Use of Datasus to evaluate psychiatric inpatient care patterns in Southern Brazil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2007 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
DOI: | 10.1590/S0034-89102007000500017 |
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. |
id |
USP-23_7977efe3df9965002a1a67a2a7814c57 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/32317 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
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 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 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 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 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 Candiago, Rafael Henriques Abreu, Paulo Belmonte de 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 |
_version_ |
1822179093436694528 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0034-89102007000500017 |