observaram que as iniciativas são pontuais e mais frequentes em algumas regiões do país, sendo que 90% dos estudos têm como enfoque confiabilidade, validade, cobertura e completude das informações. De acordo com Lima et al 23 , a completude é a segunda dimensão mais avaliada nos estudos referentes ao Sistema de Informação sobre Mortalidade (SIM), ao Sistema de Informação sobre Nascidos Vivos (SINASC) e ao Sistema de Informação de Agravos de Notificação (SINAN) 23 .…”

Section: Discussionunclassified

“…Contudo, é essencial que se visualize a necessidade de financiamento de estudos pelas organizações gestoras dos sistemas 20 , bem como a redefinição dos escores de qualidade à medida que os sistemas tenham atingido a categoria excelente, a fim de que se adeque ao novo padrão e, com isso, mantenha-se a constante avaliação dos mesmos 25 .…”

Section: Discussionunclassified

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Completude das informações do registro hospitalar de câncer em um hospital de Florianópolis

Luz¹,

Deitos²,

Siqueira³

et al. 2017

ABCS Health Sci.

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Introdução: O Registro Hospitalar de Câncer (RHC) é uma fonte sistemática de informação que visa ao aprimoramento do serviço prestado a todo paciente oncológico. Seus dados são essenciais para todos os profissionais que assistem ao paciente com neoplasia, uma vez que fornece informações sobre os procedimentos aplicados, permitindo elaborar o perfil de pacientes e direcionar a terapêutica a ser adotada. Objetivo: Avaliar a completude do preenchimento dos prontuários oncológicos da Maternidade Carmela Dutra nos anos de 2009 e 2010, com base nas variáveis do RHC. Métodos: Estudo descritivo exploratório, com dados de um banco secundário fornecido pelo RHC. Para análise dos prontuários foram utilizados pontos de corte identificando graus de incompletude de informações. Resultados: Dos 405 registros analisados, 8,9% estão na categoria ruim, 22,7% foram classificados como regular, 32,6% como bom e 35,8% na categoria excelente. Histórico familiar de câncer e etilismo permanece em grande parte dos casos ausentes nos prontuários. Conclusão: Evidencia-se a importância e a necessidade de melhoria dos registros médicos, com a estruturação de campos obrigatórios e a padronização do sistema de prontuários.Palavras-chave: oncologia; epidemiologia; sistemas de informação em saúde; registros de doenças. ABSTRACT Introduction:The Hospital Cancer Registry (HCR) is a systematic source of information aimed to improve the service provided to all cancer patients. Its database is essential for all professionals who attend to patients with cancer as it provides statistical data that allows to determinate the profile of patients, and so to direct the therapy to be adopted. Objective: To evaluate the completeness of the clinical and surgical oncology medical records of Maternity Carmela Dutra in 2009 and 2010, based on the variables of the HCR. Methods: A descriptive exploratory study was conducted with a secondary database provided by HCR. Cutoff points with different degrees were used for analysis of incompleteness of information from medical records. Results: Of the 405 records analyzed, 8.9% were in the poor category, 22.7% were classified in the fair category, 32.6% in the good and 35.8% in the excellent category. Family history of cancer and alcohol consumption remained largely the missing cases in the medical records. Conclusion: This study highlights the importance and need for improvement of medical records, with the structuring of required fields and standardization of medical records system.

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Completude das informações do registro hospitalar de câncer em um hospital de Florianópolis

Luz¹,

Deitos²,

Siqueira³

et al. 2017

ABCS Health Sci.

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“…The reason for this is that information management in Brazil's health information systems is still not performed in an orderly and systematic fashion, and any adopted initiatives are more reliable and robust in the South and Southeast of the country (40) . It is important to develop further studies and conduct ongoing assessments of the quality of the data, and to press on all administrative offi cials to improve the quality of the available information regarding health indicators in Brazil (41) .…”

Section: Methodsmentioning

confidence: 99%

Incidence of hepatitis C in Brazil

Hanus

Ceretta

Simões

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Introduction: Hepatitis C is a public health problem of global dimensions, affecting approximately 200 million people worldwide. The main objective of this study was to estimate the incidence rate of hepatitis C in Brazil during the period between 2001 and 2012. Methods: An epidemiological, temporal, and descriptive study was performed using data from the Information System for Reportable Diseases. Results: Between 2001 and 2012, a total of 151,056 hepatitis C cases were recorded, accounting for 30.3% of all hepatitis notifi cations in Brazil. The average gross coeffi cient for the analysis period was 6.7 new cases per 100,000 inhabitants. The regions with the highest rates were the Southeast region (8.7 new cases/100,000 inhabitants) and the South (13.9 new cases/100,000 inhabitants). There was a predominance of men with respect to the incidence rate (8.0 new cases/100,000 inhabitants) compared to women (5.5 new cases/100,000 inhabitants). Injection drug use was the most common source of infection, and members of the white race, residents of urban areas, and those aged 60 to 64 years had the highest incidences. Conclusions: Over the last 10 years, the incidence of hepatitis C in Brazil has increased, mainly in the South and Southeast. The adoption of fast, accurate diagnostic methods, together with epidemiological awareness, can facilitate early intervention measures for adequate control of the disease.

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A completeness indicator of gestational and congenital syphilis information in Brazil

Oliveira

Ferreira

Santana

et al. 2022

Preprint

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Objective: To evaluate the quality of information on gestational syphilis (GS) and congenital syphilis (CS) on the Notifiable Diseases Information System (SINAN-Syphilis Brazil) by compiling and validating completeness indicators between 2007 and 2018. Materials and methods: Overall, care and socioeconomic completeness scores were compiled based on selected variables, using weights assigned by specialists. The completeness scores were analysed, considering the region and area of residence, pregnant race/colour, and year of case notification. Pearson's correlation coefficients were used to validate the scores obtained by the weighted average method, compared with the values obtained through principal component analysis (PCA). Result: Most of the variables selected presented a good or excellent degree of completeness for GS and CS, except for clinical classification, pregnant woman's level of education, partner's treatment, and child's race/colour, which were classified as poor or very poor. The overall (89.93% versus 89.69%) and socioeconomic (88.71% versus 88.24%) completeness scores for GS and CS, respectively, were classified as regular, while the care score (GS-90, 88%, and CS-90, 72%) was good, although there were improvements over time. Differences in the overall, care and socioeconomic completeness scores according to region, area of residence, and ethnic-racial groups were reported for syphilis notifications. A strong linear correlation (>0.90) was observed between the completeness scores estimated through the weighted average method and PCA. Conclusion: Improvements in the completeness of GS and CS notifications have been observed in recent years, highlighting the variables which form the care score, compared to the socioeconomic scores, despite differences between regions, area of residence, and ethnic-racial groups. The weighted average was a viable methodological alternative easily operationalised to estimate data completeness scores, allowing routine monitoring of the completeness of gestational and congenital syphilis records.

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Métodos para avaliar a completitude dos dados dos sistemas de informação em saúde do Brasil: uma revisão sistemática

Cited by 64 publications

References 26 publications

Completude das informações do registro hospitalar de câncer em um hospital de Florianópolis

Completude das informações do registro hospitalar de câncer em um hospital de Florianópolis

Incidence of hepatitis C in Brazil

A completeness indicator of gestational and congenital syphilis information in Brazil

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