Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100105 |
Resumo: | INTRODUCTION: The insatisfactory completeness of the variables in the Death Certificate (DC) makes it difficult to obtain specific perinatal mortality indicators. OBJECTIVE: To assess the social representation of physicians about the perinatal DC. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
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Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São PauloInformation systemsDeath certificatesSocial representationMedical recordsQualitative AnalysisPerinatal mortality INTRODUCTION: The insatisfactory completeness of the variables in the Death Certificate (DC) makes it difficult to obtain specific perinatal mortality indicators. OBJECTIVE: To assess the social representation of physicians about the perinatal DC. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Associação Brasileira de Saúde Coletiva2014-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100105Revista Brasileira de Epidemiologia v.17 n.1 2014reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1415-790X201400010009ENGinfo:eu-repo/semantics/openAccessSchoeps,DanielaLefevre,FernandoSilva,Zilda PereiraNovaes,Hillegonda Maria DutilhRaspantini,Priscila RibeiroAlmeida,Márcia Furquim deeng2015-01-12T00:00:00Zoai:scielo:S1415-790X2014000100105Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2015-01-12T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
title |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
spellingShingle |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo Schoeps,Daniela Information systems Death certificates Social representation Medical records Qualitative Analysis Perinatal mortality |
title_short |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
title_full |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
title_fullStr |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
title_full_unstemmed |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
title_sort |
Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo |
author |
Schoeps,Daniela |
author_facet |
Schoeps,Daniela Lefevre,Fernando Silva,Zilda Pereira Novaes,Hillegonda Maria Dutilh Raspantini,Priscila Ribeiro Almeida,Márcia Furquim de |
author_role |
author |
author2 |
Lefevre,Fernando Silva,Zilda Pereira Novaes,Hillegonda Maria Dutilh Raspantini,Priscila Ribeiro Almeida,Márcia Furquim de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Schoeps,Daniela Lefevre,Fernando Silva,Zilda Pereira Novaes,Hillegonda Maria Dutilh Raspantini,Priscila Ribeiro Almeida,Márcia Furquim de |
dc.subject.por.fl_str_mv |
Information systems Death certificates Social representation Medical records Qualitative Analysis Perinatal mortality |
topic |
Information systems Death certificates Social representation Medical records Qualitative Analysis Perinatal mortality |
description |
INTRODUCTION: The insatisfactory completeness of the variables in the Death Certificate (DC) makes it difficult to obtain specific perinatal mortality indicators. OBJECTIVE: To assess the social representation of physicians about the perinatal DC. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100105 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100105 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1415-790X201400010009ENG |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.17 n.1 2014 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212953465290752 |