Programa de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Rev Saude Publica. 2011 Feb;45(1):24-30. doi: 10.1590/s0034-89102011000100003.
To describe the use of health information systems in towns with fewer than 10,000 inhabitants.
Study conducted in the state of Rio de Grande do Sul, Southern Brazil, between 2003 and 2004. A self-administered questionnaire was sent to municipal managers, containing 11 single-choice questions, three multiple-choice questions and three open questions on the structure available, use of information, indicators valued and satisfaction with the systems. The questionnaire was answered by managers in 127 of the municipalities in this state with fewer than 10,000 inhabitants (37.7%). The responses were tabulated in an electronic spreadsheet and the differences between respondent and non-respondent municipalities were evaluated using the chi-square test, taking the significance level to be p < 0.05.
All the municipalities had computers available (mean of three per municipality) and 94% had internet access. The personnel responsible for information system inputs and analysis were public employees (59%) who also performed other tasks. The systems most used related to budget control and transfer of funds. Data analysis and generation of information used in local planning was carried out in 59.1% of the municipalities. The indicators cited as important for local planning were the same ones used in arrangements agreed with the state, but there was difficulty in understanding the terms "indicators" and "statistical data". Only 4.7% were fully satisfied with the information obtained from the health information systems.
Two realities coexisted: municipalities that perceived that inputs to health information systems were a task to be complied with because of orders from central levels, in contrast with municipalities that saw the potential for these systems but had difficulty in using them.
描述人口不足 10000 人的城镇使用卫生信息系统的情况。
本研究于 2003 年至 2004 年在巴西南里奥格兰德州进行。采用自填式问卷对市级管理者进行调查，问卷包含 11 个单项选择题、3 个多项选择题和 3 个关于现有结构、信息使用、评价指标和对系统满意度的开放性问题。该问卷由该州 127 个人口不足 10000 的城镇的管理者（37.7%）回答。将问卷结果制成电子表格，通过卡方检验评估应答者和未应答者城镇之间的差异，以 p < 0.05 为差异有统计学意义。
所有城镇都配备了计算机（平均每镇 3 台），且 94%的城镇都可以上网。负责信息系统输入和分析的人员是公共雇员（59%），他们还承担其他任务。最常使用的系统与预算控制和资金转移有关。59.1%的城镇进行数据分析和生成用于地方规划的信息。被认为对地方规划重要的指标与与州政府达成的协议中使用的指标相同，但对“指标”和“统计数据”这两个术语的理解存在困难。只有 4.7%的城镇对从卫生信息系统中获得的信息完全满意。
两种现实并存：一些城镇认为，向卫生信息系统输入数据是一项必须完成的任务，因为这是上级的命令；而另一些城镇则看到了这些系统的潜力，但难以使用。
