Responsabilidade ética no SBBrasil 2010 sob o olhar dos gestores do inquérito populacional

Abstract

OBJECTIVE:To analyze the ethical problems involved in the Brazilian Oral Health Survey -SBBrasil 2010. METHODS:We carried out a descriptive qualitative case study from the perspective of the ethics of responsibility. Key informants (n = 14) involved in the planning and implementation of a population survey in the Federal District and 11 States were individually interviewed using a semi-structured questionnaire. The participants of this research belonged either to the Management Group or the Technical Advisory Committee of the Ministry of Health, responsible for the planning and implementation of SBBrasil 2010. Two coordinators, one municipal the other state were also involved. The results are expressed as collective subject discourse. Complementary information about the content of the interviews was obtained from the participants in order to clarify terms and to understand facts and contexts. RESULTS:The following core ideas were identifi ed: the teams need to feel responsible for SBBrasil 2010; fabrication of data compromised the DMFT (decayed, missing, fi lled tooth) in some places; non-adherence to fi eld work protocol as moral problem. Data exam showed that in one capital the caries index at 12 years was well above the average expected for that place. A breakdown of the database led to the detection of solid evidence of registration error on the part of two examiners, which would indicate that there was either a failure in the training and calibration stage, or fabrication of data, or both. CONCLUSIONS:The anomalous behavior of these examiners was detected in time and the fi eldwork was redone. However, from the perspective of the ethics of responsibility, there was a transgression in the sphere of individual responsibility, the effects of which affected all the researchers involved and jeopardized the credibility of the research.

Eticidade da calibração in vivo em inquéritos de saúde bucal

“…The answers resulted in 11 central ideas (CIs), but this study only approached one of them, since it is the only one referring specifically to the matter of calibration training. Three CIs were object of analysis in another article 13 . The Discourse of the Collective Subject (DCS) technique was used for data analysis, which, based on the Theory of Social Representations, recommends gathering the individual discourses of the participants of the study to reveal the thought of a group.…”

O processo de trabalho da Pesquisa Nacional de Saúde Bucal (Projeto SBBRASIL 2010) na perspectiva dos coordenadores do inquérito

“…In previous studies, this matter has been investigated using operational, methodological, and/ or ethical approaches [7][8][9][10][11][12][13][14][15] . Researchers' perception on workflow has been studied only incipiently and in relation to the national academic research environment [16][17][18] .…”

“…The ethical aspects of the SBBrasil 2010 project were investigated from the managerial perspective 9 . In an analysis on the survey's methodological aspects, the management team felt that the progress achieved surpassed the challenges 8 .…”

Pesquisa Nacional de Saúde Bucal (Projeto SBBrasil 2010): que propõem os coordenadores para futuros inquéritos?

“…Espera-se que este estudo possa gerar discussões entre técnicos da área, com vistas ao constante aprimoramento da vigilância em saúde bucal no país. Nos últimos anos, observa-se um crescente interesse por estudos que descrevem a experiência do processo trabalho de inquéritos em saúde, com enfoque nos aspectos operacionais, metodológicos e/ou éticos [3][4][5][6][7][8][9][10][11] . Contudo, a percepção dos pesquisadores foi abordada em apenas três estudos na literatura, que referem-se aos sistemas/ambientes de pesquisa no Brasil, sobretudo, no âmbito acadêmico [12][13][14] .…”