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[原住民健康信息系统的可评估性研究:支持地方卫生管理的潜力与挑战]

[Study of the evaluability of the Information System on Indigenous Health: potentialities and challenges for supporting local health administration].

作者信息

Reis Ana Cristina, Casanova Angela Oliveira, Cruz Marly Marques da, Cunha Maria Luíza Silva, Gomes Marcelly de Freitas, Suárez-Mutis Martha Cecilia, Souza Michele Souza E, Peiter Paulo César, Marchón-Silva Verônica, Nascimento José Valdemir do, Rodrigues Kenisson Oliveira, Costa Márcio da, Alves Maria do Socorro

机构信息

Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2022 May 16;38(5):PT021921. doi: 10.1590/0102-311XPT021921. eCollection 2022.

Abstract

The article's objective is to present the results of the study on the evaluability of the Information System on Indigenous Health (SIASI) and its implications for local health administration. The study was performed with the following stages: description of the intervention, description of potential users, and context analysis (internal and external). The following data collection techniques were adopted: document analysis, interviews with key informants, and a workshop. Modeling of the SIASI in the Special Indigenous Health District Upper Solimões River (Amazonas State) and Special Indigenous Health District Eastern Roraima (Roraima State) allowed a schematic view of the system's mode of functioning, considering the peculiarities of the decentralized and centralized information flow. Context analysis pointed to acknowledgment of the SIASI as a tool for organization of the work process in the multidisciplinary indigenous health team (EMSI) and for follow-up of the health situation, despite low utilization of the information in the territories. Persistent challenges include infrastructure problems and fragmentation of information, causing an increase in rework in feeding the data. One key feature is the creation of the Local SIASI Panel, generating dynamic and interactive reports on the health situation. In conclusion, the capacity for use of the SIASI as a tool to support local management can be enhanced by expanding the decentralization of the information flow.

摘要

本文的目的是呈现关于原住民健康信息系统(SIASI)可评估性的研究结果及其对地方卫生管理的影响。该研究按以下阶段进行:干预描述、潜在用户描述以及背景分析(内部和外部)。采用了以下数据收集技术:文件分析、关键信息提供者访谈以及一次研讨会。对亚马逊州上索利蒙伊斯河特别原住民健康区和罗赖马州东部罗赖马特别原住民健康区的SIASI进行建模,考虑到分散式和集中式信息流的特点,得以对该系统的运作模式有一个示意性的了解。背景分析指出,尽管该信息在各地区的利用率较低,但SIASI被认可为多学科原住民健康团队(EMSI)工作流程组织和健康状况跟踪的工具。持续存在的挑战包括基础设施问题和信息碎片化,导致数据录入中的返工增加。一个关键特征是创建了地方SIASI小组,生成关于健康状况的动态交互式报告。总之,通过扩大信息流的分散化,可以提高将SIASI用作支持地方管理工具的能力。

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