Schoeps Daniela, Lefevre Fernando, Silva Zilda Pereira, Novaes Hillegonda Maria Dutilh, Raspantini Priscila Ribeiro, de Almeida Márcia Furquim
Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Bras Epidemiol. 2014 Jan-Mar;17(1):105-18. doi: 10.1590/1415-790x201400010009eng.
The insatisfactory completeness of the variables in the Death Certificate (DC) makes it difficult to obtain specific perinatal mortality indicators.
To assess the social representation of physicians about the perinatal DC.
Twenty-five physicians were interviewed in 15 hospitals in the city of São Paulo, in 2009. Qualitative analysis was performed with the Collective Subject Discourse technique.
The DC is primarily considered according to its legal aspect. Physicians feel responsible for fulfilling the cause of death. The majority of them reported receiving help from other professionals to complete information on maternal characteristics and identification variables. There is lack of information on the mother's pre-natal conditions, which can make it difficult to identify the perinatal cause of death, mainly in the Unified Health System (SUS) hospitals. Some participants received specific DC training only when attending medical schools.
The organization of medical work may affect the completion of the DC, especially in hospitals from SUS. Other professionals contributed to this task and their training can improve the quality of information.
死亡证明（DC）中变量完整性不尽人意，这使得获取特定围产期死亡率指标变得困难。
评估医生对围产期死亡证明的社会认知。
2009年，在圣保罗市的15家医院对25名医生进行了访谈。采用集体主体话语技术进行定性分析。
主要从法律层面考虑死亡证明。医生们认为自己有责任填写死亡原因。他们中的大多数人报告说，在填写产妇特征和身份识别变量的信息时得到了其他专业人员的帮助。缺乏关于母亲产前状况的信息，这可能难以确定围产期死亡原因，在统一卫生系统（SUS）医院尤其如此。一些参与者仅在医学院学习时接受过死亡证明方面的特定培训。
医疗工作的组织方式可能会影响死亡证明的填写，特别是在统一卫生系统的医院。其他专业人员协助完成这项任务，对他们的培训可以提高信息质量。
