Mota Daniel Marques, Freitas Daniel Roberto Coradi, de Araújo Wildo Navegantes
Sistema Nacional de Gerenciamentode Produtos Controlados, Núcleo de Gestão doSistema Nacional deNotificação e Investigaçãoem Vigilância Sanitária, Agência Nacional de Vigilância Sanitária, Setor de Indústria e Abastecimento-Trecho 5, Sala NUVIG, 71205-050 Brasília DF.
Cien Saude Colet. 2012 Jan;17(1):191-202. doi: 10.1590/s1413-81232012000100021.
This study evaluated the Sanitary Vigilance System for Blood at federal government level (VIGISAN). This assessment included the following components: managerial system of registration of hemotherapeutic services; external evaluation program of quality of hemotherapy services; hemovigilance system; standardization and inspection of health services for blood and its components. Besides the description and the calculation of efficiency (cost-effectiveness ratio) of VIGISAN, the assessment consisted of two phases based on three methods. VIGISAN had a poorly defined structure, though it operated smoothly and its utility was acceptable for public health. From a total of four defined indicators to evaluate performance, one obtained a satisfactory result. Three out of the seven evaluation attributes achieved positive assessment in this study. The cost-effectiveness ratio was US$ 37,965.16 per activity performed, which resulted in loss of efficiency for the system. This study demonstrates the importance of conducting evaluations of vigilance systems in public health, which should be performed periodically in order to contribute to improvement of the system and thus improve public health in the country.
本研究评估了联邦政府层面的血液卫生警戒系统（VIGISAN）。该评估包括以下几个部分：血液治疗服务注册管理系统；血液治疗服务质量外部评估项目；血液警戒系统；血液及其成分卫生服务的标准化与检查。除了对VIGISAN的描述及其效率（成本效益比）计算外，评估基于三种方法分两个阶段进行。VIGISAN的结构定义不明确，尽管其运作顺畅且对公共卫生的效用尚可接受。在总共四个用于评估绩效的既定指标中，有一个取得了令人满意的结果。在本研究中，七个评估属性中有三个获得了正面评价。每项活动的成本效益比为37,965.16美元，这导致该系统效率低下。本研究表明了对公共卫生警戒系统进行评估的重要性，应定期开展此类评估，以促进系统改进，从而改善该国的公共卫生状况。
