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Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
INTRODUCTION – The information systems in health (ISH), available in Brazil, are abundant sources of public health information strategic. However, the use of these systems is limited. The objective of this work is to discuss the potentialities and limits of the National Base in Renal replacement therapy (RRT) – historic cohort of patient.
METHODS –National Base in RRT was prepared by means of deterministic-probabilistic pairing between Information System of High Complexity Procedures (ISHCP) and Information Systems of Mortality and Hospitalization, (2000 to 2004), allowing organize data by patients under RRT, promoting the retrieval of their medical assistance pathway. This enabled the construction of economic, epidemiological, clinical and effectiveness of assistance indicators.
RESULTS – This Base contains records identifying each patient according to demographic variables (sex, age, residence region), clinics (diagnosis of the cause of CRI [CID10], modality of treatment, period of treatment and cause of death) and final result (death, continuity of the treatment or end of observation). Additionally, it enables to retrieve the background of the procedures carried out at high complexity outpatient clinic level and at hospital level with the associated costs. However, structural aspects – such as lack of clinic information, difficulty in the codification and invoicing feature – restrict possibility of assessments.
DISCUSSION – The managers’ and health area researchers’ needs, associated to the form in which the Brazilian information systems in health were structured, determine the necessity to integrate ISH data, even if without presence of a univocal identifier. The development of the National Data Base in RRT was of great importance and utility because it enables: to track the pathway of the user of the health services and to assess the quality and effectiveness of the service rendered to patients submitted to renal substitution therapies in the country.
METHODS –National Base in RRT was prepared by means of deterministic-probabilistic pairing between Information System of High Complexity Procedures (ISHCP) and Information Systems of Mortality and Hospitalization, (2000 to 2004), allowing organize data by patients under RRT, promoting the retrieval of their medical assistance pathway. This enabled the construction of economic, epidemiological, clinical and effectiveness of assistance indicators.
RESULTS – This Base contains records identifying each patient according to demographic variables (sex, age, residence region), clinics (diagnosis of the cause of CRI [CID10], modality of treatment, period of treatment and cause of death) and final result (death, continuity of the treatment or end of observation). Additionally, it enables to retrieve the background of the procedures carried out at high complexity outpatient clinic level and at hospital level with the associated costs. However, structural aspects – such as lack of clinic information, difficulty in the codification and invoicing feature – restrict possibility of assessments.
DISCUSSION – The managers’ and health area researchers’ needs, associated to the form in which the Brazilian information systems in health were structured, determine the necessity to integrate ISH data, even if without presence of a univocal identifier. The development of the National Data Base in RRT was of great importance and utility because it enables: to track the pathway of the user of the health services and to assess the quality and effectiveness of the service rendered to patients submitted to renal substitution therapies in the country.
Learning Objectives: Exchange of information on construction of databases that support decision making in health
Sub-Theme: Public Health and Research: Evidence Based Policy on Health