Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Candiago, Rafael Henriques
Data de Publicação: 2007
Outros Autores: Abreu, Paulo Belmonte de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32317
Resumo: OBJECTIVE: To describe the construction and testing of a routine to assess psychiatric hospitalizations in the Brazilian Health System based on its database (DATASUS), and to assess characteristics and trends of these hospitalizations. METHODS: Data were extracted from hospital admission authorizations in the state of Rio Grande do Sul, Southern Brazil, from 2000 to 2004. Data from 91,233 admissions were processed through a routine (syntaxes) using SPSS program and their reliability was tested. Hospitalization rates in general and psychiatric hospitals and main diagnoses were described, and trends were analyzed using polynomial regression models. RESULTS: Intra and inter-rater reliabilities were 100%. There was seen a trend of increasing hospitalization rates due to mood disorders and decreasing rates due to schizophrenia and organic disorders. Hospitalization rates due to substance use disorders remained stable. There was an increasing trend in the number of psychiatric hospitalizations in general hospitals with a 97.7% growth in the period studied. CONCLUSIONS: Routines proved to be reliable and feasible, suggesting the use of data from Hospital Information System database as a source of information for continuous evaluation of psychiatric hospitalizations in Brazilian Health System. Psychiatric hospitalization rates may have changed due to changes in the type of patients; diagnostic patterns, known as treatment-oriented diagnostic bias; and legislation.
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spelling Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil Uso do Datasus para avaliação dos padrões das internações psiquiátricas, Rio Grande do Sul Hospitais psiquiátricosHospitais geraisHospitalizaçãoTempo de internaçãoSistemas de informaçãoSistema Único de Saúde^i1^sestatística & dados numériHospitalsPsychiatricGeneralHospitalizationLength of stayInformation systemsSingle Health System^i2^sstatistics & numerical d OBJECTIVE: To describe the construction and testing of a routine to assess psychiatric hospitalizations in the Brazilian Health System based on its database (DATASUS), and to assess characteristics and trends of these hospitalizations. METHODS: Data were extracted from hospital admission authorizations in the state of Rio Grande do Sul, Southern Brazil, from 2000 to 2004. Data from 91,233 admissions were processed through a routine (syntaxes) using SPSS program and their reliability was tested. Hospitalization rates in general and psychiatric hospitals and main diagnoses were described, and trends were analyzed using polynomial regression models. RESULTS: Intra and inter-rater reliabilities were 100%. There was seen a trend of increasing hospitalization rates due to mood disorders and decreasing rates due to schizophrenia and organic disorders. Hospitalization rates due to substance use disorders remained stable. There was an increasing trend in the number of psychiatric hospitalizations in general hospitals with a 97.7% growth in the period studied. CONCLUSIONS: Routines proved to be reliable and feasible, suggesting the use of data from Hospital Information System database as a source of information for continuous evaluation of psychiatric hospitalizations in Brazilian Health System. Psychiatric hospitalization rates may have changed due to changes in the type of patients; diagnostic patterns, known as treatment-oriented diagnostic bias; and legislation. OBJETIVO: Descrever a construção e o teste de rotina para análise das interna-ções psiquiátricas pelo Sistema Único de Saúde, a partir de seu banco de dados (Datasus), e analisar as características e tendências dessas internações. MÉTODOS: Foram extraídos dados das autorizações de internação hospitalar dos anos de 2000 a 2004, no Rio Grande do Sul. Os dados referentes a 91.233 internações foram processados por meio de sintaxes pelo programa SPSS, tendo sido testada a confiabilidade das rotinas. Foram descritas as freqüências das internações em hospitais gerais e psiquiátricos, e os principais diagnósticos, com análise de tendências por modelos de regressão polinomial. RESULTADOS: As confiabilidades intra e interavaliador foram de 100%. Observou-se tendência de crescimento na proporção das internações por transtornos de humor e de diminuição naquelas por esquizofrenia e por transtornos orgânicos. A proporção de internações por transtorno por uso de substâncias manteve-se estável. Houve tendência crescente na proporção do número de internações psiquiátricas em hospitais gerais, apresentando um crescimento de 97,7% no período. CONCLUSÕES: Foram evidenciadas a confiabilidade e a viabilidade das rotinas apresentadas, sugerindo o uso dos arquivos do Sistema de Informações Hospitalares como fonte de dados para a avaliação contínua das internações psiquiátricas pelo Sistema Único de Saúde. As alterações observadas nas proporções de internações psiquiátricas podem ter sido devido às mudanças: no tipo de pacientes; no padrão de diagnósticos, conhecido como viés de diagnóstico orientado pelo tratamento; e na legislação. Universidade de São Paulo. Faculdade de Saúde Pública2007-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3231710.1590/S0034-89102007000500017Revista de Saúde Pública; Vol. 41 No. 5 (2007); 821-829 Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 821-829 Revista de Saúde Pública; v. 41 n. 5 (2007); 821-829 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32317/34485https://www.revistas.usp.br/rsp/article/view/32317/34486Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCandiago, Rafael HenriquesAbreu, Paulo Belmonte de2012-07-09T00:44:13Zoai:revistas.usp.br:article/32317Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:44:13Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
Uso do Datasus para avaliação dos padrões das internações psiquiátricas, Rio Grande do Sul
title Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
spellingShingle Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
Candiago, Rafael Henriques
Hospitais psiquiátricos
Hospitais gerais
Hospitalização
Tempo de internação
Sistemas de informação
Sistema Único de Saúde^i1^sestatística & dados numéri
Hospitals
Psychiatric
General
Hospitalization
Length of stay
Information systems
Single Health System^i2^sstatistics & numerical d
title_short Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
title_full Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
title_fullStr Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
title_full_unstemmed Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
title_sort Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
author Candiago, Rafael Henriques
author_facet Candiago, Rafael Henriques
Abreu, Paulo Belmonte de
author_role author
author2 Abreu, Paulo Belmonte de
author2_role author
dc.contributor.author.fl_str_mv Candiago, Rafael Henriques
Abreu, Paulo Belmonte de
dc.subject.por.fl_str_mv Hospitais psiquiátricos
Hospitais gerais
Hospitalização
Tempo de internação
Sistemas de informação
Sistema Único de Saúde^i1^sestatística & dados numéri
Hospitals
Psychiatric
General
Hospitalization
Length of stay
Information systems
Single Health System^i2^sstatistics & numerical d
topic Hospitais psiquiátricos
Hospitais gerais
Hospitalização
Tempo de internação
Sistemas de informação
Sistema Único de Saúde^i1^sestatística & dados numéri
Hospitals
Psychiatric
General
Hospitalization
Length of stay
Information systems
Single Health System^i2^sstatistics & numerical d
description OBJECTIVE: To describe the construction and testing of a routine to assess psychiatric hospitalizations in the Brazilian Health System based on its database (DATASUS), and to assess characteristics and trends of these hospitalizations. METHODS: Data were extracted from hospital admission authorizations in the state of Rio Grande do Sul, Southern Brazil, from 2000 to 2004. Data from 91,233 admissions were processed through a routine (syntaxes) using SPSS program and their reliability was tested. Hospitalization rates in general and psychiatric hospitals and main diagnoses were described, and trends were analyzed using polynomial regression models. RESULTS: Intra and inter-rater reliabilities were 100%. There was seen a trend of increasing hospitalization rates due to mood disorders and decreasing rates due to schizophrenia and organic disorders. Hospitalization rates due to substance use disorders remained stable. There was an increasing trend in the number of psychiatric hospitalizations in general hospitals with a 97.7% growth in the period studied. CONCLUSIONS: Routines proved to be reliable and feasible, suggesting the use of data from Hospital Information System database as a source of information for continuous evaluation of psychiatric hospitalizations in Brazilian Health System. Psychiatric hospitalization rates may have changed due to changes in the type of patients; diagnostic patterns, known as treatment-oriented diagnostic bias; and legislation.
publishDate 2007
dc.date.none.fl_str_mv 2007-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32317
10.1590/S0034-89102007000500017
url https://www.revistas.usp.br/rsp/article/view/32317
identifier_str_mv 10.1590/S0034-89102007000500017
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32317/34485
https://www.revistas.usp.br/rsp/article/view/32317/34486
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. 5 (2007); 821-829
Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 821-829
Revista de Saúde Pública; v. 41 n. 5 (2007); 821-829
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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