Biblioteca (Todos)
Health Indicators 2011: Definitions, Data Sources and Rationale, June 2011
AUTOR(ES): Canadian Institute for Health Information
ANO: 2011
RESUMO: This document describes the methodology used to calculate the health indicators produced by the Canadian Institute for Health Information (CIHI) and is applicable to the most recent release of indicator data. The methodology used for these indicators was designed to maximize inter-regional comparability given the characteristics of available national data sets. For this reason, there may be differences between definitions, data sources and extraction procedures used in some local, regional or provincial/territorial reports when compared to those described here. In addition, discrepancies may exist due to ongoing updates to databases. Data presented in Health Indicators publications includes the latest updates available at the time of indicator calculation. Indicators are calculated for provinces and territories as well as for health regions. Health regions are defined by provincial governments as areas of responsibility for regional health boards (that is, legislated) or as regions of interest to health care authorities. Health regions with a population of at least 50,000 are featured both in the print publication and e-publication. In addition, selected indicators for health regions with a population ranging from 20,000 to 50,000 are reported in the Health Indicators e-publication.
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REFERENCIA: Canadian Institute for Health Information. Health Indicators 2011: Definitions, Data Sources and Rationale. Ottawa: CIHI, 2011.
Health Indicators 2010: Definitions, Data Sources and Rationale
AUTOR(ES): Canadian Institute for Health Information
ANO: 2010
RESUMO: This document describes methodology used to calculate health indicators produced by the Canadian Institute for Health Information (CIHI). The methodology used for these indicators was designed to maximize inter-regional comparability given the characteristics of available national datasets. For this reason, there may be differences between definitions, data sources, and extraction procedures used in some local, regional, or provincial/territorial reports when compared to those described here. In addition, discrepancies may exist due to on-going updates to databases. Data presented in Health Indicators publications include the latest updates available at the time of indicator calculation. Indicators are calculated for provinces and territories as well as for health regions. Health regions with a population of at least 50,000 are featured both in the print publication and e-publication. In addition, selected indicators for health regions with a population ranging from 20,000 to 50,000 are reported in the Health Indicators e-publication.
FONTE:
REFERENCIA: Canadian Institute for Health Information. Health Indicators 2010: Definitions, Data Sources and Rationale. Ottawa: CIHI, 2010.
Health Indicators 2009 - Canada
AUTOR(ES): Canadian Institute for Health Information
ANO: 2009
RESUMO: As in previous years, Health Indicators 2009 presents the most recently available information about the health system and the health of the population in Canada's health regions, provinces and territories. In view of the 10-year anniversary, the report also presents national trends over time for selected indicators focusing on the following six themes: heart attacks and cardiac revascularization; stroke; women's health and men's health-selected surgical procedures; hip fractures; joint replacements; and preventing hospital admissions
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REFERENCIA: Canadian Institute for Health Information. Health Indicators 2009. Ottawa: CIHI, 2009.
Health Indicators 2008 - Canada
AUTOR(ES): Canadian Institute for Health Information
ANO: 2008
RESUMO: Health Indicators 2008 is the ninth in a series of annual reports containing the most recently available health indicators data from the Canadian Institute for Health Information (CIHI) and Statistics Canada. This issue also includes an analytical section that provides an in-depth analysis of the hospitalization rates for ambulatory care sensitive conditions (ACSC); this indicator represents hospitalizations for chronic conditions that can be potentially managed and controlled in the community.
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REFERENCIA: Canadian Institute for Health Information. Health Indicators 2008. Ottawa: CIHI, 2008.
Health Data Governance: Privacy, Monitoring and Research
AUTOR(ES): OECD.
ANO: 2015
RESUMO: All countries are investing in health data. There are however significant cross-country differences in data availability and use. Some countries stand out for their innovative practices enabling privacy-protective data use while others are falling behind with insufficient data and restrictions that limit access to and use of data, even by government itself. Countries that develop a data governance framework that enables privacy-protective data use will not only have the information needed to promote quality, efficiency and performance in their health systems, they will become a more attractive centre for medical research. After examining the current situation in OECD countries, a multi-disciplinary advisory panel of experts identified eight key data governance mechanisms to maximise benefits to patients and to societies from the collection, linkage and analysis of health data and to, at the same time, minimise risks to the privacy of patients and to the security of health data. These mechanisms include coordinated development of high-value, privacy-protective health information systems, legislation that permits privacy-protective data use, open and transparent public communication, accreditation or certification of health data processors, transparent and fair project approval processes, data de-identification and data security practices that meet legal requirements and public expectations without compromising data utility and a process to continually assess and renew the data governance framework as new data and new risks emerge.
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REFERENCIA: OECD (2015), Health Data Governance: Privacy, Monitoring and Research, OECD Health Policy Studies, OECD Publishing, Paris. http://dx.doi.org/10.1787/9789264244566-en
Health Care Quality Indicators Project: pacient safety indicators, Report 2009
AUTOR(ES): Drösler,S.; Romano,P.; Wei,L.
ANO: 2009
RESUMO: This paper reports on the progress in the research and development of the set of patient safety indicators developed by the Health Care Quality Indicators project. The indicators presented here have been recommended by an expert group for further consideration in international reporting on the quality of care on the key dimension of safety. The indicators have been selected by expert consensus, undergone validity testing and have been tested for comparability. While concern remains related to differences in coding and reporting from administrative hospital databases, the rigour with which the indicator work has been undertaken has resulted in the improved ability of countries to report on the quality of care. The work on the development of the patient safety indicators highlights the technical progress made in constructing measures and the ongoing need for methodological improvements. The indicators reported here should not be considered as making inferences on the state of patient safety in countries, but are intended to raise questions towards improving understanding of the reported differences.
FONTE:
REFERENCIA: DROSLER et al. Health Care Quality Indicators Project: pacient safety indicators, Report 2009. OECD Health Working Papers 47, nov 2009.
Health Care Quality Indicators Project 2006 Data Collection Update Report
AUTOR(ES): Garcia Armesto, S. et al.
ANO: 2007
RESUMO: This report is an update to the OECD Health Working Paper No. 22, Health Care Quality Indicators Project: Initial Indicators Report that was based on data collected between 2003 and 2005 and released in 2006. That report presented the OECDís initial work on developing a set of health care quality indicators that could be used to raise questions about differences in quality of care across countries. The 2006 report covered 21 ìinitial indicatorsî with data provided by 24 countries. It identified 17 of these indicators as being fit for international comparisons of which 4 were identified as needing further work. Following the release of that report in March 2006, the OECD undertook a second round of data collection on the initial indicator set and also gathered data for the first time on new indicators in a questionnaire sent to participating HCQI countries. This paper reports on the results of that second round of data collection. Data is presented here on an augmented indicator set considered fit for the purpose of making international comparisons on quality of health care. The data is comprised of 19 indicators (17 initial indicators plus new ones). The paper also presents the data provided on 7 other indicators that are not yet considered fit for international comparison. In this round of data collection, data were reported by 32 countries.
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REFERENCIA: Garcia Armesto, S. et al. (2007), "Health Care Quality Indicators Project 2006 Data Collection Update Report", OECD Health Working Papers, No. 29, OECD Publishing, Paris. http://dx.doi.org/10.1787/058047614770
Health at a Glance: Europe 2016
AUTOR(ES): OECD
ANO: 2016
RESUMO: Health at a Glance: Europe 2016 presents key indicators of health and health systems in 36 European countries, including the 28 European Union member states, five candidate countries and three European Free Trade Association countries
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REFERENCIA: OECD/EU (2016), Health at a Glance: Europe 2016 - State of Health in the EU Cycle, OECD Publishing, Paris. http://dx.doi.org/10.1787/9789264265592-en
Health at a Glance 2015: OECD Indicators
AUTOR(ES): OECD
ANO: 2015
RESUMO: This 2015 edition of Health at a Glance - OECD Indicators presents the most recent comparable data on key indicators of health and health systems across the 34 OECD member countries. For a subset of indicators, it also reports data for partner countries, including Brazil, China, Columbia, Costa Rica, India, Indonesia, Latvia, Lithuania, the Russian Federation and South Africa
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REFERENCIA: OECD. Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris, 2015. http://dx.doi.org/10.1787/health_glance-2015-en
Georgia health system performance assessment 2009
AUTOR(ES): WHO
ANO: 2009
RESUMO: This report summarizes the main findings of the World Health Organization (WHO) assessment of the performance of the Georgian health system, which was carried out by the Ministry of Labour, Health and Social Affairs of Georgia, with the technical and financial support from the WHO Regional Office for Europe and from the World Bank. This assessment was carried out between July 2007 and September 2009 and contributes to the efforts pursued by the government of Georgia to strengthen the capacities of the Ministry of Labour, Health and Social Affairs for effective stewardship of the health system. This report presents an assessment of the performance of the Georgian health system against a number of key performance dimensions: the health status of the population; the quality of health services and health care outcomes; health promotion and disease prevention policies; equity and financial protection; access to health care services; efficiency and effectiveness of health services; the effective allocation of health system resources; the health information system and the health system stewardship function of the Ministry of Labour, Health and Social Affairs. Policy recommendations are presented at the end of each section of this report. An executive summary is enclosed and a separate executive report and a technical report form the suite of reports related to this assessment. This health system performance assessment is the first in a series of similar reports released this year by the World Health Organization Regional Office for Europe. Other reports to be released in 2009 include Armenia, Estonia and Portugal.
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REFERENCIA: WHO. Georgia health system performance assessment 2009. World Health Organization, 2009.
Gênero, morbidade, acesso e utilização de serviços de saúde no Brasil
AUTOR(ES): Pinheiro, Rejane Sobrino; Viacava, Francisco; Travassos, Cláudia; Brito, Alexandre dos Santos.
ANO: 2002
RESUMO: O objetivo deste trabalho é analisar o perfil de morbidade referida, acesso e uso de serviços de saúde em homens e mulheres no Brasil, segundo idade e região urbana e rural. Os dados da PNAD/98 mostram que as diferenças de gênero na morbidade variam com a idade: desfavoráveis aos meninos até os 10 anos e desfavoráveis às mulheres a partir dos 15 anos, aumentando até os 64 anos e reduzindo após esta idade. A alta prevalência de atendimento indica que as barreiras de acesso dos que procuram serviços de saúde são pequenas. No entanto, o elevado percentual de não procura face às necessidades percebidas sugere que as barreiras de acesso são anteriores e dependem da oferta. A cobertura por planos de saúde é bem maior na região urbana, mas não há diferenças de gênero significantes nas regiões. As diferenças entre homens e mulheres nas taxas de uso curativo são pequenas, se comparadas com as de uso preventivo, maiores para as mulheres, assim como as taxas de internação, mesmo excluindo os partos. O financiamento das internações não foi diferente entre homens e mulheres, ao contrário do financiamento de outros tipos de atendimento: maior cobertura por planos para mulheres na região urbana; na região rural, maior uso do SUS para as mulheres e maior desembolso de recursos próprios para os homens.(AU)
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REFERENCIA: PINHEIRO, Rejane Sobrino; VIACAVA, Francisco; TRAVASSOS, Cláudia and BRITO, Alexandre dos Santos. Gênero, morbidade, acesso e utilização de serviços de saúde no Brasil. Ciênc. saúde coletiva [online]. 2002, vol.7, n.4 [cited 2016-11-08], pp.687-707. Available from:
Gênero e saúde no Brasil: considerações a partir da Pesquisa Nacional por Amostra de Domicílios
AUTOR(ES): Aquino, Estela M. L; Menezes, Greice M. S; Amoedo, Maurícia B.
ANO: 1992
RESUMO: A mulher brasileira tem vivido mais que o homem, como ocorre em países industrializados centrais. Nesses países paradoxalmente, as mulheres apresentam indicadores de morbidade mais altos que os homens. O conhecimento sobre o padräo nacional pode ajudar a compreender os determinantes de sua própria realidade, permitindo antecipar tendências futuras e adequar os serviços de saúde. Com esta perspectiva foi feito um estudo de morbidade, a partir de dados da Pesquisa Nacional por Amostra de Domicílios (PNAD/IBGE) de 1986, em dez Estados brasileiros, construindo-se coeficientes de prevalência de morbidade, de demanda e de utilizaçäo de serviços segundo sexo, e padronizados por idade pelo método direto. Como medida dos diferenciais, usou-se razöes entre os sexos. A sobremorbidade feminina foi constante em todas as regiöes. Os diferenciais de uso de serviços apresentaram variaçäo regional, sugerindo relaçäo com a oferta de serviços de saúde. Os diferenciais foram nulos na infância; assumiram seus maais altos valores na idade reprodutiva das mulheres, diminuindo depois dos 60 anos. O padräo foi quase constante em todo o país. Parte do fenômeno pode ser explicada por fatores de ordem metodológica. Contudo, os resultados foram semelhantes aos de outros países. As transformaçöes profundas no padräo reprodutivo e na inserçäo social da mulher brasileira têm seu impacto sobre a saúde e o consumo de serviços ainda näo avaliado. Recomenda-se a realizaçäo de estudos mais específicos que contribuam para a reorganizaçäo do sistema de saúde de modo equânime e universal (AU)
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REFERENCIA: AQUINO, Estela M.L.; MENEZES, Greice M.S. and AMOEDO, Marúcia B.. Gênero e saúde no Brasil: considerações a partir da Pesquisa Nacional por Amostra de Domicílios. Rev. Saúde Pública [online]. 1992, vol.26, n.3 [cited 2016-11-08], pp.195-202. Available from:
Gasto privado em saúde no Brasil
AUTOR(ES): Ocké-Reis, Carlos Octávio.
ANO: 2015
RESUMO:
FONTE:
REFERENCIA: Ocké-Reis Carlos Octávio. Gasto privado em saúde no Brasil. Cad. Saúde Pública [Internet]. 2015 July [cited 2017 Apr 05] ; 31( 7 ): 1351-1353. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015000701351&lng=en. http://dx.doi.org/10.1590/0102-311XPE010715.
Fontes de pagamento das internações e desempenho clínico: o caso dos hospitais do estado de São Paulo, Brasil
AUTOR(ES): Machado Juliana Pires, Martins Mônica, Leite Iuri da Costa.
ANO: 2016
RESUMO: O objetivo foi analisar o desempenho clínico por meio da aplicação da Razão de Mortalidade Hospitalar Padronizada (RMHP) e sua variação segundo fonte de pagamento da internação e arranjo de financiamento do hospital. Foram utilizados dados secundários e analisadas as causas responsáveis por 80% dos óbitos hospitalares ajustadas por risco. Desempenho pior que o esperado foi observado em hospitais públicos e públicos mistos e em internações SUS (Sistema Único de Saúde). A relação entre fonte de pagamento e RMHP pode indicar diferenças de prática clínica ou de gravidade dos casos. A metodologia aplicada contribui para o acompanhamento da qualidade hospitalar no País, direcionando políticas públicas e regulamentações.
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REFERENCIA: Machado Juliana Pires, Martins Mônica, Leite Iuri da Costa. Fontes de pagamento das internações e desempenho clínico: o caso dos hospitais do estado de São Paulo, Brasil. Saúde debate [Internet]. 2016 Dec [cited 2017 Apr 17]; 40( 111 ): 74-86. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042016000400074&lng=en. http://dx.doi.org/10.1590/0103-1104201611106.
First Steps to Equity: ideas and strategies for health equity in Ontario 2008-2010
AUTOR(ES): Patychuk, Dianne; Seskar-Hencic, Daniela.
ANO: 2008
RESUMO: With this document, we celebrate the launch of new Ontario Public Health Standards that include identifying, reporting and using information about health inequities and tailoring strategies to inform actions that meet the needs of priority populations. This document provides some ideas, steps, examples and resources to support people and organizations working for equity in health in Ontario. Equity in Health is about eliminating unnecessary/avoidable, and unfair/unjust differences in health among population groups and communities.
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REFERENCIA: PATYCHUCK, D.; SESKAR-HENCISKAR, D. First Steps to Equity. Ideas and Strategies for Health Equity in Ontario 2008-2010. Toronto, Ont.: [Health Nexus], nov 2008.
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