Bezerra Luciana Caroline Albuquerque, Freese Eduardo, Frias Paulo Germano de, Samico Isabella, Almeida Cínthia Kalyne Alves de
Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil.
Cad Saude Publica. 2009 Apr;25(4):827-39. doi: 10.1590/s0102-311x2009000400014.
This study's objective was to evaluate the degree of implementation of epidemiological surveillance activities by the Municipal Health Secretariat in Recife, Pernambuco State, Brazil. The design consisted of a case study with a normative approach. The logical model for epidemiological surveillance was outlined as the basis for selecting criteria that comprised a matrix submitted to specialists using the consensus technique or Delphi Method. This consensual matrix was used as the basis for the questionnaires used in the interviews. Three analytical levels were approached: the central level, 6 health districts, and 62 family health teams. According to the study, epidemiological surveillance has been partially implemented in the municipality, based on the degree of implementation at the three levels (already implemented at the central level and partially implemented in the health districts and family health teams). Despite the decentralization of epidemiological surveillance activities to the municipalities, different levels in the municipal system have different needs in dealing with the standards and norms, including the elaboration of internal guidelines to define responsibilities at the three levels.
本研究的目的是评估巴西伯南布哥州累西腓市卫生秘书处开展流行病学监测活动的实施程度。研究设计为采用规范方法的案例研究。概述了流行病学监测的逻辑模型，作为选择标准的基础，这些标准构成了一个矩阵，并使用共识技术或德尔菲法提交给专家。这个共识矩阵被用作访谈问卷的基础。研究涉及三个分析层面：中央层面、6个卫生区和62个家庭健康团队。根据研究，基于三个层面的实施程度（中央层面已实施，卫生区和家庭健康团队部分实施），该市的流行病学监测已部分实施。尽管流行病学监测活动已下放到各市，但市级系统的不同层面在处理标准和规范方面有不同需求，包括制定内部指南以明确三个层面的职责。
