Barbosa França S, Xavier de Abreu D M
Núcleo de Pesquisas em Saúde Coletiva e Nutricão da Universidade Federal de Minas Gerais, Belo Horizonte.
Rev Soc Bras Med Trop. 1996 Mar-Apr;29(2):109-15.
The aim of this research was to describe the delivery and evolution of Chagas disease with in-patients in Brazil during the last decade. It also attempted to discuss the limits and possibilities of Internal Hospitalization Authorization (AIH) as a source of epidemiologist information. From 1984 to 1993, the number of in-patients diagnosed with "tripanossomiase" was about 1,700 yearly, declining in absolute numbers during the entire historic series. The majority concentration of in-patients occuring in this study was recorded in São Paulo, Goiás, Minas Gerais and Distrito Federal. The public sector importance increased and the university hospitals improved their participation with in-patients with "tripanossomiase". Concerning hospitals expenses for in-patients, this study has observed that a hegemony in São Paulo was strengthened. The average cost was varied: in São Paulo and Distrito Federal, the average cost was much higher than that of Minas Gerais and Goiás. Finally, this study concluded that the most suitable usefulness of the AIH forms would be for disease surveys that haven't been presented to many clinics, for which the SINTESE files would be sufficient.
本研究的目的是描述过去十年间巴西住院患者恰加斯病的发病情况及演变过程。同时，本研究还试图探讨作为流行病学信息来源的医院内部住院授权（AIH）的局限性和可能性。1984年至1993年期间，每年被诊断患有“锥虫病”的住院患者人数约为1700人，在整个历史序列中绝对数量呈下降趋势。本研究记录的住院患者多数集中在圣保罗、戈亚斯、米纳斯吉拉斯和联邦区。公共部门的重要性增加，大学医院对“锥虫病”住院患者的参与度有所提高。关于住院患者的医院费用，本研究发现圣保罗的主导地位得到了加强。平均费用各不相同：在圣保罗和联邦区，平均费用远高于米纳斯吉拉斯和戈亚斯。最后，本研究得出结论，AIH表格最适合用于尚未提交给许多诊所的疾病调查，对于这些调查，SINTESE文件就足够了。
