Metodologia de avaliação da política nacional de atendimento às urgências para o estado do Rio de Janeiro

• Autor(a) principal: Cardoso, Simone de Souza
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal Fluminense (RIUFF)
• Texto Completo: https://app.uff.br/riuff/handle/1/19611
• topic: Urgências; MEDICINA; SAÚDE COLETIVA; Atenção à saúde; Socorro de urgência; Saúde pública; Fatores epidemiológicos; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The scenario of population aging in Brazil demonstrated that determines much of the morbidity and mortality focus on chronic diseases, which require the assistance of high complexity and cost, as well as morbidity and mortality from external causes (accidents and violence), another important factor complex epidemiology. The Health System contributes to deal with this scenario, in which the definition of intervention priorities in health is not a trivial task. The National Policy for the Emergency (PNAU) was implemented from 2003 in order to integrate the sectoral effort to combat the current risks in the national epidemiological situation. Technological innovation in existing PNAU consists in structuring your mobile prehospital component, the Service for Mobile Emergency Care (MECS), coupled with regulatory mechanisms. This paper aims to propose a methodology for evaluating PNAU, as a case study with the State of Rio de Janeiro for the period 2001-2010. We evaluated the structure and process indicators of PNAU, and its association with the average time of hospitalization for acute myocardial infarction, stroke and trauma. Data sources were the Health Information Systems officers, and were hierarchical regression models for each of the outcomes, according to sex. It was observed that the average length of stay for acute myocardial infarction for both sexes was associated with the rate of delivery of ESF to hospital. The average length of stay for stroke for both sexes was associated with the implementation of the SAMU. The average hospital stay for trauma in males correlated with the implementation of SAMU and forwarding rate of hospital admissions for the ESF. There were no effects of the components of PNAU on length of stay for trauma in the female population. The index of spatial autocorrelation Moran showed spatial dependence between the municipalities of the State of Rio de Janeiro in relation to the average duration of these conditions, especially in the metropolitan area, where he presented a long period of hospitalization. The methodology proposed in this study proved to be feasible in terms of application scenarios and reproduction in other geographical and temporal. It demonstrates the potential use of information systems in health official in Brazil, accessed through quantitative methods of processing and data analysis