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[米纳斯吉拉斯州小市镇的死亡率信息系统:卫生专业人员的概念]

[Mortality Information System in small municipalities of Minas Gerais state: concepts of health professionals].

作者信息

Campos Deise, Hadad Salime Cristina, Abreu Daisy Maria Xavier de, Cherchiglia Mariângela Leal, França Elisabeth

机构信息

Gerência de Ensino e Pesquisa, Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, MG, 30150-260.

出版信息

Cien Saude Colet. 2013 May;18(5):1473-82.

Abstract

Strategies to accelerate the consolidation process of health information systems and make it possible to obtain reliable data on vital statistics are urgently needed. This qualitative study sought to understand the concepts of municipal administrators and Epidemiology managers about the Mortality Information System (MIS) in the Northeast region of Minas Gerais, one of the poorest in the state with the highest proportions of deaths with ill-defined causes. Professionals from ten municipalities were interviewed and their answers evaluated by content analysis. It was found that the MIS was perceived as important for management, but there was a general perception among respondents that it served the state and federal managers rather than the municipality in the planning of health actions. Improvements were reported in the physical structure of the municipalities to make the MIS operational, but also shortcomings related to lack of trained human resources for the systematic use and production of data at the local level and with high staff turnover. Partnerships between the health department with other state sectors can contribute to reduce under-registration of events and deaths with ill-defined causes.

摘要

迫切需要采取策略来加速卫生信息系统的整合进程,并使获取可靠的生命统计数据成为可能。这项定性研究旨在了解米纳斯吉拉斯州东北部地区市政管理人员和流行病学管理人员对死亡率信息系统(MIS)的概念,该地区是该州最贫困的地区之一,死因不明的死亡比例最高。对来自十个市镇的专业人员进行了访谈,并通过内容分析对他们的回答进行了评估。研究发现,死亡率信息系统被认为对管理很重要,但受访者普遍认为,在卫生行动规划中,该系统服务于州和联邦管理人员,而非市镇。报告称,各市镇的物理结构有所改善,以使死亡率信息系统能够运行,但也存在一些缺陷,比如缺乏经过培训的人力资源来系统地使用和在地方层面生成数据,以及员工流动率高。卫生部门与其他州部门之间的伙伴关系有助于减少事件登记不足和死因不明的死亡情况。

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