Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Martins, Mônica Silva
Data de Publicação: 1998
Outros Autores: Travassos, Claudia Maria de Rezende
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/707
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Martins, Mônica SilvaTravassos, Claudia Maria de Rezende2010-08-23T16:58:41Z2010-11-04T14:19:52Z2010-08-23T16:58:41Z2010-11-04T14:19:52Z1998MARTINS,Mônica; TRAVASSOS, Claudia. Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil. International Journal for Quality in Health Care, v. 10, n. 2, p. 125-133, 1998.1353-4505https://www.arca.fiocruz.br/handle/icict/707engInternational Society for Quality in Health Care and Oxford University Press and Oxford University PressAssessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Centro de Informação Científica e Tecnológica. Departamento de Informações em Saúde. Rio de Janeiro, RJ, Brasil.Objective. This article considers the possibility that using secondary diagnoses extracted from hospital medical records of patients would modify the diagnosis related groups (DRG) allocated to a case and the Charlson comorbidity index (CCI)calculated from data in the Brazilian hospital information system. Design. This study used two databases: the administrative database of the Brazilian health care system which consists of c1aim forms abstracted from medical records and is primarily linked to reimbursement, and the medical records that correspond to a sample of c1aims forms of which the first data source is composed. Changes in DRG were tested by analyzing percent of agreement and the K index. Logistic regression was employed to evaluate the impact of using CCI scores. Settings and patients. This study is based on a sample of c1aim forms and medical records (n = 1331) from a number of private acute-care hospitaIs which had contracts with the municipality of Rio de Janeiro in 1986. Results. Use of information on comorbidity shown in medical records caused changes both in the c1assification of cases into DRG and in the scores of the CCI. The impact of restrictions on the number of secondary diagnoses in the Brazilian administrative database is comparatively more important for the ccr than for DRG aIlocation since the Charlson method is based on an additional mode! where every case of comorbidity is taken into account cumulatively for the final score. Conclusion. These findings indicate the importance of taking a number of measures to improve the quality of information systems in arder to increase their potential role in the evaluation of Brazil's health services.casemixcomorbiditydatabaseseverityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTTravassos_Assessing the availability_1998.pdf.txtTravassos_Assessing the availability_1998.pdf.txtExtracted texttext/plain9https://www.arca.fiocruz.br/bitstream/icict/707/6/Travassos_Assessing%20the%20availability_1998.pdf.txt33f4f15a16a9843faf6a25d4f387b6fdMD56LICENSElicense.txttext/plain1842https://www.arca.fiocruz.br/bitstream/icict/707/2/license.txt817ca89ec375aa612b3fb3b19b166445MD52ORIGINALTravassos_Assessing the availability_1998.pdfapplication/pdf4613347https://www.arca.fiocruz.br/bitstream/icict/707/3/Travassos_Assessing%20the%20availability_1998.pdf513beeec372195174163d07d4beca750MD53THUMBNAILTravassos_Assessing the availability_1998.pdf.jpgTravassos_Assessing the availability_1998.pdf.jpgGenerated Thumbnailimage/jpeg1620https://www.arca.fiocruz.br/bitstream/icict/707/5/Travassos_Assessing%20the%20availability_1998.pdf.jpg006c7b9c9a0124388af7acd437465f40MD55icict/7072018-04-02 08:29:45.316oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-02T11:29:45Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
title Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
spellingShingle Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
Martins, Mônica Silva
casemix
comorbidity
database
severity
title_short Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
title_full Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
title_fullStr Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
title_full_unstemmed Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
title_sort Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil
author Martins, Mônica Silva
author_facet Martins, Mônica Silva
Travassos, Claudia Maria de Rezende
author_role author
author2 Travassos, Claudia Maria de Rezende
author2_role author
dc.contributor.author.fl_str_mv Martins, Mônica Silva
Travassos, Claudia Maria de Rezende
dc.subject.en.pt_BR.fl_str_mv casemix
comorbidity
database
severity
topic casemix
comorbidity
database
severity
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 1998
dc.date.issued.fl_str_mv 1998
dc.date.accessioned.fl_str_mv 2010-08-23T16:58:41Z
2010-11-04T14:19:52Z
dc.date.available.fl_str_mv 2010-08-23T16:58:41Z
2010-11-04T14:19:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MARTINS,Mônica; TRAVASSOS, Claudia. Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil. International Journal for Quality in Health Care, v. 10, n. 2, p. 125-133, 1998.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/707
dc.identifier.issn.pt_BR.fl_str_mv 1353-4505
identifier_str_mv MARTINS,Mônica; TRAVASSOS, Claudia. Assessing the availability of casemix information in hospital database systems in Rio de Janeiro, Brazil. International Journal for Quality in Health Care, v. 10, n. 2, p. 125-133, 1998.
1353-4505
url https://www.arca.fiocruz.br/handle/icict/707
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv International Society for Quality in Health Care and Oxford University Press and Oxford University Press
publisher.none.fl_str_mv International Society for Quality in Health Care and Oxford University Press and Oxford University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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