Schoeps Daniela, Almeida Marcia Furquim de, Raspantini Priscila Ribeiro, Novaes Hillegonda Maria Dutilh, Silva Zilda Pereira da, Lefevre Fernando
Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, 01246-904.
Cien Saude Colet. 2013 May;18(5):1483-92.
Few studies have analyzed the SINASC (Live Birth Information System) and MIS (Mortality Information System) applying qualitative methodology seeking to understand data production processes and contexts. This article aims to study the social representation of health professionals about Live Birth Certificates (LBC) and perinatal Death Certificates (DC). A total of 24 interviews were conducted with nurses and other professionals of 16 Unified Health System (SUS) and non-SUS hospitals of the city of São Paulo in 2009. Qualitative methodology was adopted along with the Collective Subject Discourse technique. Professionals acknowledged that they are an integral part of the information production process of SINASC and their reports indicate that they incorporate it in their work routine. They also perceive that training activities are a tool to understand the information produced by them and are aware of the utility of LBC information. Although physicians are legally responsible for the DC, other professionals frequently provide some of the information to complete it. The professionals see themselves as participants of the SINASC. Despite providing information to complete the DC, they do not see themselves as participants of the MIS operation.
很少有研究运用定性方法分析巴西全国活产信息系统（SINASC）和死亡信息系统（MIS），以试图了解数据生成过程和背景。本文旨在研究卫生专业人员对出生证明（LBC）和围产期死亡证明（DC）的社会认知。2009年，对圣保罗市16家统一卫生系统（SUS）和非SUS医院的护士及其他专业人员共进行了24次访谈。采用了定性方法以及集体主体话语技术。专业人员承认他们是SINASC信息生产过程中不可或缺的一部分，他们的报告表明他们将其纳入日常工作。他们还认为培训活动是理解他们所生成信息的一种工具，并意识到LBC信息的效用。尽管医生在法律上对DC负责，但其他专业人员经常提供一些信息以完成DC。专业人员将自己视为SINASC的参与者。尽管他们提供信息以完成DC，但他们并不认为自己是MIS运作的参与者。
