An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2053 |
Resumo: | World Public Health demands organized efforts by society to protect, promote and restore the health of populations and faces complex challenges. The health diagnosis helps in the planning of health actions, thus constituting an important tool for Health Services Management. The assessment of the health-disease situation of a population has as an important tool the Epidemiology in Health, which, through the use of their methods of study, it is possible to base the strategies of control and prevention of health problems, as well as the planning and management of health services. This evaluation can be done from health indicators that are summary measures that capture relevant information from different attributes and dimensions of health, used internationally. This study aims to analyze indicators of Meningococcal Disease (MD), which can evidence the impact of the implantation of the anti-meningococcal vaccine in the incidence rates, mortality and hospitalization and hospitalization costs in children under 4 years of age in the city of S??o Paulo from 2007 to For the collection and calculation of the indicators, secondary data of the information systems were used, available on the website of the Department of Information of SUS - DATASUS of the Ministry of Health, such as: Information System of Hospitalization SIH-SUS and Information System of Notification Diseases - SINAN. A total of 1418 confirmed cases of DM for the age group of 0 to 4 years and 353 confirmed cases for the control age range of 10 to 14 years were evaluated in the period from 2007 to 2015. For the age group 0 to 4 years (p = 0.04) in the incidence rate, a reduction of 68.04% (p = 0.02), a reduction in the mortality rate, a reduction of 49.69% (p = 0.03) in the hospitalization rate and a reduction of 53.81% (p = 0.06) in hospitalization costs for DM. A negative percentage change of 60.8% was also calculated for the proportions between Hospitalization Expenditures in the SUS for MD and Expenditures with Hospitalization in the SUS for all categories for the 0-4 age group. The impact of the vaccine was higher in all the variables studied, for the age group 0 to 4 years, contemplated by the vaccine, when compared to the 10 to 14 year age group (control) not contemplated by the National Immunization Program (PNI). |
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Ribeiro, Ana FreitasRibeiro, Ana FreitasEscriv??o Junior, ??lvaroAssis, Sonia Francisca Monken deLiberal, Marcia Mello Costa deNovaretti, Marcia Cristina Zagohttp://lattes.cnpq.br/7744133849687050Machado, Eliana2019-07-04T19:36:27Z2019-02-25Machado, Eliana. An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015. 2019. 59 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/2053World Public Health demands organized efforts by society to protect, promote and restore the health of populations and faces complex challenges. The health diagnosis helps in the planning of health actions, thus constituting an important tool for Health Services Management. The assessment of the health-disease situation of a population has as an important tool the Epidemiology in Health, which, through the use of their methods of study, it is possible to base the strategies of control and prevention of health problems, as well as the planning and management of health services. This evaluation can be done from health indicators that are summary measures that capture relevant information from different attributes and dimensions of health, used internationally. This study aims to analyze indicators of Meningococcal Disease (MD), which can evidence the impact of the implantation of the anti-meningococcal vaccine in the incidence rates, mortality and hospitalization and hospitalization costs in children under 4 years of age in the city of S??o Paulo from 2007 to For the collection and calculation of the indicators, secondary data of the information systems were used, available on the website of the Department of Information of SUS - DATASUS of the Ministry of Health, such as: Information System of Hospitalization SIH-SUS and Information System of Notification Diseases - SINAN. A total of 1418 confirmed cases of DM for the age group of 0 to 4 years and 353 confirmed cases for the control age range of 10 to 14 years were evaluated in the period from 2007 to 2015. For the age group 0 to 4 years (p = 0.04) in the incidence rate, a reduction of 68.04% (p = 0.02), a reduction in the mortality rate, a reduction of 49.69% (p = 0.03) in the hospitalization rate and a reduction of 53.81% (p = 0.06) in hospitalization costs for DM. A negative percentage change of 60.8% was also calculated for the proportions between Hospitalization Expenditures in the SUS for MD and Expenditures with Hospitalization in the SUS for all categories for the 0-4 age group. The impact of the vaccine was higher in all the variables studied, for the age group 0 to 4 years, contemplated by the vaccine, when compared to the 10 to 14 year age group (control) not contemplated by the National Immunization Program (PNI).A Sa??de P??blica Mundial demanda esfor??os organizados pela sociedade para proteger, promover e restaurar a sa??de das popula????es e para isso enfrenta desafios complexos. O diagn??stico de sa??de auxilia no planejamento das a????es de sa??de, constituindo assim uma ferramenta importante para a Gest??o dos Servi??os de Sa??de. A avalia????o da situa????o de sa??de-doen??a de uma popula????o tem como importante instrumento a Epidemiologia Gerencial, com a qual, atrav??s da utiliza????o de seus m??todos de estudo ?? poss??vel fundamentar as estrat??gias de controle e preven????o dos agravos ?? sa??de, bem como o planejamento e o gerenciamento dos servi??os de sa??de. Esta avalia????o pode ser feita a partir de indicadores de sa??de que s??o medidas sum??rias que capturam informa????es relevantes de diferentes atributos e dimens??es de sa??de, uitlizados internacionalmente. Este estudo busca analisar indicadores da Doen??a Meningoc??cica (DM), que possam evidenciar o impacto da implanta????o da vacina antimeningoc??cica nas taxas de: incid??ncia, mortalidade e hospitaliza????o e nos gastos com hospitaliza????o em crian??as menores de 4 anos na cidade de S??o Paulo de 2007 a 2015. Para o levantamento e c??lculo dos indicadores, foram utilizados dados secund??rios dos sistemas de informa????o, dispon??veis no site do Departamento de Informa????es do SUS ??? DATASUS do Minist??rio da Sa??de, tais como: Sistema de Informa????o de Hospitaliza????o SIH-SUS e Sistema de Informa????o de Agravos de Notifica????o ??? SINAN. Foram avaliados um total de 1418 casos confirmados de DM para a faixa et??ria de 0 a 4 anos e 353 casos confirmados para a faixa et??ria controle de 10 a 14 anos , no per??odo de 2007 a 2015. Para a faixa et??ria de 0 a 4 anos comparando-se os per??odos pr?? e p??s vacinal foi observado: redu????o de 53,54 % ( p = 0,04 ) na taxa de incid??ncia, redu????o de 68,04 % ( p = 0,02), na taxa de mortalidade, redu????o de 49,69 % ( p = 0,03 ) na taxa de hospitaliza????o e redu????o de 53,81% (p=0,06) nos gastos com hospitaliza????o por DM. Foi apurado tamb??m uma varia????o percentual negativa de 60,8% para as propor????es entre Gastos com Hospitaliza????o no SUS para DM e Gastos com Hospitaliza????o no SUS para todas as categorias para a a faixa et??ria de 0 a 4 anos. O impacto da vacina foi maior em todas as vari??veis estudadas, para a faixa et??ria de 0 a 4 anos, contemplados pela vacina, quando comparado com o grupo et??rio de 10 a 14 anos (controle) n??o comtemplados pelo Programa Nacional de Imuniza????o (PNI).Submitted by Nadir Basilio (nadirsb@uninove.br) on 2019-07-04T19:36:27Z No. of bitstreams: 1 Eliana Machado.pdf: 1151221 bytes, checksum: 9d51ae20385cfff65d18d2fec65ad841 (MD5)Made available in DSpace on 2019-07-04T19:36:27Z (GMT). No. of bitstreams: 1 Eliana Machado.pdf: 1151221 bytes, checksum: 9d51ae20385cfff65d18d2fec65ad841 (MD5) Previous issue date: 2019-02-25application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????odoen??a meningoc??cicavacinaincid??nciamorbimortalidadegastos com hospitaliza????omeningococcal diseasevaccineincidencemorbidity and mortalityhospitalization spendingsADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSAn??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015Analysis of the impact antimeningococcal vaccines and hospitalization of the meningococcal disease in children minors of 4 years in the municipality of S??o Paulo, SP, 2007 to 2015info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALEliana Machado.pdfEliana Machado.pdfapplication/pdf1151221http://localhost:8080/tede/bitstream/tede/2053/2/Eliana+Machado.pdf9d51ae20385cfff65d18d2fec65ad841MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2053/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/20532019-07-04 16:36:27.645oai:localhost:tede/2053Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSPz9QUklBIExJQ0VOPz9BCkVzdGEgbGljZW4/P2EgZGUgZXhlbXBsbyA/PyBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTj8/QSBERSBESVNUUklCVUk/Pz8/TyBOPz9PLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhPz8/P28gZGVzdGEgbGljZW4/P2EsIHZvYz8/IChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSA/PyBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbj8/by1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cj8/bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3MgPz91ZGlvIG91IHY/P2Rlby4KClZvYz8/IGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlPz9kbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmE/Pz8/by4KClZvYz8/IHRhbWI/P20gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGM/P3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YT8/Pz9vIHBhcmEgZmlucyBkZSBzZWd1cmFuPz9hLCBiYWNrLXVwIGUgcHJlc2VydmE/Pz8/by4KClZvYz8/IGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byA/PyBvcmlnaW5hbCBlIHF1ZSB2b2M/PyB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW4/P2EuIFZvYz8/IHRhbWI/P20gZGVjbGFyYSBxdWUgbyBkZXA/P3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byBuPz9vLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3U/P20uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/Pz8/byBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jPz8gbj8/byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2M/PyAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzcz8/byBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyID8/IFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2VuPz9hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Q/PyBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZT8/ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEE/Pz8/TyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0M/P05JTyBPVSAKQVBPSU8gREUgVU1BIEFHPz9OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOPz9PIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0M/PyBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVM/P08gQ09NTyAKVEFNQj8/TSBBUyBERU1BSVMgT0JSSUdBPz8/P0VTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YT8/Pz9vLCBlIG4/P28gZmFyPz8gcXVhbHF1ZXIgYWx0ZXJhPz8/P28sIGFsPz9tIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2VuPz9hLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2019-07-04T19:36:27Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
dc.title.alternative.eng.fl_str_mv |
Analysis of the impact antimeningococcal vaccines and hospitalization of the meningococcal disease in children minors of 4 years in the municipality of S??o Paulo, SP, 2007 to 2015 |
title |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
spellingShingle |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 Machado, Eliana doen??a meningoc??cica vacina incid??ncia morbimortalidade gastos com hospitaliza????o meningococcal disease vaccine incidence morbidity and mortality hospitalization spendings ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
title_full |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
title_fullStr |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
title_full_unstemmed |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
title_sort |
An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015 |
author |
Machado, Eliana |
author_facet |
Machado, Eliana |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ribeiro, Ana Freitas |
dc.contributor.referee1.fl_str_mv |
Ribeiro, Ana Freitas |
dc.contributor.referee2.fl_str_mv |
Escriv??o Junior, ??lvaro |
dc.contributor.referee3.fl_str_mv |
Assis, Sonia Francisca Monken de |
dc.contributor.referee4.fl_str_mv |
Liberal, Marcia Mello Costa de |
dc.contributor.referee5.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7744133849687050 |
dc.contributor.author.fl_str_mv |
Machado, Eliana |
contributor_str_mv |
Ribeiro, Ana Freitas Ribeiro, Ana Freitas Escriv??o Junior, ??lvaro Assis, Sonia Francisca Monken de Liberal, Marcia Mello Costa de Novaretti, Marcia Cristina Zago |
dc.subject.por.fl_str_mv |
doen??a meningoc??cica vacina incid??ncia morbimortalidade gastos com hospitaliza????o |
topic |
doen??a meningoc??cica vacina incid??ncia morbimortalidade gastos com hospitaliza????o meningococcal disease vaccine incidence morbidity and mortality hospitalization spendings ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
meningococcal disease vaccine incidence morbidity and mortality hospitalization spendings |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
World Public Health demands organized efforts by society to protect, promote and restore the health of populations and faces complex challenges. The health diagnosis helps in the planning of health actions, thus constituting an important tool for Health Services Management. The assessment of the health-disease situation of a population has as an important tool the Epidemiology in Health, which, through the use of their methods of study, it is possible to base the strategies of control and prevention of health problems, as well as the planning and management of health services. This evaluation can be done from health indicators that are summary measures that capture relevant information from different attributes and dimensions of health, used internationally. This study aims to analyze indicators of Meningococcal Disease (MD), which can evidence the impact of the implantation of the anti-meningococcal vaccine in the incidence rates, mortality and hospitalization and hospitalization costs in children under 4 years of age in the city of S??o Paulo from 2007 to For the collection and calculation of the indicators, secondary data of the information systems were used, available on the website of the Department of Information of SUS - DATASUS of the Ministry of Health, such as: Information System of Hospitalization SIH-SUS and Information System of Notification Diseases - SINAN. A total of 1418 confirmed cases of DM for the age group of 0 to 4 years and 353 confirmed cases for the control age range of 10 to 14 years were evaluated in the period from 2007 to 2015. For the age group 0 to 4 years (p = 0.04) in the incidence rate, a reduction of 68.04% (p = 0.02), a reduction in the mortality rate, a reduction of 49.69% (p = 0.03) in the hospitalization rate and a reduction of 53.81% (p = 0.06) in hospitalization costs for DM. A negative percentage change of 60.8% was also calculated for the proportions between Hospitalization Expenditures in the SUS for MD and Expenditures with Hospitalization in the SUS for all categories for the 0-4 age group. The impact of the vaccine was higher in all the variables studied, for the age group 0 to 4 years, contemplated by the vaccine, when compared to the 10 to 14 year age group (control) not contemplated by the National Immunization Program (PNI). |
publishDate |
2019 |
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2019-07-04T19:36:27Z |
dc.date.issued.fl_str_mv |
2019-02-25 |
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Machado, Eliana. An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015. 2019. 59 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2053 |
identifier_str_mv |
Machado, Eliana. An??lise do impacto da vacina antimeningoc??cica e dos gastos com hospitaliza????o da doen??a meningoc??cica em crian??as menores de 4 anos no munic??pio de S??o Paulo, SP, 2007 a 2015. 2019. 59 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2053 |
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